Principles Medsurg2 Jersey College Questions with Complete Solutions (Latest 2025) A client has muscle rigidity with passive range of motion, a tremor that is present at rest and absent while feeding himself, and has slow motor movements. These clinical manifestations are consistent with which disorder? - Correct Answers✅Parkinson's Disease A nurse is caring for a client with Parkinson's disease who takes levodopa routinely. He has a temperature of 103 degrees Fahrenheit, increased muscle rigidity, and a decreased level of consciousness. Which of the following is true? These clinical manifestations are consistent with - Correct Answers✅NMS A client is admitted for a complaint of lower extremities weakness which has progressively gotten worse over the last 2 months. When assessing the client the nurse observes lower extremity muscle wasting and 4+ patellar reflexes bilaterally. These clinical manifestations are consistent with which disorder? - Correct Answers✅ALS A male client with a history of prostate cancer is admitted for severe, uncontrolled pain in his lumbar back. He denies any recent injury but doesn't want to get out of bed. When reporting these findings to the primary care provider, the nurse would emphasize which finding? - Correct Answers✅hx of prostate cancer A nurse is preparing to complete the discharge teaching for a client with a spinal cord injury. Which of the following clinical manifestations should the nurse educate the client about when discussing reasons to seek emergent medical care? - Correct Answers✅Headache and profuse facial diaphoresis A nurse is caring for a client with an acute spinal cord injury. The unlicensed assistive personnel reports that the client is unresponsive. Which of the following clinical manifestations suggests that the client is experiencing neurogenic shock? - Correct Answers✅Heart rate of 50, blood pressure of 80/40 mmHg and a low cardiac output 1 / 4
Principles Medsurg2 Jersey College Questions with Complete Solutions (Latest 2025) Which of the following nursing interventions is appropriate for the nurse to implement to prevent complications related to immobility in an unconscious client? - Correct Answers✅remove and apply foot splints q2h The nurse is caring for a client with bronchogenic carcinoma. The client develops syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following assessment findings is consistent with this condition? Select all that apply. - Correct Answers✅1. Crackles and wheezes
- Sodium 120 mg/dL
- Excessive weight gain
- Correct Answers✅The client requires ventilatory support 2 / 4
A 79 year old female client with nausea and vomiting has a temperature of 99.5 degrees fahrenheit. Which of the following is the most likely cause of the client's abnormal temperature? - Correct Answers✅dehydration The nurse is caring for a client who has a hyperreflexic bladder. Which of the following assessment findings suggest that treatment with an antispasmodic was effective? - Correct Answers✅pt voids q4-6h The nurse is caring for a pregnant client with active genital herpes simplex 2 infection. During the delivery process the neonate is at the greatest risk for developing which of the following disorders? - Correct Answers✅encephalitis An otherwise healthy client with a severe closed head injury is brought to the emergency department. Assessment findings reveal that the client is brain dead. The nurse understands that brain death means which of the following?
Principles Medsurg2 Jersey College Questions with Complete Solutions (Latest 2025) A client is brought to the emergency department by ambulance and is unconscious. The nurse understands that the level of consciousness can change for all of the following reasons except? - Correct Answers✅immobility A client with a history of alcohol abuse is admitted for alcohol withdrawal.The nurse should observe the client closely for which of the following complications? - Correct Answers✅seizure activity When caring for a client with increased intracranial pressure, the nurse knows that which of the following is true? - Correct Answers✅Cerebral spinal fluid production is decreased to help compensate for the increased volume.When caring for a client who has an acute deep vein thrombosis of the right leg and is being treated with heparin, the nurse avoids performing which of the following actions? - Correct Answers✅Massaging the lower extremities The nurse is caring for a client on a mechanical ventilator. The client is receiving continuous feeding via a gastrostomy tube. Which of the following actions should the nurse take to prevent complications? Select all that apply.
- Correct Answers✅1. Keep the head of the bed elevated at 30 degrees
- Maintain the cuff pressure at 15 mmH
An unconscious client with a closed head injury has a dilated left pupil that is slow to respond to light. Which of the following abnormalities best explain the client's clinical manifestations? - Correct Answers✅Oculomotor nerve compression A client was recently admitted to the emergency department after falling down a flight of stairs. The client is complaining of nausea along with a headache and requests pain medication. The nurse observes that the client 3 / 4
Principles Medsurg2 Jersey College Questions with Complete Solutions (Latest 2025) is restless. Which of the following actions by the nurse is a priority? - Correct Answers✅Check the client's visual acuity A nurse is caring for a client with a closed head injury. The client has become increasingly lethargic, complains of a headache, and clears his throat spontaneously. His BP is 120/70, pulse is 80, respirations are 18 and his oxygen saturation is 98%. Which of the following nursing diagnoses is appropriate? - Correct Answers✅Ineffective cerebral tissue perfusion related to increased intracranial pressure.Clients with a closed head injury, a subdural hematoma, an epidural hematoma or a subarachnoid hemorrhage are at an increased risk for which of the following complications? - Correct Answers✅respiratory failure A client with a brain tumor is receiving dexamethasone (decadron). The nurse should monitor the client for which of the following clinical manifestations? - Correct Answers✅edema A client who recently had a kidney transplant is inquiring about having the nasal influenza vaccination for the upcoming flu season. Which response by the nurse is most appropriate? - Correct Answers✅'Because of your recent transplant, I would consult your physician about the flu vaccination.' A nurse is caring for an unconscious client who extends his elbows, pronates his arms, flexes his wrists and points his toes. Which of the following is true?
- Correct Answers✅This is a sign of severe neurologic damage.
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When caring for a client who sustained a lower motor neuron injury and is paralyzed from the waist down, the nurse anticipates which of the following findings? - Correct Answers✅Flaccid paralysis