A nurse obtains a focused health history for a client who is scheduled for magnetic resonance imaging (MRI). Which condition should alert the nurse to contact the provider and cancel the procedure?
a. Creatine phosphokinase (CPK) of 100 IU/L
b. Atrioventricular graft
c. Blood urea nitrogen (BUN) of 50 mg/dL
d. Internal insulin pump
Question 2A nurse assesses a client recovering from a cerebral angiography via the client's right femoral artery. Which assessment should the nurse complete?
a. Palpate bilateral lower extremity pulses.
b. Obtain orthostatic blood pressure readings.
c. Perform a funduscopic examination.
d. Assess the gag reflex prior to eating.
Question 3A nurse is caring for a client with a history of renal insufficiency who is scheduled for a computed tomography scan of the head with contrast medium. Which priority intervention should the nurse implement?
a. Educate the client about strict bedrest after the procedure.
b. Place an indwelling urinary catheter to closely monitor output.
c. Obtain a prescription for intravenous fluids.
d. Contact the provider to cancel the procedure.
Question 4A nurse obtains a focused health history for a client who is scheduled for magnetic resonance angiography. Which priority question should the nurse ask before the test?
a. Have you had a recent blood transfusion?
b. Do you have allergies to iodine or shellfish?
c. Are you taking any cardiac medications?
d. Do you currently use oral contraceptives?
Question 5A nurse assesses a client who demonstrates a positive Romberg's sign with eyes closed but not with eyes open. Which condition does the nurse associate with this finding?
a. Difficulty with proprioception
b. Peripheral motor disorder
c. Impaired cerebellar function
d. Positive pronator drift
Question 6A nurse asks a client to take deep breaths during an electroencephalography. The client asks, Why are you asking me to do this? How should the nurse respond?
a. Hyperventilation causes vascular dilation of cerebral arteries, which decreases electoral activity in the brain.
b. Deep breathing helps you to relax and allows the electroencephalograph to obtain a better waveform.
c. Hyperventilation causes cerebral vasoconstriction and increases the likelihood of seizure activity.
d. Deep breathing will help you to blow off carbon dioxide and decreases intracranial pressures.
Question 7A nurse assesses a client's recent memory. Which client statement confirms that the client's remote memory is intact?
a. A young girl wrapped in a shroud fell asleep on a bed of clouds.
b. I was born on April 3, 1967, in Johnstown Community Hospital.
c. Apple, chair, and pencil are the words you just stated.
d. I ate oatmeal with wheat toast and orange juice for breakfast.
Question 8A nurse plans care for a client who has a hypoactive response to a test of deep tendon reflexes. Which intervention should the nurse include in this client's plan of care?
a. Check bath water temperature with a thermometer.
b. Provide the client with assistance when ambulating.
c. Place elastic support hose on the client's legs.
d. Assess the client's feet for wounds each shift.
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