NUR 2025 EXAM QUESTIONS WITH COMPLETE SOLUTIONS 2025.

NUR 2025: EXAM 2 PREPARATION
QUESTIONS WITH CORRECT ANSWERS
2025.

a nurse is caring for a client who was recently admitted to the ED following a head-
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on motor vehicle crash. the client is unresponsive, has spontaneous respirations of
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22/min, & a laceration on his forehead that is bleeding. what is the nurses priority
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at this time? - ANSWER: keep the patient's neck stabilized.
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the greatest risk to the client is permanent damage to the spinal cord if a cervical
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injury does exist. the priority nursing intervention is to keep the neck immobile until
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damage to the cervical spine can be ruled out.
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a nurse is caring for a client who experienced a traumatic brain injury. which of the
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following findings indicates the client is experiencing increased intracranial
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pressure?
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a. Battle's sign
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b. Periorbital edema
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c. Dilated pupils
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d. Halo sign - ANSWER: c. CORRECT: Dilated pupils can indicate that intracranial
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pressure is increasing.
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Battle's sign is bruising behind the ear and lower jaw that can occur from the
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trauma of a skull fracture.
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Periorbital edema is a result of facial trauma
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halo sign is a clear or yellow ring surrounding a spot of fluid or blood from the
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nose or ear. the ring indicates leakage of CSF that can occur with a skull fracture.
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RN is assessing a patient with SCI. which of the following findings indicates the
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client might be experiencing neurogenic shock?
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a. inspiratory crackles
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b. heart rate 52/min
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c. angioedema
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d. temp. 102.6 - ANSWER: b. CORRECT. heart rate 52/min
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a nurse is assessing a client who has a high-thoracic spinal cord injury. the nurse
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should identify which of the following findings as a manifestation of autonomic
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dysreflexia?
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a. flushing of the lower extremities
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b. hypotension
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