Purdue Global NU144 Medical Surgical Nursing II Unit 8 exam

Question 1

Purdue Global NU144 Medical Surgical Nursing II Unit 8 exam. A client is brought to the Emergency Department (ED) with a suspected ischemic stroke. What is the primary assessment that the nurse should perform for this client?

• A) Assessment of the client’s pain level and vital signs.
• B) Assessment of the client’s cognitive function and memory.
• C) Assessment of the client’s cranial nerve function and reflexes.
• D) Assessment of the client’s airway, breathing, and circulation (ABCs).

Question 2

A family member of a client in stroke rehabilitation asks the nurse, “Why is it important for our loved one to do things on their own?” What is the nurse’s best response?

• A) “Doing things independently can speed up the recovery process.”
• C) “The goal is to make our loved one self-sufficient in daily activities.” ✓
• B) “It’s mainly to reduce the workload for the healthcare staff.”
• D) “We want to test their abilities, but they don’t have to do everything.”

---

Question 3

A 37-year-old man is brought to the emergency clinic by his wife because he is experiencing loss of function and sensation. The provider suspects that the man may have a spinal cord compression caused by a tumor. The nurse will most likely prepare the man for a?

• A) Lumbar x-ray
• B) Ultrasound of the lower spine
• C) Lumbar puncture
• D) MRI of the spinal cord ✓

Question 4

When providing education on stroke risk factors, the nurse emphasizes that non-modifiable risk factors are those that:

• A) Can be changed or controlled with lifestyle modifications.
• B) Are influenced by genetic factors and cannot be altered. ✓
• C) Are related to diet and exercise habits.
• D) Are primarily associated with environmental exposures.

Question 5

A family member brings the client to the clinic for a follow-up visit after a stroke. The family member asks the nurse what he can do to decrease his chance of having another stroke. What would be the nurse’s best answer?

• A) “Have your heart checked regularly.”
• B) “Stop smoking as soon as possible.”
• C) “Take your prescribed medication.” ✓
• D) “Eat a nutritious diet.”

Question 6

The nurse is obtaining a health history for a 45-year-old woman with Guillain-Barré syndrome (GBS). Which statement by the client does the nurse correlate with the client’s diagnosis?

• A) “My neighbor also had Guillain-Barré syndrome.”
• B) “I had a viral infection about 2 weeks ago.” ✓ Purdue Global NU144 Medical Surgical Nursing II Unit 8 exam
• C) “I am an artist and work with oil paints.”
• D) “My sexual partner has AIDS.”

Question 7

A client diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid endarterectomy. Which statement by the client indicates a need for further education about the procedure?

• A) “I understand that this surgery will remove the plaque from my carotid artery to improve blood flow to my brain.”
• B) “I’ll need to remain on bed rest for at least a week after the surgery to prevent complications.” ✓
• C) “I should let the healthcare provider know if I experience any signs of infection or a significant change in my neurological status.”
• D) “I’ll need to take blood-thinning medication after the surgery to prevent blood clots from forming.”

Question 8

A client who had a stroke is being cared for by a student nurse. The nurse must intervene if the student nurse:

• A) Administers an anticoagulant medication as ordered.
• B) Encourages the client to perform active range-of-motion exercises.
• C) Administers acetaminophen (Tylenol) for a headache.
• D) Positions the client with the head of the bed elevated to 90 degrees. ✓

Question 9

The nurse is caring for a client who had a hemorrhagic stroke. What assessment finding constitutes an early sign of deterioration?

• A) Generalized pain
• B) Alteration in level of consciousness (LOC) ✓
• C) Tonic clonic seizures
• D) Shortness of breath

Question 10

A client with myasthenia gravis is taking anticholinesterase drugs as part of their treatment plan. The client asks the nurse why it’s important to have meals after taking these medications. What is the nurse’s best response?

• A) “Meals help reduce the side effects of the medications.”
• B) “Taking the medications a short time before eating enhances its effectiveness.”
• C) “Meals aid in preventing stomach discomfort from the medication.”
• D) “You should take these medications on an empty stomach, so you do not get sick.”

Question 11

A client has been admitted to the hospital with a newly diagnosed brain tumor. The client has just exhibited seizure activity for the first time. What is the nurse’s priority response in this situation?

• A) Identify the triggers that precipitated the seizure
• B) Implement precautions to ensure the client’s safety ✓
• C) Teach the client’s family the relationship between seizure activity and brain tumors Purdue Global NU144 Medical Surgical Nursing II Unit 8 exam
• D) Ensure that the client is in a private room

Question 12

A client with a brain tumor is experiencing cachexia. What is the nurse’s priority assessment in managing the client’s cachexia?

• A) Assess the client’s level of pain and administer analgesics.
• B) Monitor the client’s daily caloric intake and nutritional status. ✓
• C) Evaluate the client’s emotional well-being and provide psychosocial support.
• D) Measure the client’s vital signs and oxygen saturation levels.

---

Question 13

A recovering ischemic stroke patient is gaining mobility and is preparing to ambulate with the nurse’s assistance. What action can the nurse take to enhance the safety of the client during ambulation?

• A) Ambulate the client without any assistive devices to improve strength.
• B) Administer a sedative medication to reduce the client’s anxiety during ambulation.
• C) Use an appropriate assistive device and ensure the client is wearing non-slip footwear. ✓
• D) Ambulate the client as quickly as possible to minimize the risk of fatigue.

Question 14

1000 mL of D5W is to infuse over 8 hours. An infusion pump is to be used. At what rate will the nurse set the infusion pump?

• A) 115 mL/hr
• B) 65 gtt/min
• C) 125 mL/hr
• D) 120 mL/hr ✓

Question 15

The nurse is to set the IV pump to deliver 300 mL over 6.5 hours. At what rate will the nurse set the pump?

• A) 46 mL/hr ✓
• B) 50 mL/hr
• C) 65 mL/hr
• D) 75 mL/hr

Question 16

The nurse is aware that modifiable risk factors for ischemic stroke are? Select all that apply.

Select all that apply

• A) Atrial fibrillation ✓
• B) Sleep apnea ✓
• C) Obesity ✓
• D) Excessive alcohol consumption ✓
• E) Gender
• F) Diabetes type 2 ✓

Question 17

Which of the following are common symptoms of Parkinson’s disease? Select all that apply. Purdue Global NU144 Medical Surgical Nursing II Unit 8 exam

Select all that apply

• A) Tremors at rest ✓
• B) Bradykinesia ✓
• C) Muscle rigidity ✓
• D) Hyperactive reflexes
• E) Shuffling gait ✓
• F) Diarrhea

Question 18

Case Study — Ms. Linda Thompson is a 74-year-old woman presenting with a 12-pound unintentional weight loss over 2 months, decreased appetite, early satiety, fatigue, and frequent meal skipping. She lives alone with a history of hypertension, osteoarthritis, and mild cognitive impairment. Assessment shows a thin, frail appearance with cachexia, dry skin, and lightheadedness on standing. Vital signs are stable; BMI is 16.

What is most likely the patient’s condition? (Select 1)

• A) Failure to thrive ✓
• B) Dehydration
• C) Obesity
• D) Normal age-related changes

Question 19

Case Study — Same patient as above (Ms. Linda Thompson).

What are two priority interventions? (Select 2)

Select 2

• A) Initiate strict calorie restriction diet
• B) Order a comprehensive nutritional assessment ✓
• C) Reassure that this is normal in ageing
• D) Refer her to a dietician for individualized meal planning and an increase in caloric intake ✓
• E) Administer antidepressants for depression

Question 20

Case Study — Same patient as above (Ms. Linda Thompson).

Identify two parameters to monitor right now. (Select 2)

Select 2

• A) Peak expiratory flow rates
• B) Monitor caloric intake and weight on a daily basis ✓
• C) Serum albumin and prealbumin levels ✓
• D) PERRLA
• E) Troponin levels