NURS2002 Practice Questions And 100% Correct
Answers (A+ Graded)
The nurse is caring for a client who has increased intracranial pressure. Which is an
example of a collaborative intervention?
A. Reducing perfusion
B. Administering osmotic diuretic
C. Checking orientation
D. Checking for edema - Answer B. Administering osmotic diuretic
Which of the following assessment findings would be the earliest and most sensitive
indicator that there is a change in intracranial regulation?
A. Alteration in consciousness
B. Inability to fix visually
C. Loss of primitive reflexes
D. Anisocoria - Answer A. Decreased LOC
The nurse would be most concerned about assessment findings that included
respiratory changes along with what other finding following a head injury while caring
for the patient?
A. Hypertension and bradycardia
B. Hypertension and tachycardia
C. Hypotension and Bradycardia
D. Hypotension and tachycardia - Answer A. Hypertension and bradycardia
Which of the following components of the Glasgow Coma Scale would the nurse use to
reassess a patient after a head injury?
,A. Blood pressure
B. Cranial nerve function
C. Head circumference
D. Verbal responsiveness -Answer D. Verbal responsiveness
The nurse is providing education about head trauma for a patient. What does the nurse
include in the education for the patient as a primary prevention measure in an effort to
reduce the incidence of head injuries?
A. Blood pressure management
B. Smoking cessation
C. Weight management
D. Violence prevention - Answer D. Violence prevention
The nurse preparing to care for a patient after a suspected stroke would question which
order?
A. Antihypertensive
B. Antipyretic
C. Osmotic diuretic
D. Sedative - Answer A. Antihypertensive
After shunt procedure, the nurse would monitor the patient's neurological status by
using which test?
A. Electroencephalogram
B. Glasgow coma scale
C. National institute of health stroke scale
D. Monro-kellie doctrine - Answer B. Glasgow coma scale
A client states, "I had a terrible nightmare. When I woke up, I felt like I had been drained
emotionally, that I had not slept well." Which of the following is a sample of interpersonal
, therapeutic communication on the part of the nurse?
A. "It sounds as though you were uncomfortable with the content of your dream."
B. "I hear what you are saying. Bad dreams make me tired, too."
C. "So, all in all, you feel as though you had a rather poor night's sleep?"
D. "Can you give me an example of what you mean by a "bad nightmare?" - Answer D.
"Can you give me an example of what you mean by a "bad nightmare?"
The nurse is admitting a client to the medical/surgical unit. Which communication
technique would be appropriate for this interaction?
A. "I've also had traumatic life experiences. Maybe it would help if I told you about
them."
B. "Why do you think you had so much difficulty adjusting to this change in your life?"
C. "You will feel better after getting accustomed to how this unit operates."
D. "I'd like to sit with you for a while to help you get comfortable talking to me." - Answer
D. "I'd like to sit with you for a while to help you get comfortable talking to me."
The nurse would like to clarify a statement the patient said. Which is the best
clarification by the nurse?
A. "What are the common elements here?
B. "Tell me again about your experiences"
C. "Am I correct in understanding that. "
D. " Tell me everything from the beginning." - Answer C. "Am I correct in understanding
that."
During a therapeutic session with a client at the inpatient psychiatric facility, a nurse is
in charge of the session. Which of the following statements by the nurse would be an
appropriate initial intervention when initiating an interview?
A. "How shall we start today?
B. "Shall we talk about losing your privileges yesterday?"
C. "Let's get started discussing your marital relationship."
D. "What happened when your family visited yesterday?" - Response A. "How shall we
start today?"
Answers (A+ Graded)
The nurse is caring for a client who has increased intracranial pressure. Which is an
example of a collaborative intervention?
A. Reducing perfusion
B. Administering osmotic diuretic
C. Checking orientation
D. Checking for edema - Answer B. Administering osmotic diuretic
Which of the following assessment findings would be the earliest and most sensitive
indicator that there is a change in intracranial regulation?
A. Alteration in consciousness
B. Inability to fix visually
C. Loss of primitive reflexes
D. Anisocoria - Answer A. Decreased LOC
The nurse would be most concerned about assessment findings that included
respiratory changes along with what other finding following a head injury while caring
for the patient?
A. Hypertension and bradycardia
B. Hypertension and tachycardia
C. Hypotension and Bradycardia
D. Hypotension and tachycardia - Answer A. Hypertension and bradycardia
Which of the following components of the Glasgow Coma Scale would the nurse use to
reassess a patient after a head injury?
,A. Blood pressure
B. Cranial nerve function
C. Head circumference
D. Verbal responsiveness -Answer D. Verbal responsiveness
The nurse is providing education about head trauma for a patient. What does the nurse
include in the education for the patient as a primary prevention measure in an effort to
reduce the incidence of head injuries?
A. Blood pressure management
B. Smoking cessation
C. Weight management
D. Violence prevention - Answer D. Violence prevention
The nurse preparing to care for a patient after a suspected stroke would question which
order?
A. Antihypertensive
B. Antipyretic
C. Osmotic diuretic
D. Sedative - Answer A. Antihypertensive
After shunt procedure, the nurse would monitor the patient's neurological status by
using which test?
A. Electroencephalogram
B. Glasgow coma scale
C. National institute of health stroke scale
D. Monro-kellie doctrine - Answer B. Glasgow coma scale
A client states, "I had a terrible nightmare. When I woke up, I felt like I had been drained
emotionally, that I had not slept well." Which of the following is a sample of interpersonal
, therapeutic communication on the part of the nurse?
A. "It sounds as though you were uncomfortable with the content of your dream."
B. "I hear what you are saying. Bad dreams make me tired, too."
C. "So, all in all, you feel as though you had a rather poor night's sleep?"
D. "Can you give me an example of what you mean by a "bad nightmare?" - Answer D.
"Can you give me an example of what you mean by a "bad nightmare?"
The nurse is admitting a client to the medical/surgical unit. Which communication
technique would be appropriate for this interaction?
A. "I've also had traumatic life experiences. Maybe it would help if I told you about
them."
B. "Why do you think you had so much difficulty adjusting to this change in your life?"
C. "You will feel better after getting accustomed to how this unit operates."
D. "I'd like to sit with you for a while to help you get comfortable talking to me." - Answer
D. "I'd like to sit with you for a while to help you get comfortable talking to me."
The nurse would like to clarify a statement the patient said. Which is the best
clarification by the nurse?
A. "What are the common elements here?
B. "Tell me again about your experiences"
C. "Am I correct in understanding that. "
D. " Tell me everything from the beginning." - Answer C. "Am I correct in understanding
that."
During a therapeutic session with a client at the inpatient psychiatric facility, a nurse is
in charge of the session. Which of the following statements by the nurse would be an
appropriate initial intervention when initiating an interview?
A. "How shall we start today?
B. "Shall we talk about losing your privileges yesterday?"
C. "Let's get started discussing your marital relationship."
D. "What happened when your family visited yesterday?" - Response A. "How shall we
start today?"
