NURS 420 EXAM 2 | QUESTIONS AND
ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS.
A patient is exhibiting signs of herniation. Which of the following is a contraindication to placing a ventriculostomy?
A.Hgb of 10.0
B.Elevated BUN
C.Thrombocytopenia and elevated PTT
D.Serum potassium of 4.5 - ANSWER>C.Thrombocytopenia and elevated PTT
A 17 year old male patient is brought to the ER by his parent with complaints of somnolence, vomiting, and HA. The
patient reports playing football earlier in the day. After obtaining a complete set of vitals, the next priority in caring
for this patient is:
A.Arterial blood gas
B.Venous blood sample
, C.FAST scan
D.CT scan of the head - ANSWER>D.CT scan of the head
A 47 year old female patient is admitted to the ICU after sustaining pulmonary contusions from an MVC. She is also
noted to have abrasions to her face and forehead. About 1hr after arrival to the ICU, her vital signs show a BP of
190/110, HR 58, and irregular respirations. The priority intervention for this patient is:
A.Notify the physician and anticipate CT & possible neurosurgery
B.Prepare to administer IV fluid boluses
C.Prepare to administer IV Levophed (norepinephrine)
D.Prepare for cardioversion - ANSWER>A.Notify the physician and anticipate CT & possible neurosurgery
A 15 year old male is brought to the ED by fire/rescue. The patient is unresponsive and has gross deformity to LLE.
A priority of assessment in this patient's hx is:
A.The mechanism of injury
B.Location of pt's parents
C.Family physician's contact information
ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS.
A patient is exhibiting signs of herniation. Which of the following is a contraindication to placing a ventriculostomy?
A.Hgb of 10.0
B.Elevated BUN
C.Thrombocytopenia and elevated PTT
D.Serum potassium of 4.5 - ANSWER>C.Thrombocytopenia and elevated PTT
A 17 year old male patient is brought to the ER by his parent with complaints of somnolence, vomiting, and HA. The
patient reports playing football earlier in the day. After obtaining a complete set of vitals, the next priority in caring
for this patient is:
A.Arterial blood gas
B.Venous blood sample
, C.FAST scan
D.CT scan of the head - ANSWER>D.CT scan of the head
A 47 year old female patient is admitted to the ICU after sustaining pulmonary contusions from an MVC. She is also
noted to have abrasions to her face and forehead. About 1hr after arrival to the ICU, her vital signs show a BP of
190/110, HR 58, and irregular respirations. The priority intervention for this patient is:
A.Notify the physician and anticipate CT & possible neurosurgery
B.Prepare to administer IV fluid boluses
C.Prepare to administer IV Levophed (norepinephrine)
D.Prepare for cardioversion - ANSWER>A.Notify the physician and anticipate CT & possible neurosurgery
A 15 year old male is brought to the ED by fire/rescue. The patient is unresponsive and has gross deformity to LLE.
A priority of assessment in this patient's hx is:
A.The mechanism of injury
B.Location of pt's parents
C.Family physician's contact information
