NUR 240 EXAM 4 NEURO SAUNDERS NCLEX BOOK QUESTIONS AND
ANSWERS GRADED A+/2026 UPDATE/100% CORRECT /INSTANT
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769. The nurse is assessing the motor and sensory function of an unconscious
client. The nurse should use which technique to test the client's peripheral
response to pain?
1. Sternal rub
2. Nail bed pressure
3. Pressure on the orbital rim
4. Squeezing of the sternocleidomastoid muscle - CORRECT ANSWERS-2. Nail
bed pressure
770. The nurse is caring for the client with increased intracranial pressure. The
nurse would note which trend in vital signs if the intracranial pressure is rising?
1. Increasing temperature, increasing pulse, increasing respirations, decreasing
blood pressure
2. Increasing temperature, decreasing pulse, decreasing respirations, increasing
blood pressure
, 3. Decreasing temperature, decreasing pulse, in creasing respirations, decreasing
blood pressure
4. Decreasing temperature, increasing pulse, decreasing respirations, increasing
blood pressure - CORRECT ANSWERS-2. Increasing temperature, decreasing
pulse, decreasing respirations, increasing blood pressure
771. A client recovering from a head injury is participating in care. The nurse
determines that the client understands measures to prevent elevations in
intracranial pressure if the nurse observes the client doing which activity?
1. Blowing the nose
2. Isometric exercises
3. Coughing vigorously
4. Exhaling during repositioning - CORRECT ANSWERS-4. Exhaling during
repositioning
772. A client has clear fluid leaking from the nose following a basilar skull
fracture. Which finding would alert the nurse that cerebrospinal fluid is present?
1. Fluid is clear and tests negative for glucose.
2. Fluid is grossly bloody in appearance and has a pH of 6.
ANSWERS GRADED A+/2026 UPDATE/100% CORRECT /INSTANT
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769. The nurse is assessing the motor and sensory function of an unconscious
client. The nurse should use which technique to test the client's peripheral
response to pain?
1. Sternal rub
2. Nail bed pressure
3. Pressure on the orbital rim
4. Squeezing of the sternocleidomastoid muscle - CORRECT ANSWERS-2. Nail
bed pressure
770. The nurse is caring for the client with increased intracranial pressure. The
nurse would note which trend in vital signs if the intracranial pressure is rising?
1. Increasing temperature, increasing pulse, increasing respirations, decreasing
blood pressure
2. Increasing temperature, decreasing pulse, decreasing respirations, increasing
blood pressure
, 3. Decreasing temperature, decreasing pulse, in creasing respirations, decreasing
blood pressure
4. Decreasing temperature, increasing pulse, decreasing respirations, increasing
blood pressure - CORRECT ANSWERS-2. Increasing temperature, decreasing
pulse, decreasing respirations, increasing blood pressure
771. A client recovering from a head injury is participating in care. The nurse
determines that the client understands measures to prevent elevations in
intracranial pressure if the nurse observes the client doing which activity?
1. Blowing the nose
2. Isometric exercises
3. Coughing vigorously
4. Exhaling during repositioning - CORRECT ANSWERS-4. Exhaling during
repositioning
772. A client has clear fluid leaking from the nose following a basilar skull
fracture. Which finding would alert the nurse that cerebrospinal fluid is present?
1. Fluid is clear and tests negative for glucose.
2. Fluid is grossly bloody in appearance and has a pH of 6.
