NUR 176 Final Exam Review Questions With Correct Answers Latest
2025/26 Update – Hondros College
1. A client with a subdural hematoma was given Mannitol. Which result would best the
effectiveness of the medication?
A. Urine output of 150 mL/hr
B. Systolic blood pressure of 150 mm Hg
C. Pupils are 8mm and nonreactive
D. Serum creatinine of 2.5 mg/dL
2. Which risk factors for stroke (CVA) are modifiable? (Select all that apply)
A. Family history
B. Age
C. High blood pressure
D. Smoking
E. Increased stress levels
3. The nurse is reviewing discharge instructions with a patient taking enoxaparin
(Lovenox). Which side effects should the nurse instruct them to report immediately to
the health care provider? (Select all that apply)
A. Excessive bruising
B. Light yellow urine
C. Increased blood pressure
D. Increasing temperature
E. Gum bleeding
4. Which symptoms will the nurse relate two possible early increase Intercranial pressure
(IICP)? (Select all that apply)
A. Fixed and dilated pupils
B. Respiratory changes
C. Change in level of consciousness
D. Severe headache
E. Diplopia (double vision)
5. Which of the following interventions slash orders will increase intracranial pressure and
should be avoided for someone who has IICP (increased intracranial pressure)? (Select
all that apply)
A. Suction airway frequently
NUR 176 Final Exam
, B. Elevate the head of the bed 30-45 degrees
C. Give an osmotic diuretic, such as mannitol
D. Infusing hypotonic IV solutions
E. Encourage the Valsalva maneuver
6. When assessing a patient using the Glasgow Coma Scale. What are the three categories
that are assessed? (Select all that apply)
A. Eye opening response
B. Auditory response
C. Motor response
D. Short Term Memory
E. Verbal response
7. A client has been diagnosed with having a right subarachnoid hemorrhage. The nurse
should plan to place the client in which position?
A. On the right side
B. Flat in bed
C. Head of the bed elevated at least 30 degrees
D. On the left side
8. which nursing intervention is correct and is the priority intervention for the client
having tonic-clonic seizure
A. Maintain a patent airway
B. Timing the duration of the seizure
C. Noting the origin of the seizure activity
D. Inserting tongue blade inside the mouth
9. a client diagnosed with bacterial meningitis is admitted to the unit and is placed on
neuro, checks every 2 hours. Which manifestation would the practical nurse monitor
for, that would provide the first indication of altered neurological function?
A. Change in the level of consciousness
B. Increasing muscular weakness
C. Changes in pupil size bilaterally
D. Progressive nuchal rigidity
10. Which Clinical finding would be indicative of a patient diagnosed with delirium?
A. The change in patient behavior is acute
B. The client is experiencing a progressive loss of judgement
C. The client is becoming more disoriented over the last year
NUR 176 Final Exam
2025/26 Update – Hondros College
1. A client with a subdural hematoma was given Mannitol. Which result would best the
effectiveness of the medication?
A. Urine output of 150 mL/hr
B. Systolic blood pressure of 150 mm Hg
C. Pupils are 8mm and nonreactive
D. Serum creatinine of 2.5 mg/dL
2. Which risk factors for stroke (CVA) are modifiable? (Select all that apply)
A. Family history
B. Age
C. High blood pressure
D. Smoking
E. Increased stress levels
3. The nurse is reviewing discharge instructions with a patient taking enoxaparin
(Lovenox). Which side effects should the nurse instruct them to report immediately to
the health care provider? (Select all that apply)
A. Excessive bruising
B. Light yellow urine
C. Increased blood pressure
D. Increasing temperature
E. Gum bleeding
4. Which symptoms will the nurse relate two possible early increase Intercranial pressure
(IICP)? (Select all that apply)
A. Fixed and dilated pupils
B. Respiratory changes
C. Change in level of consciousness
D. Severe headache
E. Diplopia (double vision)
5. Which of the following interventions slash orders will increase intracranial pressure and
should be avoided for someone who has IICP (increased intracranial pressure)? (Select
all that apply)
A. Suction airway frequently
NUR 176 Final Exam
, B. Elevate the head of the bed 30-45 degrees
C. Give an osmotic diuretic, such as mannitol
D. Infusing hypotonic IV solutions
E. Encourage the Valsalva maneuver
6. When assessing a patient using the Glasgow Coma Scale. What are the three categories
that are assessed? (Select all that apply)
A. Eye opening response
B. Auditory response
C. Motor response
D. Short Term Memory
E. Verbal response
7. A client has been diagnosed with having a right subarachnoid hemorrhage. The nurse
should plan to place the client in which position?
A. On the right side
B. Flat in bed
C. Head of the bed elevated at least 30 degrees
D. On the left side
8. which nursing intervention is correct and is the priority intervention for the client
having tonic-clonic seizure
A. Maintain a patent airway
B. Timing the duration of the seizure
C. Noting the origin of the seizure activity
D. Inserting tongue blade inside the mouth
9. a client diagnosed with bacterial meningitis is admitted to the unit and is placed on
neuro, checks every 2 hours. Which manifestation would the practical nurse monitor
for, that would provide the first indication of altered neurological function?
A. Change in the level of consciousness
B. Increasing muscular weakness
C. Changes in pupil size bilaterally
D. Progressive nuchal rigidity
10. Which Clinical finding would be indicative of a patient diagnosed with delirium?
A. The change in patient behavior is acute
B. The client is experiencing a progressive loss of judgement
C. The client is becoming more disoriented over the last year
NUR 176 Final Exam
