NS 233 Exam 2 UPDATED QUESTIONS
AND CORRECT ANSWERS
A nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe?
- CORRECT ANSWER withholding sedative and analgesic medications
The nurse should teach a patient which is a primary prevention strategy to reduce the occurrence of
head injuries? - CORRECT ANSWER wearing a helmet
You are called to the patients room when the patient experiences a seizure. Upon entering the room,
what should you do first? - CORRECT ANSWER observe the time and sequence of the
patient's movements and responses as they occur
A high school teacher who has just been diagnosed with epilepsy after having a generalized tonic-
clonic seizure tells the nurse, "I cannot teach anymore, it will be too upsetting if I have a seizure at
work." Which response by the nurse is best? - CORRECT ANSWER Epilepsy usually can be
well controlled with medications
A patient is being transferred to the medical-surgical unit. Which equipment should the nurse have
available in the patient's room? - CORRECT ANSWER suction tubing
The nurse is caring for a patient who just experienced a generalized seizure. Which action should the
nurse perform first? - CORRECT ANSWER keep the patient in a side-lying position
A patient has been newly admitted with meningococcal meningitis. Which observation by the nurse
requires immediate action? - CORRECT ANSWER healthcare providers enter the patient's
room without a mask
The nurse is caring for a patient with meningitis and is at risk for increased intracranial pressure.
Which of the following action should the nurse plan to take? - CORRECT
ANSWER implement seizure precautions
When assessing a 53-year-old patient with bacterial meningitis, the nurse obtains the following data.
Which findings should be reported immediately to the health care provider? - CORRECT
ANSWER the patient's blood pressure is 88/42 mm Hg
, D.B. is admitted to a long-term care facility. He has a nursing diagnosis of impaired memory related
to the effects of Alzheimer's. An appropriate nursing intervention for him is to? - CORRECT
ANSWER maintain familiar routines of sleep, meals, drug administration, and activities
A 71-year-old patient with Alzheimer's Disease (AD) who is being admitted to a long-term care
facility has had several episodes of wandering away form home. Which action will the nurse include
in the plan of care? - CORRECT ANSWER place the patient in a room close to the nurses'
station
After change-of-shift report on the Alzheimer's unit which patient will the nurse assess first? -
CORRECT ANSWER patient who has developed new cough after eating breakfast
The nurse finds a patient in bed having a generalized tonic-clonic seizure. During the seizure activity,
what actions should the nurse take? - CORRECT ANSWER loosen restrictive clothing, turn the
patient to the side, protect the patient's head from injury
The nurse on the clinical unit is assigned to four patients. Which patient should she assess first? -
CORRECT ANSWER patient with meningitis who is suddenly agitated and reporting a
headache of 10 on a 0-to-10 scale
A nursing measure that is indicated to reduce the potential for seizures and increased intracranial
pressure in the patient with bacterial meningitis is? - CORRECT ANSWER controlling fever
with prescribed drugs and cooling techniques
An early sign of increased intracranial pressure that the nurse should assess for is? - CORRECT
ANSWER decreasing level of consciousness
Why is the Glasgow Coma Scale (GCS) used? - CORRECT ANSWER to quickly assess the
LOC
When assessing the body functions of a patient with increased ICP, what should the nurse assess first?
- CORRECT ANSWER circulatory and respiratory status
AND CORRECT ANSWERS
A nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe?
- CORRECT ANSWER withholding sedative and analgesic medications
The nurse should teach a patient which is a primary prevention strategy to reduce the occurrence of
head injuries? - CORRECT ANSWER wearing a helmet
You are called to the patients room when the patient experiences a seizure. Upon entering the room,
what should you do first? - CORRECT ANSWER observe the time and sequence of the
patient's movements and responses as they occur
A high school teacher who has just been diagnosed with epilepsy after having a generalized tonic-
clonic seizure tells the nurse, "I cannot teach anymore, it will be too upsetting if I have a seizure at
work." Which response by the nurse is best? - CORRECT ANSWER Epilepsy usually can be
well controlled with medications
A patient is being transferred to the medical-surgical unit. Which equipment should the nurse have
available in the patient's room? - CORRECT ANSWER suction tubing
The nurse is caring for a patient who just experienced a generalized seizure. Which action should the
nurse perform first? - CORRECT ANSWER keep the patient in a side-lying position
A patient has been newly admitted with meningococcal meningitis. Which observation by the nurse
requires immediate action? - CORRECT ANSWER healthcare providers enter the patient's
room without a mask
The nurse is caring for a patient with meningitis and is at risk for increased intracranial pressure.
Which of the following action should the nurse plan to take? - CORRECT
ANSWER implement seizure precautions
When assessing a 53-year-old patient with bacterial meningitis, the nurse obtains the following data.
Which findings should be reported immediately to the health care provider? - CORRECT
ANSWER the patient's blood pressure is 88/42 mm Hg
, D.B. is admitted to a long-term care facility. He has a nursing diagnosis of impaired memory related
to the effects of Alzheimer's. An appropriate nursing intervention for him is to? - CORRECT
ANSWER maintain familiar routines of sleep, meals, drug administration, and activities
A 71-year-old patient with Alzheimer's Disease (AD) who is being admitted to a long-term care
facility has had several episodes of wandering away form home. Which action will the nurse include
in the plan of care? - CORRECT ANSWER place the patient in a room close to the nurses'
station
After change-of-shift report on the Alzheimer's unit which patient will the nurse assess first? -
CORRECT ANSWER patient who has developed new cough after eating breakfast
The nurse finds a patient in bed having a generalized tonic-clonic seizure. During the seizure activity,
what actions should the nurse take? - CORRECT ANSWER loosen restrictive clothing, turn the
patient to the side, protect the patient's head from injury
The nurse on the clinical unit is assigned to four patients. Which patient should she assess first? -
CORRECT ANSWER patient with meningitis who is suddenly agitated and reporting a
headache of 10 on a 0-to-10 scale
A nursing measure that is indicated to reduce the potential for seizures and increased intracranial
pressure in the patient with bacterial meningitis is? - CORRECT ANSWER controlling fever
with prescribed drugs and cooling techniques
An early sign of increased intracranial pressure that the nurse should assess for is? - CORRECT
ANSWER decreasing level of consciousness
Why is the Glasgow Coma Scale (GCS) used? - CORRECT ANSWER to quickly assess the
LOC
When assessing the body functions of a patient with increased ICP, what should the nurse assess first?
- CORRECT ANSWER circulatory and respiratory status
