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NGN-RN Complete Package (S3)

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A distressed couple comes into the community healthcare clinic. Their 5 year-old daughter has been experiencing speech disturbances and has been making grimacing faces and irregular body movements. The child was discharged home two months ago from the hospital following an acute episode of rheumatic fever. Which of the following responses is the best for the nurse to make to the distressed parents?

Ramanpreet Kaur Sidhu

ID: 137304
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A nursing student, supervised by their preceptor, is preparing to perform the first oral feeding for a client 48 hours after an acute stroke. 

 Prior to initiating the feed, which of the following actions completed by the student would require the preceptor to intervene when assessing and facilitating a client's ability to swallow?

Ramanpreet Kaur Sidhu

ID: 137304
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A nursing student, along with their preceptor, is caring for a client after having a stroke. The client's skin is susceptible to breakdown as they are on bedrest and have lost considerable strength and motor function. 

 In an attempt to maintain the client's skin integrity, which of the following actions by the student would require intervention by the precepting nurse? 

Ramanpreet Kaur Sidhu

ID: 137304
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An on-coming nurse working on a neurological unit receives report from the night nurse about their client load. 

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 Which client should the nurse see FIRST?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is assessing a client with a history of frequent transient ischemic attacks (TIAs). Which of the following assessment findings would alert the nurse to immediately follow up with the Healthcare Provider?

Ramanpreet Kaur Sidhu

ID: 137304
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Which of the following clients has the greatest risk of developing multiple sclerosis?

Ramanpreet Kaur Sidhu

ID: 137304
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A client with a high risk for stroke is being monitored for transient ischemic attacks (TIAs). The client is oriented, can open their eyes spontaneously and follows commands. 

 What would the nurse record as the Glasgow Coma Scale (GCS) score based on these assessments?

Ramanpreet Kaur Sidhu

ID: 137304
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A nurse is conducting a neurological assessment on an adult client. Using a reflex hammer, the nurse strokes the sole of the client's foot in an upside-down J shape.

 Which of the following responses would the nurse label as a normal reaction?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is conducting a complete neurological assessment, starting with the cranial nerve examination.

 Which of the following should the nurse use to assess the glossopharyngeal nerve?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a stroke client who underwent a carotid endarterectomy to remove the plaque that is occluding an artery. 

 Which of the following interventions would be inappropriate to include in this client's plan of care?

Ramanpreet Kaur Sidhu

ID: 137304
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