CRITICAL CARE FINAL EXAM PRACTICE QUESTIONS AND
CORRECT VERIFIED ANSWERS WITH COMPLETE
SOLUTIONS LATEST UPDATE 2024/2025 GRADED A+
a,d,e,f
A client with a primary brain tumor has developed syndrome of inappropriate secretion
of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings
upon assessment? (Select all that apply).
a. Nausea and vomiting
b. Hyperthermia
c. Bradycardia
d. Increased weight
e. Decreased serum sodium
f. Decreased level of consciousness
a,b
A nurse is caring for a child with a diagnosis of meningitis. What clinical findings indicate
an increase in intracranial pressure? (Select all that apply).
a. Irritability
,b. Bradycardia
c. Hyperalertness
d. Decreased pulse pressure
e. Decreased systolic blood pressure
a
What action should the nurse take when caring for a client who has a possible skull
fracture as a result of trauma?
a. Monitor the client for signs of brain injury.
b. Check for hemorrhaging from the oral and nasal cavities.
c. Elevate the foot of the bed if the client develops symptoms of shock.
d. Observe for clinical indicators of decreased intracranial pressure and temperature.
a,b,e
The nurse is caring for a client who was just admitted to the hospital with the diagnosis
of head trauma. Which clinical indicators should the nurse consider as evidence of
increasing intracranial pressure? (Select all that apply).
a. Vomiting
b. Irritability
c. Hypotension
d. Increased respirations
,e. Decreased level of consciousness
a
The nurse uses the Glasgow Coma Scale to assess a client with a head injury. Which
Glasgow Coma Scale score indicates that the client is in a coma?
a. 6
b. 9
c. 12
d. 15
a
A client is scheduled for a computed tomography (CT) of the brain with contrast. When
reviewing the client's medical record, what significant finding should the nurse report to
the primary healthcare provider before the diagnostic procedure?
a. The client takes metformin daily.
b. The client has not been nothing by mouth (NPO).
c. The client reports an allergy to gadolinium.
d. The client was not prescribed a bowel prep.
d
After a head injury, a client develops a deficiency of antidiuretic hormone (ADH). What
should the nurse consider before assessing the patient about the response to secretion
of ADH?
a. Serum osmolarity increases
, b. Urine concentration decreases
c. Glomerular filtration decreases
d. Tubular reabsorption of water increases
a,d,e
What interventions should the nurse implement in caring for a client with diabetes
insipidus (DI) following a head injury? (Select all that apply).
a. Providing adequate fluids within easy reach
b. Reporting an increasing urine specific gravity
c. Administering prescribed erythromycin
d. Assessing for and reporting changes in neurological status
e. Monitoring for constipation, weight loss, hypotension, and tachycardia
c
A client is admitted with a head injury. The nurse identifies that the client's urinary
catheter is draining large amounts of clear, colorless urine. What does the nurse identify
as the most likely cause?
a. Increased serum glucose
b. Deficient renal perfusion
c. Inadequate antidiuretic hormone (ADH) secretion
d. Excess amounts of intravenous (IV) fluid
CORRECT VERIFIED ANSWERS WITH COMPLETE
SOLUTIONS LATEST UPDATE 2024/2025 GRADED A+
a,d,e,f
A client with a primary brain tumor has developed syndrome of inappropriate secretion
of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings
upon assessment? (Select all that apply).
a. Nausea and vomiting
b. Hyperthermia
c. Bradycardia
d. Increased weight
e. Decreased serum sodium
f. Decreased level of consciousness
a,b
A nurse is caring for a child with a diagnosis of meningitis. What clinical findings indicate
an increase in intracranial pressure? (Select all that apply).
a. Irritability
,b. Bradycardia
c. Hyperalertness
d. Decreased pulse pressure
e. Decreased systolic blood pressure
a
What action should the nurse take when caring for a client who has a possible skull
fracture as a result of trauma?
a. Monitor the client for signs of brain injury.
b. Check for hemorrhaging from the oral and nasal cavities.
c. Elevate the foot of the bed if the client develops symptoms of shock.
d. Observe for clinical indicators of decreased intracranial pressure and temperature.
a,b,e
The nurse is caring for a client who was just admitted to the hospital with the diagnosis
of head trauma. Which clinical indicators should the nurse consider as evidence of
increasing intracranial pressure? (Select all that apply).
a. Vomiting
b. Irritability
c. Hypotension
d. Increased respirations
,e. Decreased level of consciousness
a
The nurse uses the Glasgow Coma Scale to assess a client with a head injury. Which
Glasgow Coma Scale score indicates that the client is in a coma?
a. 6
b. 9
c. 12
d. 15
a
A client is scheduled for a computed tomography (CT) of the brain with contrast. When
reviewing the client's medical record, what significant finding should the nurse report to
the primary healthcare provider before the diagnostic procedure?
a. The client takes metformin daily.
b. The client has not been nothing by mouth (NPO).
c. The client reports an allergy to gadolinium.
d. The client was not prescribed a bowel prep.
d
After a head injury, a client develops a deficiency of antidiuretic hormone (ADH). What
should the nurse consider before assessing the patient about the response to secretion
of ADH?
a. Serum osmolarity increases
, b. Urine concentration decreases
c. Glomerular filtration decreases
d. Tubular reabsorption of water increases
a,d,e
What interventions should the nurse implement in caring for a client with diabetes
insipidus (DI) following a head injury? (Select all that apply).
a. Providing adequate fluids within easy reach
b. Reporting an increasing urine specific gravity
c. Administering prescribed erythromycin
d. Assessing for and reporting changes in neurological status
e. Monitoring for constipation, weight loss, hypotension, and tachycardia
c
A client is admitted with a head injury. The nurse identifies that the client's urinary
catheter is draining large amounts of clear, colorless urine. What does the nurse identify
as the most likely cause?
a. Increased serum glucose
b. Deficient renal perfusion
c. Inadequate antidiuretic hormone (ADH) secretion
d. Excess amounts of intravenous (IV) fluid
