NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE OF NURSING
The wife of a client who had a stroke says, "I'll never be able to care for him at
home unless he can help me. When will therapy start to help him with walking?"
Which answer, made by the nurse, is most appropriate?
1. "Most stroke clients don't rebuild enough strength to help with their care."
2. "The physical therapist will make that determination, and I'm certain they will
talk with you about it then."
3. "When he has some leg strength and balance back, we will start helping him
learn to walk again."
4. "As soon as his vital signs are stable, we will start walking therapy."
Answer: 3
A client was just admitted for treatment of stroke. Assessment reveals a well-
nourished 63-year-old male with left-sided weakness, a weak gag reflex, and
difficulty swallowing. The nurse would anticipate initiating nutritional support for
this client if he is unable to take oral nourishment by which time?
1. Within 24 hours of discontinuation of IV therapy
2. Within 2 days of return of gag reflex
3. Within 5 days of admission
4. Within 12 hours of diagnosis Answer: 3
The nurse is caring for a client who has right-sided weakness and Broca's aphasia
following a stroke that occurred 36 hours ago. Which assessment instruction
should the nurse use with this client?
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, NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
1. "Tell me what you were doing immediately before your illness."
2. "Can you see anything at all out of your bad eye?"
3. "Lift your unaffected arm up as much as you can."
4. "Describe the sensations you have in your good leg." Answer: 3
A client is admitted after being struck in the right side of the head with a baseball
bat. An MRI shows the presence of focal injury and DAI. Which mechanism of
injury is likely to have occurred?
1. Acceleration
2. Deceleration
3. Rotational
4. Penetrating Answer: 3
A client was admitted to the emergency department after a traumatic brain injury.
Current assessment included a decrease in Glasgow Coma Scale by one point and
development of a fixed and dilated pupil. What should the nurse do first?
1. Plan to reassess the client in 15 minutes.
2. Call the healthcare provider immediately.
3. Continue to prepare the client for an ordered CT scan.
4. Inform the family of the status changes. Answer: 2
A client fell on an icy sidewalk a week ago, striking the head on the curb. The CT
scan reveals an accumulation of blood between the dura and the arachnoid
covering of the brain. The nurse would prepare to care for a client with which
diagnosis?
2|Page
, NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
1. Subdural hematoma
2. Epidural hematoma
3. Subarachnoid hematoma
4. Intracerebral hematoma Answer: 1
A client sustained a brain injury when struck by a falling tree limb. Upon admission
to the emergency department (ED) the client's Glasgow Coma Score was 10. What
interventions will the ED nurse expect to manage? (Select all that apply.)
1. Explanation of brain injury surveillance as discharge instructions
2. Skull x-rays
3. CT scan
4. Hospital admission
5. Placement of an indwelling urinary catheter Answer: 2, 3, 4
A client has an expanding epidural hematoma and is taken to the OR to have it
evacuated. The client returns to the ICU ventilated and with an intraventricular
catheter in place. According to Brain Trauma Foundation Guidelines, what is the
minimal cerebral perfusion pressure (CPP) desired to reduce secondary injury in
this client?
1. 50 mm Hg
2. 60 mm Hg
3. 70 mm Hg
4. 80 mm Hg Answer: 2
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NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM COMPLETE 100
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+/ARIZONA COLLEGE OF NURSING
The wife of a client who had a stroke says, "I'll never be able to care for him at
home unless he can help me. When will therapy start to help him with walking?"
Which answer, made by the nurse, is most appropriate?
1. "Most stroke clients don't rebuild enough strength to help with their care."
2. "The physical therapist will make that determination, and I'm certain they will
talk with you about it then."
3. "When he has some leg strength and balance back, we will start helping him
learn to walk again."
4. "As soon as his vital signs are stable, we will start walking therapy."
Answer: 3
A client was just admitted for treatment of stroke. Assessment reveals a well-
nourished 63-year-old male with left-sided weakness, a weak gag reflex, and
difficulty swallowing. The nurse would anticipate initiating nutritional support for
this client if he is unable to take oral nourishment by which time?
1. Within 24 hours of discontinuation of IV therapy
2. Within 2 days of return of gag reflex
3. Within 5 days of admission
4. Within 12 hours of diagnosis Answer: 3
The nurse is caring for a client who has right-sided weakness and Broca's aphasia
following a stroke that occurred 36 hours ago. Which assessment instruction
should the nurse use with this client?
1|Page
, NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
1. "Tell me what you were doing immediately before your illness."
2. "Can you see anything at all out of your bad eye?"
3. "Lift your unaffected arm up as much as you can."
4. "Describe the sensations you have in your good leg." Answer: 3
A client is admitted after being struck in the right side of the head with a baseball
bat. An MRI shows the presence of focal injury and DAI. Which mechanism of
injury is likely to have occurred?
1. Acceleration
2. Deceleration
3. Rotational
4. Penetrating Answer: 3
A client was admitted to the emergency department after a traumatic brain injury.
Current assessment included a decrease in Glasgow Coma Scale by one point and
development of a fixed and dilated pupil. What should the nurse do first?
1. Plan to reassess the client in 15 minutes.
2. Call the healthcare provider immediately.
3. Continue to prepare the client for an ordered CT scan.
4. Inform the family of the status changes. Answer: 2
A client fell on an icy sidewalk a week ago, striking the head on the curb. The CT
scan reveals an accumulation of blood between the dura and the arachnoid
covering of the brain. The nurse would prepare to care for a client with which
diagnosis?
2|Page
, NUR 445 EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
1. Subdural hematoma
2. Epidural hematoma
3. Subarachnoid hematoma
4. Intracerebral hematoma Answer: 1
A client sustained a brain injury when struck by a falling tree limb. Upon admission
to the emergency department (ED) the client's Glasgow Coma Score was 10. What
interventions will the ED nurse expect to manage? (Select all that apply.)
1. Explanation of brain injury surveillance as discharge instructions
2. Skull x-rays
3. CT scan
4. Hospital admission
5. Placement of an indwelling urinary catheter Answer: 2, 3, 4
A client has an expanding epidural hematoma and is taken to the OR to have it
evacuated. The client returns to the ICU ventilated and with an intraventricular
catheter in place. According to Brain Trauma Foundation Guidelines, what is the
minimal cerebral perfusion pressure (CPP) desired to reduce secondary injury in
this client?
1. 50 mm Hg
2. 60 mm Hg
3. 70 mm Hg
4. 80 mm Hg Answer: 2
3|Page
