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NURS 380 Exam 1 (2026) – 150+ Questions on Stroke, ICP, DKA, Meningitis & Alzheimer’s Care

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This NURS 380 Exam 1 (2026) study guide contains over 150 structured multiple-choice questions with complete answers and clinical rationales covering neurological disorders, stroke management, increased intracranial pressure (ICP), diabetic ketoacidosis (DKA), meningitis, brain tumors, and Alzheimer’s disease care. The material begins with Alzheimer’s disease pharmacologic management (cholinesterase inhibitors such as donepezil), safety interventions (ID bracelets, Safe Return enrollment), depression management with SSRIs, and maintenance of ADL independence, as shown on pages 1–4. Comprehensive stroke content includes left hemisphere deficits (aphasia, right visual field loss, intellectual impairment), rtPA eligibility timing (within 3 hours of symptom onset), swallowing precautions before oral intake, aspiration risk with cranial nerve IX and X dysfunction, priority interventions (elevate HOB), and delegation principles in acute care. ICP and neurosurgical topics include early signs of increased ICP (restlessness and confusion), normal ICP range (0–15 mm Hg), Cushing’s triad trends (increased BP, decreased pulse and respirations), mannitol’s osmotic diuretic mechanism, lumbar puncture contraindications with elevated ICP, and meningitis indicators (positive Brudzinski’s sign, cloudy CSF with elevated protein and decreased glucose). Endocrine content thoroughly reviews DKA pathophysiology (Kussmaul respirations, fruity breath odor, glucose 300 mg/dL), priority airway management, potassium replacement precautions (minimum urine output 30 mL/hr), sick-day rules, hypoglycemia recognition (confusion as urgent sign), and diabetes prevalence statistics (8.3% of U.S. population). Pediatric and neuroinfectious sections include respiratory isolation for bacterial meningitis, signs of DIC (hemorrhagic rash), and classic brain tumor findings (head tilt, vomiting, lethargy). This document may concern: – BSN students enrolled in NURS 380 – Adult Health or Medical-Surgical Nursing students – Students preparing for Exam 1 in neuro and endocrine modules – NCLEX preparation students reviewing priority and delegation – Nursing students studying stroke, ICP, DKA, and meningitis care Keywords: NURS 380 exam 1 2026, Alzheimer cholinesterase inhibitor donepezil, left hemisphere stroke deficits, rtPA 3 hour window, swallow screen aspiration risk, cranial nerve IX X aspiration pneumonia, increased intracranial pressure early sign, normal ICP 0 to 15 mm Hg, Cushing triad vital signs, mannitol osmotic diuretic ICP, lumbar puncture contraindication increased ICP, DKA Kussmaul respirations, glucose greater than 300 mg dL, potassium replacement 30 mL urine output, hypoglycemia confusion first sign, meningitis cloudy CSF elevated protein low glucose, Brudzinski sign positive, diabetic sick day rules, respiratory isolation bacterial meningitis

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NURS 380 Exam 1 Questions
2026 Exam All Answers and
Illustrations Given


The wife of a patient recently diagnosed with Alzheimer's disease asks the

nurse if there is a cure for her husband's illness. What is the nurse's best

response?

A) Eating a balanced diet that includes lots of soy products can prevent

Alzheimer's disease.

B) Decreasing the levels of neurotransmitters in the brain can slow the

progression of the disease.

,C) Cholinesterase inhibitor drugs such as donepezil (Aricept) can slow the

pace of deterioration.

D) Removal of neuritic plaques can prevent vascular degeneration and

improve brain cell function. - 🧠 ANSWER ✔✔C) Cholinesterase inhibitor

drugs such as donepezil (Aricept) can slow the pace of deterioration.

The wife states that her husband is able to perform most of his own ADLs,

although she helps to tie his shoes, fasten his belt buckle, and button his

shirt.To help her husband maintain independence, which action should the

nurse recommend?

A) Take the patient out into crowds of people as often as possible.

B) Vary times for meals, bedtime, and getting up in the morning.

C) Put whole outfits on hangers, then allow the patient to choose what to

wear.

D) Ensure that door locks can be easily opened by the patient. - 🧠

ANSWER ✔✔C) Put whole outfits on hangers, then allow the patient to

choose what to wear.

At a 6-month follow-up appointment, the wife states that the patient

occasionally has difficulty finding the correct words to use when he is

, communicating. What term does the nurse use to document this

assessment data?

A) Apraxia

B) Aphasia

C) Anomia


D) Agnosia - 🧠 ANSWER ✔✔C) Anomia


At an 18-month follow-up appointment, the wife states that her husband

seems depressed most of the time and has become less talkative over the

past few months. Which medication could be helpful for this patient's

symptoms?

A) Sertraline (Zoloft)

B) Amitriptyline (Elavil)

C) Desipramine (Norpramin)


D) Imipramine (Tofranil) - 🧠 ANSWER ✔✔A) Sertraline (Zoloft)




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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