GNRS 558 FINAL EXAM (PHARMACOLOGY
FOR ADVANCED NURSING) QUESTIONS AND
ANSWERS NEW MODIFIED
The nurse provides care for a client admitted to the emergency department
following an autoobile accident. The client reports dizziness, and th health care
provider suspects a head injury. The nurse intervenes if which activity is
observed?
1. The client is placed in trendelenburg position.
2. the clien'ts neck is immobilized prior to being X-rayed
3. The nursing staff frequently monitors the client's level of consciousness.
4. The nursing staff observes for seizures. --CORRECT ANSWER--1. The
client is placed in trendelenburg position.
An unconscious client arrives in the emergency department following a fall that
resulted in a severe head injury. Which action does the nurse take first?
1. Assess the patency of the airway.
2. Check the client's pupils for size and reaction to light.
3. Establish the clien'ts LOC
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,4. evaluate the client's motor response --CORRECT ANSWER--1. Assess the
patency of the airway.
The nurse notes a client is able to open the eyes spontaneously, follow
command to hold up two fingers, and correclty identify the day of the week and
current location. Using the GCS, which score does the nurse correctly assign to
the client?
1. 3
2. 6
3. 10
4. 15 --CORRECT ANSWER--4. 15
The nurse assesses for signs associated with IICP in a client diagnosed with a
subdural hematoma. Which is the earliest sign of an increase in ICP?
1. a change in LOC
2. a widening pulse pressure
3. bradycardia
4. decorticate position --CORRECT ANSWER--1. a change in LOC
The nurse assess a client diagnosed with cerebral contusion and IICP. Which is
the correct initial nursing aciton?
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,1. Placing a footboard to decrease foot drop.
2. Encouraging head movement to the right.
3. Elevating HOB 15-30 degrees
4. Suctioning q2h to maintain the airway --CORRECT ANSWER--3. Elevating
HOB 15-30 degrees
The nurse provides care for a child diagnosed with a serious closed head injury.
The client's parent says to the nurse, "Will my child be all right? Is my child
going to die? I'm so scared" Which response by the nurse is the best?
1. "of course your child will be all right. It will take time for your child to get
better."
2. "I'll be avaiable if you have any questions. Here is a booklet on head injuries"
3. It must be frightening to see your child hurt.
4. "Its too soon to know the outcome. Would you like to talk with the HCP? --
CORRECT ANSWER--3. It must be frightening to see your child hurt.
The nurse provides care for an adolescent client after a skateboard accident that
resulted in a brief episode of unconsicousness. The client's scalp and facial
lacerations were treated and dressed in the emergency department. which
nursing care measure is the HIGHEST priority?
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, 1. change the head wound dressings.
2. perform neurological checks frequently.
3. administer antiemetic medications.
4. Manage the client's report of a headache. --CORRECT ANSWER--2.
perform neurological checks frequently.
The nurse provides care for a school-age client with a TBI. Which symptoms
best indicate IICP?
1. Headache, cring, sensitivity to loud noises and bright lights.
2. Widening pulse pressure, slowed respirations, bradycardia.
3. Hypotension, cyanosis, tachcardia.
4. Increased temperature, increase in respirations. --CORRECT ANSWER--2.
Widening pulse pressure, slowed respirations, bradycardia.
The nurse provides care for a client diagnosed with a closed head injury and
IICP. Whichaction by the nurse is best?
1. Position the clinet with head of bed flat and cleint's head in a neutral positon.
2. Instruct client to exhale when turning or moving in bed.
3. Encourage client to cough and deep breathe every two hours.
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FOR ADVANCED NURSING) QUESTIONS AND
ANSWERS NEW MODIFIED
The nurse provides care for a client admitted to the emergency department
following an autoobile accident. The client reports dizziness, and th health care
provider suspects a head injury. The nurse intervenes if which activity is
observed?
1. The client is placed in trendelenburg position.
2. the clien'ts neck is immobilized prior to being X-rayed
3. The nursing staff frequently monitors the client's level of consciousness.
4. The nursing staff observes for seizures. --CORRECT ANSWER--1. The
client is placed in trendelenburg position.
An unconscious client arrives in the emergency department following a fall that
resulted in a severe head injury. Which action does the nurse take first?
1. Assess the patency of the airway.
2. Check the client's pupils for size and reaction to light.
3. Establish the clien'ts LOC
Page 1 of 111
,4. evaluate the client's motor response --CORRECT ANSWER--1. Assess the
patency of the airway.
The nurse notes a client is able to open the eyes spontaneously, follow
command to hold up two fingers, and correclty identify the day of the week and
current location. Using the GCS, which score does the nurse correctly assign to
the client?
1. 3
2. 6
3. 10
4. 15 --CORRECT ANSWER--4. 15
The nurse assesses for signs associated with IICP in a client diagnosed with a
subdural hematoma. Which is the earliest sign of an increase in ICP?
1. a change in LOC
2. a widening pulse pressure
3. bradycardia
4. decorticate position --CORRECT ANSWER--1. a change in LOC
The nurse assess a client diagnosed with cerebral contusion and IICP. Which is
the correct initial nursing aciton?
Page 2 of 111
,1. Placing a footboard to decrease foot drop.
2. Encouraging head movement to the right.
3. Elevating HOB 15-30 degrees
4. Suctioning q2h to maintain the airway --CORRECT ANSWER--3. Elevating
HOB 15-30 degrees
The nurse provides care for a child diagnosed with a serious closed head injury.
The client's parent says to the nurse, "Will my child be all right? Is my child
going to die? I'm so scared" Which response by the nurse is the best?
1. "of course your child will be all right. It will take time for your child to get
better."
2. "I'll be avaiable if you have any questions. Here is a booklet on head injuries"
3. It must be frightening to see your child hurt.
4. "Its too soon to know the outcome. Would you like to talk with the HCP? --
CORRECT ANSWER--3. It must be frightening to see your child hurt.
The nurse provides care for an adolescent client after a skateboard accident that
resulted in a brief episode of unconsicousness. The client's scalp and facial
lacerations were treated and dressed in the emergency department. which
nursing care measure is the HIGHEST priority?
Page 3 of 111
, 1. change the head wound dressings.
2. perform neurological checks frequently.
3. administer antiemetic medications.
4. Manage the client's report of a headache. --CORRECT ANSWER--2.
perform neurological checks frequently.
The nurse provides care for a school-age client with a TBI. Which symptoms
best indicate IICP?
1. Headache, cring, sensitivity to loud noises and bright lights.
2. Widening pulse pressure, slowed respirations, bradycardia.
3. Hypotension, cyanosis, tachcardia.
4. Increased temperature, increase in respirations. --CORRECT ANSWER--2.
Widening pulse pressure, slowed respirations, bradycardia.
The nurse provides care for a client diagnosed with a closed head injury and
IICP. Whichaction by the nurse is best?
1. Position the clinet with head of bed flat and cleint's head in a neutral positon.
2. Instruct client to exhale when turning or moving in bed.
3. Encourage client to cough and deep breathe every two hours.
Page 4 of 111
