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Questions 148

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Extract:


Question 1 of 5

A client is admitted to the emergency room after falling down a flight of stairs. Initial assessment reveals a large bump on the front of the head and a 2-inch laceration above the right eye. Which finding is consistent with injury to the frontal lobe?

Correct Answer: C

Rationale: The frontal lobe is involved in sensory processing and cognition, so failure to recognize touch (agnosia) is consistent with frontal lobe injury.

Question 2 of 5

The nurse is assessing a client with a closed reduction of a fractured femur. Which finding should the nurse report to the physician?

Correct Answer: A

Rationale: Chest pain and shortness of breath may indicate a pulmonary embolism, a serious complication requiring immediate reporting.

Question 3 of 5

The client presents to the emergency room with a hyphema. Which action by the nurse would be best?

Correct Answer: A

Rationale: Elevating the head and applying ice reduces intraocular pressure and swelling in hyphema, a bleed in the eye.

Question 4 of 5

Clients taking anticholinergic drugs, such as benztropine mesylate (Cogentin), to relieve muscle tremors and muscle rigidity associated with Parkinson disease should be advised to avoid which of the following?

Correct Answer: A

Rationale: Anticholinergics like benztropine reduce sweating, increasing the risk of overheating (
A). Overeating (
B), excessive fluids (
C), or skipping meals (
D) are not directly related to anticholinergic side effects.

Question 5 of 5

A client is admitted with possible appendicitis. Which finding by the nurse would be expected in assessment of this client?

Correct Answer: A

Rationale: A positive psoas sign (pain with leg extension) is associated with appendicitis. Murphy’s sign is for gallbladder, Homan’s for DVT, and Chadwick’s for pregnancy.

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