HSCI 2302 Final Pratice Test (All-Inclusive)
Final Practice Test
1. During the acute stage of meningitis, a 3-year-old child is restless and irritable. Which of the
following would be most appropriate to institute?
a. Limiting conversation with the child
b. Keeping extraneous noise to a minimum
c. Allowing the child to play in the bathtub
d. Performing treatments quickly
2. A hospitalized client had a tonic-clonic seizure while walking in the hall. During the seizure the
nurse priority should be:
a. Hold the clients arms and leg firmly
b. Place the client immediately to soft surface
c. Protects the client’s head from injury
d. Attempt to insert a tongue depressor between the client’s teeth
3. An awake, alert patient arrives at the ED following a fall down a flight of stairs. The physician
suspects a basilar skull fracture. Which assessment findings should the nurse anticipate?
a. Babinski’s reflex and tinnitus
b. Flexion and extension posturing
c. Brudzinski’s and Kernig’s signs
d. Rhinorrhea and raccoon eyes
4. A patient with a spinal cord injury is recovering from spinal shock. The nurse realizes that the
patient should not develop a full bladder because what emergency condition can occur if it is not
corrected quickly?
a. Autonomic dysreflexia
b. Autonomic crisis
c. Autonomic shutdown
d. Autonomic failure
5. The nurse admits a patient to the ED with new onset of slurred speech and right-sided
weakness. What is the priority nursing action?
a. Assess for the presence of a headache
b. Assess the patient’s general orientation
c. Determine the patient’s drug allergies
d. Determine the time of symptom onset
, HSCI 2302 Final Pratice Test (All-Inclusive)
6. A client has signs of increased ICP. Which of the following is an early indicator of deterioration in
the client’s condition?
a. Widening pulse pressure
b. Decrease in the pulse rate
c. Dilated, fixed pupil
d. Decrease in LOC
7. The client with chronic renal failure has a serum potassium of 6.6 mEq/L. The nurse should
anticipate an order for:
a. Furosemide (Lasix)
b. Aluminum hydroxide (Amphojel)
c. Propranolol (Inderal)
d. Sodium polystyrene sulfonate (Kayexalate)
8. The client just returned from hemodialysis. It’s essential for the nurse to evaluate the client for:
a. Congestive heart failure
b. Hyperkalemia
c. Peripheral edema and headache
d. Signs of disequilibrium syndrome
9. The nurse is assessing her patients during morning rounds. Which patient below is at MOST risk
for developing a urinary tract infection?
a. A 25 year old patient who finished a regime of antibiotics for strep throat 10 weeks ago
b. A 55 year old female who is post-op day 7 from hip surgery
c. 68 year old male who is experiencing nausea and vomiting
d. A 87 year old female with Alzheimer’s disease who is experiencing bowel incontinence
10. The nurse is preparing for urinary catheterization of a trauma patient and observes blood at the
urinary meatus. Which action has priority?
a. Irrigate and clean the meatus before catheterization
b. Check the discharge for occult blood before catheterization
c. Heavily lubricate the catheter before insertion
d. Delay catheterization and notify the doctor
11. A client who went on a mountain climbing was bitten by a rattle snake. While waiting for the
emergency rescue team, what is the nurse’s most appropriate immediate action for the client?
a. Suck the area bitten by the rattle snake
b. Apply tourniquet above the bitten area
c. Cover the area with clean clothing
d. Elevate the area at or below the level of the heart
Final Practice Test
1. During the acute stage of meningitis, a 3-year-old child is restless and irritable. Which of the
following would be most appropriate to institute?
a. Limiting conversation with the child
b. Keeping extraneous noise to a minimum
c. Allowing the child to play in the bathtub
d. Performing treatments quickly
2. A hospitalized client had a tonic-clonic seizure while walking in the hall. During the seizure the
nurse priority should be:
a. Hold the clients arms and leg firmly
b. Place the client immediately to soft surface
c. Protects the client’s head from injury
d. Attempt to insert a tongue depressor between the client’s teeth
3. An awake, alert patient arrives at the ED following a fall down a flight of stairs. The physician
suspects a basilar skull fracture. Which assessment findings should the nurse anticipate?
a. Babinski’s reflex and tinnitus
b. Flexion and extension posturing
c. Brudzinski’s and Kernig’s signs
d. Rhinorrhea and raccoon eyes
4. A patient with a spinal cord injury is recovering from spinal shock. The nurse realizes that the
patient should not develop a full bladder because what emergency condition can occur if it is not
corrected quickly?
a. Autonomic dysreflexia
b. Autonomic crisis
c. Autonomic shutdown
d. Autonomic failure
5. The nurse admits a patient to the ED with new onset of slurred speech and right-sided
weakness. What is the priority nursing action?
a. Assess for the presence of a headache
b. Assess the patient’s general orientation
c. Determine the patient’s drug allergies
d. Determine the time of symptom onset
, HSCI 2302 Final Pratice Test (All-Inclusive)
6. A client has signs of increased ICP. Which of the following is an early indicator of deterioration in
the client’s condition?
a. Widening pulse pressure
b. Decrease in the pulse rate
c. Dilated, fixed pupil
d. Decrease in LOC
7. The client with chronic renal failure has a serum potassium of 6.6 mEq/L. The nurse should
anticipate an order for:
a. Furosemide (Lasix)
b. Aluminum hydroxide (Amphojel)
c. Propranolol (Inderal)
d. Sodium polystyrene sulfonate (Kayexalate)
8. The client just returned from hemodialysis. It’s essential for the nurse to evaluate the client for:
a. Congestive heart failure
b. Hyperkalemia
c. Peripheral edema and headache
d. Signs of disequilibrium syndrome
9. The nurse is assessing her patients during morning rounds. Which patient below is at MOST risk
for developing a urinary tract infection?
a. A 25 year old patient who finished a regime of antibiotics for strep throat 10 weeks ago
b. A 55 year old female who is post-op day 7 from hip surgery
c. 68 year old male who is experiencing nausea and vomiting
d. A 87 year old female with Alzheimer’s disease who is experiencing bowel incontinence
10. The nurse is preparing for urinary catheterization of a trauma patient and observes blood at the
urinary meatus. Which action has priority?
a. Irrigate and clean the meatus before catheterization
b. Check the discharge for occult blood before catheterization
c. Heavily lubricate the catheter before insertion
d. Delay catheterization and notify the doctor
11. A client who went on a mountain climbing was bitten by a rattle snake. While waiting for the
emergency rescue team, what is the nurse’s most appropriate immediate action for the client?
a. Suck the area bitten by the rattle snake
b. Apply tourniquet above the bitten area
c. Cover the area with clean clothing
d. Elevate the area at or below the level of the heart
