Critical Care Final Exam Practice
Questions
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
c
After surgical clipping of a ruptured cerebral aneurysm, a client develops the syndrome of
inappropriate secretion of antidiuretic hormone (SIADH). What manifestations are exhibited
with excessive levels of antidiuretic hormone?
a. Increased blood urea nitrogen (BUN) and hypotension
Questions
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
c
After surgical clipping of a ruptured cerebral aneurysm, a client develops the syndrome of
inappropriate secretion of antidiuretic hormone (SIADH). What manifestations are exhibited
with excessive levels of antidiuretic hormone?
a. Increased blood urea nitrogen (BUN) and hypotension
