Page 1 of 48
NURS 2300 EXAM 2 POST KC QUESTIONS 2026
QUESTIONS EXAM LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED
Questions
A 7 year old child is admitted for a diagnostic workup and is transferred from
the emergency department to the pediatric unit. The nurse reviews the
admission note and physical assessment. The nurse obtains the child's vital
signs and talks with the parents. The parents ask the nurse why their child has
several headaches. Which explanation would the nurse give for the cause of
the headaches?
a.) Rapid respirations
b.) Increased blood pressure
c.) Anemia associated with hematuria
d.) Autoimmune response associated with acute poststreptococcal
glomerulonephritis (APSGN)
B. - Rapid respirations, anemia, and APSGN do not cause a severe headache.
Which nursing action would the nurse implement immediately when providing
care to a trauma client whose primary survey indicates a Glasgow Coma Scale
(GCS) score of 7?
a.) Prepare for intubation
, Page 2 of 48
b.) Observe for chest wall trauma
c.) Cover the client with a blanket
d.) Apply direct pressure to the client's wound
A. - Rationale: If he GCS score is 8 or less, the priority action by the nurse is to
prepare for endotracheal intubation because the client is at risk for airway
compromise
Which area of assessment is included in the Glasgow Coma Scale?
a.) Breathing patterns
b.) Deep tendon reflexes
c.) Eye accommodation to light
d.) Response to verbal commands
D. - Rationale: the three areas of assessment of the GSW are motor response to
verbal commands, eye opening in response to speech, and verbal response to
speech
Which clinical finding is consistent with an increase in intracranial pressure?
a.) Thready, weak pulse
b.) Narrowing pulse pressure
c.) Regular, shallow breathing
d.) Lowered level of consciousness
D. - Altered consciousness is the first sign of increased intracranial pressure
A child who has recently been diagnosed with a brain tumor vomits during
breakfast. Which nursing intervention is priority? Select all that apply:
a.) Refeeding breakfast
, Page 3 of 48
b.) Notifying the practitioner
c.) Requesting a reevaluation
d.) Administering the prescribed antiemetic
e.) Increasing the intravenous infusion rate
B, C. - Rationale: When a child displays signs of increasing intracranial pressure, the
health care provider should be notified and should conduct a repeat assessment.
Refeeding breakfast is unsafe; if cause of vomiting is increased intracranial pressure,
antiemetics will not be effective.
Which clinical finding would the nurse recognize as a sign that an infant's
intracranial pressure has increased?
a.) Hypoactive reflexes
b.) increased pulse rate
c.) decreased pressure
d.) Tension of the anterior fontanel
D. - Rational: the anterior fontanel will be widened and tense because of the
increased volume of cerebrospinal fluid.
Which position would the nurse place a client in during the immediate period
after injury to the frontal lobe of the brain?
a.) supine
b.) side-lying
c.) low-fowler
d.) Trendelenburg
, Page 4 of 48
C. - Elevating the head of the bed increases drainage of cerebrospinal fluid and
decreases intracranial pressure. Supine and side-lying positions will not promote
cerebral drainage and may lead to increased intracranial pressure.
Which activities would the nurse initiate for a client with Alzheimer disease
who is admitted to a long-term care facility? Select all that apply:
a.) Weighing the client once a week
b.) Having specialized rehabilitation equipment available
c.) Keeping the client in pajamas and robe most of the day
d.) Establishing a schedule with periods of rest after activities
e.) Reviewing the client's weekly budget and use of community resources
f.) Setting up a plan for weekly entertainment through a senior citizens' travel
group
A, B, D. - Rationale: Monitoring weight is an objective way to assess nutritional
status. Specialized rehab equipment can facilitate the client's participation in self-
care. Incorporating rest periods into the client's day prevents fatigue and energizes
client. Client needs to wear clothes to help maintain positive view of self. Not
appropriate to review budgeting and use of community resources with a client with
Alzheimer disease as it may produce frustration and withdrawal. A client with
Alzheimer disease is usually unable to participate in, or travel with, a senior citizen
group
Which mechanism of action is responsible for the therapeutic effects of
mannitol prescribed for a client with a head injury?
a.) Decreasing the production of cerebrospinal fluid
b.) Limiting the metabolic requirements of the brain
c.) Drawing fluid from brain cells into the bloodstream
NURS 2300 EXAM 2 POST KC QUESTIONS 2026
QUESTIONS EXAM LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED
Questions
A 7 year old child is admitted for a diagnostic workup and is transferred from
the emergency department to the pediatric unit. The nurse reviews the
admission note and physical assessment. The nurse obtains the child's vital
signs and talks with the parents. The parents ask the nurse why their child has
several headaches. Which explanation would the nurse give for the cause of
the headaches?
a.) Rapid respirations
b.) Increased blood pressure
c.) Anemia associated with hematuria
d.) Autoimmune response associated with acute poststreptococcal
glomerulonephritis (APSGN)
B. - Rapid respirations, anemia, and APSGN do not cause a severe headache.
Which nursing action would the nurse implement immediately when providing
care to a trauma client whose primary survey indicates a Glasgow Coma Scale
(GCS) score of 7?
a.) Prepare for intubation
, Page 2 of 48
b.) Observe for chest wall trauma
c.) Cover the client with a blanket
d.) Apply direct pressure to the client's wound
A. - Rationale: If he GCS score is 8 or less, the priority action by the nurse is to
prepare for endotracheal intubation because the client is at risk for airway
compromise
Which area of assessment is included in the Glasgow Coma Scale?
a.) Breathing patterns
b.) Deep tendon reflexes
c.) Eye accommodation to light
d.) Response to verbal commands
D. - Rationale: the three areas of assessment of the GSW are motor response to
verbal commands, eye opening in response to speech, and verbal response to
speech
Which clinical finding is consistent with an increase in intracranial pressure?
a.) Thready, weak pulse
b.) Narrowing pulse pressure
c.) Regular, shallow breathing
d.) Lowered level of consciousness
D. - Altered consciousness is the first sign of increased intracranial pressure
A child who has recently been diagnosed with a brain tumor vomits during
breakfast. Which nursing intervention is priority? Select all that apply:
a.) Refeeding breakfast
, Page 3 of 48
b.) Notifying the practitioner
c.) Requesting a reevaluation
d.) Administering the prescribed antiemetic
e.) Increasing the intravenous infusion rate
B, C. - Rationale: When a child displays signs of increasing intracranial pressure, the
health care provider should be notified and should conduct a repeat assessment.
Refeeding breakfast is unsafe; if cause of vomiting is increased intracranial pressure,
antiemetics will not be effective.
Which clinical finding would the nurse recognize as a sign that an infant's
intracranial pressure has increased?
a.) Hypoactive reflexes
b.) increased pulse rate
c.) decreased pressure
d.) Tension of the anterior fontanel
D. - Rational: the anterior fontanel will be widened and tense because of the
increased volume of cerebrospinal fluid.
Which position would the nurse place a client in during the immediate period
after injury to the frontal lobe of the brain?
a.) supine
b.) side-lying
c.) low-fowler
d.) Trendelenburg
, Page 4 of 48
C. - Elevating the head of the bed increases drainage of cerebrospinal fluid and
decreases intracranial pressure. Supine and side-lying positions will not promote
cerebral drainage and may lead to increased intracranial pressure.
Which activities would the nurse initiate for a client with Alzheimer disease
who is admitted to a long-term care facility? Select all that apply:
a.) Weighing the client once a week
b.) Having specialized rehabilitation equipment available
c.) Keeping the client in pajamas and robe most of the day
d.) Establishing a schedule with periods of rest after activities
e.) Reviewing the client's weekly budget and use of community resources
f.) Setting up a plan for weekly entertainment through a senior citizens' travel
group
A, B, D. - Rationale: Monitoring weight is an objective way to assess nutritional
status. Specialized rehab equipment can facilitate the client's participation in self-
care. Incorporating rest periods into the client's day prevents fatigue and energizes
client. Client needs to wear clothes to help maintain positive view of self. Not
appropriate to review budgeting and use of community resources with a client with
Alzheimer disease as it may produce frustration and withdrawal. A client with
Alzheimer disease is usually unable to participate in, or travel with, a senior citizen
group
Which mechanism of action is responsible for the therapeutic effects of
mannitol prescribed for a client with a head injury?
a.) Decreasing the production of cerebrospinal fluid
b.) Limiting the metabolic requirements of the brain
c.) Drawing fluid from brain cells into the bloodstream
