____________________________________________________________________________
Question #: 1
Postoperatively, how often should deep-breathing exercises be done for a patient who had surgery for a spinal cord
injury?
✓A. Hourly
B. Every 2 hours
C. Every 3 hours
D. Every 4 hours
____________________________________________________________________________
Question #: 2
Nursing management for skull fractures should include: (Select all that apply.)
A. Monitoring for green mucus from the nares.
✓B. Monitoring for the possibility of seizures.
✓C. Monitoring for clear drainage from the ears and nose.
✓D. Performing neuro checks q 15-30 minutes.
E. Taking vital signs q 8 hours.
____________________________________________________________________________
Question #: 3
Surgical management of a cerebral hematoma are: (Select all that apply.)
✓A. Craniotomy
✓B. Craniectomy
✓C. Burr holes
D. Traction of the head and neck
E. Spinal infusion of 5% dextrose
____________________________________________________________________________
Question #: 4
Assessment findings for a brain contusion are: (Select all that apply.)
, A. Bounding pulse
✓B. Shallow respirations
✓C. Diaphoretic with cold, clammy skin
✓D. Hypotension
✓E. Temporary amnesia
____________________________________________________________________________
Question #: 5
A 12 year old female is admitted with a diagnosis of concussion after a fall from her tree house. Which of the
following assessment findings would the nurse expect to find? (SELECT ALL THAT APPLY)
✓A. Brief lapse of consciousness
✓B. Disorientation
C. Blindness
✓D. Dizziness
✓E. Headache
____________________________________________________________________________
Question #: 6
A client is diagnosed with a disorder involving the inner ear. Which of the following is the most common client
complaint associated with a disorder in this part of the ear?
✓A. Tinnitus
B. Pruritis
C. Burning
D. Urticaria
Rationale: innitus is the most common complaint of clients with otological disorders, especially disorders
involving the inner ear. Symptoms of tinnitus range from mild ringing in the ear, which can go unnoticed during the
day, to a loud roaring in the ear, which can interfere with the client’s thinking process and attention span.
____________________________________________________________________________
Question #: 7
The client with glaucoma asks the nurse if complete vision will ever return. The most appropriate response is:
, ✓A. Although some permanent loss of vision has occurred, further damage can be prevented by adhering to the
treatment plan.
B. Your vision will never return...you will just have to live with it.
C. As the medications begin to work, you should start to see a gradual improvement in your vision until all
vision returns.
D. Vision usually returns within 4-6 weeks of treatment.
Rationale: Vision loss to glaucoma is irreparable. The client should be reassured that although some vision has
been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan. Option C does
not provide reassurance to the client.
____________________________________________________________________________
Question #: 8
A nurse assesses a client with diabetes mellitus who self-administers subcutaneous insulin. The nurse notes a
spongy, swelling area at the site the client uses most frequently for insulin injection. Which action should the
nurse take?
A. Apply ice to the site to reduce inflammation.
B. Consult the provider for a new administration route.
C. Assess the client for other signs of cellulitis.
✓D. Instruct the client to rotate sites for insulin injection.
____________________________________________________________________________
Question #: 9
A nurse teaches a client with type 1 diabetes mellitus. Which statement should the nurse include in this
client’s teaching to decrease the client’s insulin needs?
A. “Limit your fluid intake to 2 liters a day.”
B. “Animal organ meat is high in insulin.”
C. “Limit your carbohydrate intake to 80 grams a day.”
✓D. “Walk at a moderate pace for 1 mile daily.”
____________________________________________________________________________
Question #: 10
A nurse plans care for a client who has hypothyroidism and is admitted for pneumonia. Which priority
intervention should the nurse include in this client’s plan of care?
Question #: 1
Postoperatively, how often should deep-breathing exercises be done for a patient who had surgery for a spinal cord
injury?
✓A. Hourly
B. Every 2 hours
C. Every 3 hours
D. Every 4 hours
____________________________________________________________________________
Question #: 2
Nursing management for skull fractures should include: (Select all that apply.)
A. Monitoring for green mucus from the nares.
✓B. Monitoring for the possibility of seizures.
✓C. Monitoring for clear drainage from the ears and nose.
✓D. Performing neuro checks q 15-30 minutes.
E. Taking vital signs q 8 hours.
____________________________________________________________________________
Question #: 3
Surgical management of a cerebral hematoma are: (Select all that apply.)
✓A. Craniotomy
✓B. Craniectomy
✓C. Burr holes
D. Traction of the head and neck
E. Spinal infusion of 5% dextrose
____________________________________________________________________________
Question #: 4
Assessment findings for a brain contusion are: (Select all that apply.)
, A. Bounding pulse
✓B. Shallow respirations
✓C. Diaphoretic with cold, clammy skin
✓D. Hypotension
✓E. Temporary amnesia
____________________________________________________________________________
Question #: 5
A 12 year old female is admitted with a diagnosis of concussion after a fall from her tree house. Which of the
following assessment findings would the nurse expect to find? (SELECT ALL THAT APPLY)
✓A. Brief lapse of consciousness
✓B. Disorientation
C. Blindness
✓D. Dizziness
✓E. Headache
____________________________________________________________________________
Question #: 6
A client is diagnosed with a disorder involving the inner ear. Which of the following is the most common client
complaint associated with a disorder in this part of the ear?
✓A. Tinnitus
B. Pruritis
C. Burning
D. Urticaria
Rationale: innitus is the most common complaint of clients with otological disorders, especially disorders
involving the inner ear. Symptoms of tinnitus range from mild ringing in the ear, which can go unnoticed during the
day, to a loud roaring in the ear, which can interfere with the client’s thinking process and attention span.
____________________________________________________________________________
Question #: 7
The client with glaucoma asks the nurse if complete vision will ever return. The most appropriate response is:
, ✓A. Although some permanent loss of vision has occurred, further damage can be prevented by adhering to the
treatment plan.
B. Your vision will never return...you will just have to live with it.
C. As the medications begin to work, you should start to see a gradual improvement in your vision until all
vision returns.
D. Vision usually returns within 4-6 weeks of treatment.
Rationale: Vision loss to glaucoma is irreparable. The client should be reassured that although some vision has
been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan. Option C does
not provide reassurance to the client.
____________________________________________________________________________
Question #: 8
A nurse assesses a client with diabetes mellitus who self-administers subcutaneous insulin. The nurse notes a
spongy, swelling area at the site the client uses most frequently for insulin injection. Which action should the
nurse take?
A. Apply ice to the site to reduce inflammation.
B. Consult the provider for a new administration route.
C. Assess the client for other signs of cellulitis.
✓D. Instruct the client to rotate sites for insulin injection.
____________________________________________________________________________
Question #: 9
A nurse teaches a client with type 1 diabetes mellitus. Which statement should the nurse include in this
client’s teaching to decrease the client’s insulin needs?
A. “Limit your fluid intake to 2 liters a day.”
B. “Animal organ meat is high in insulin.”
C. “Limit your carbohydrate intake to 80 grams a day.”
✓D. “Walk at a moderate pace for 1 mile daily.”
____________________________________________________________________________
Question #: 10
A nurse plans care for a client who has hypothyroidism and is admitted for pneumonia. Which priority
intervention should the nurse include in this client’s plan of care?
