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Exam Review

Med surg rn (lippincott)

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Total Questions : 93

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Question 1:

A nurse observes that decerebrate posturing is a comatose client's response to painful stimuli. Decerebrate posturing as a response to pain indicates:

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A
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Question 2:

A client in the emergency department has a suspected neurologic disorder. To assess gait, the nurse asks the client to take a few steps; with each step, the client's feet make a half circle. To document the client's gait, the nurse should use which term?

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Question 3:

The nurse documenting an acute open wound should include which characteristics? Select all that apply.

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Question 4:

Which term describes the fibrous connective tissues that cover the brain and spinal cord?

Answer and Explanation

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Question 5:

Which cranial nerve is responsible for muscles that move the eye and lids?

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Question 6:

The critical care nurse is giving end-of-shift report on a client.
The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and reports to the oncoming nurse that the client has an LOC of 6. What does an LOC score of 6 in a client indicate?

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Question 7:

Which posture is exhibited by abnormal flexion of the upper extremities and extension of the lower extremities?

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Question 8:

When performing a postoperative assessment on a client who has undergone surgery to manage increased intracranial pressure (ICP), a nurse notes an ICP reading of 0 mm Hg. Which action should the nurse perform first?

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Question 9:

The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding?

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Question 10:

A client who has sustained a head injury cannot identify a familiar object. The nurse knows that this deficit is called which of the following?

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