NUR 211 – Nursing Care of Adults II, Nursing
Program– Final Exam Practice Questions with
Verified Answers and Rationales
Introduction:
This document contains 550 comprehensive final exam
practice questions for NUR 211, covering adult health nursing
concepts with verified correct answers and detailed rationales.
Topics include neurologic disorders, traumatic brain injury,
oncology, cancer prevention, diagnostics, nursing
interventions, pharmacology, and patient education, making it
a thorough study resource for exam preparation and concept
review.
Exam Questions and Answers with Rationales:
A nurse assesses a client with a brain tumor. Which newly
identified assessment findings alert the nurse to urgently
communicate with the health care provider? (Select all that
apply)
A. GCS of 8
B. Decerebrate posturing
C. Reactive pupils
D. Uninhibited speech
,E. Diminished cognition -Answer:-A,B,E
The nurse should urgently communicate changes in a clients
neurologic status, including a decrease in the GCS, abnormal
flexion or extension, changes in cognition or speech, and
pinpointed, dilated, and nonreactive pupils
A nurse assesses an older client. Which assessment findings
should the nurse identify as normal changes in the nervous
system related to aging? (Select all that apply)
A. Long-term memory loss
B. Slower processing time
C. Increased sensory perception
D. Decreased risk for infection
E. Change in sleep patterns -Answer:-B,E
Normal changes in the nervous system related to aging include
recent memory loss, slower processing time, decreased
sensory perception, an increased risk for infection, changes in
sleep patterns, changes in perception of pain, and altered
balance and/or decreased coordination.
,A clients mean arterial pressure is 60 mm Hg and the ICP is 20
mm Hg. Based on the client's cerebral perfusion pressure,
what should the nurse anticipate for this client?
A. Impending brain herniation
B. Poor prognosis and cognitive function
C. Probable complete recovery
D. Unable to tell from this information -Answer:-B. Poor
prognosis and cognitive function
The cerebral perfusion pressure (CPP) is the ICP - MAP (60-
20=40). For optimal outcomes, CPP should be at least 70 mm
Hg. This client has a very low CPP, which will probably lead to
a poorer prognosis with significant cognitive dysfunction
should the client survive. This data does not indicate
impending brain herniation or complete recovery.
A client has a traumatic brain injury. The nurse assesses the
following: pulse change from 82 to 60, pulse pressure increase
from 26-40, and respiratory irregularities. What action by the
nurse takes priority?
A. Call the provider and Rapid Response Team
B. Incase the rate of the IV fluid administration
C. Notify respiratory therapy for a breathing treatment
, D. Prepare the give IV pain medication -Answer:-A. Call the
provider or Rapid Response Team
These manifestations indicate Cushing's Triad, a potentially
life-threatening increase in ICP, which is an emergency.
immediate medical attention is necessary, so the nurse notifies
the provider, or Rapid Response Team. Increasing fluids would
increase ICP. The client does not need a breathing treatment or
pain medication.
A nurse is caring for four clients in the neurologic ICU. After
receiving the hand-off report, which client should the nurse
see first?
A. Client with a GCS that was 10 and is now 8
B. Client with a GCS that was 9 and is now 12
C. Client with a moderate brain injury who is amnesic for the
event
D. Client who is requesting pain medication for a headache -
Answer:-A. Client with a GCS that was 10 and is now 8
A 2-point decrease in GCS is clinically significant and the nurse
needs to see this client first. An improvement in the score is a
good sign. Amnesia is an expected finding with brain injuries,
Program– Final Exam Practice Questions with
Verified Answers and Rationales
Introduction:
This document contains 550 comprehensive final exam
practice questions for NUR 211, covering adult health nursing
concepts with verified correct answers and detailed rationales.
Topics include neurologic disorders, traumatic brain injury,
oncology, cancer prevention, diagnostics, nursing
interventions, pharmacology, and patient education, making it
a thorough study resource for exam preparation and concept
review.
Exam Questions and Answers with Rationales:
A nurse assesses a client with a brain tumor. Which newly
identified assessment findings alert the nurse to urgently
communicate with the health care provider? (Select all that
apply)
A. GCS of 8
B. Decerebrate posturing
C. Reactive pupils
D. Uninhibited speech
,E. Diminished cognition -Answer:-A,B,E
The nurse should urgently communicate changes in a clients
neurologic status, including a decrease in the GCS, abnormal
flexion or extension, changes in cognition or speech, and
pinpointed, dilated, and nonreactive pupils
A nurse assesses an older client. Which assessment findings
should the nurse identify as normal changes in the nervous
system related to aging? (Select all that apply)
A. Long-term memory loss
B. Slower processing time
C. Increased sensory perception
D. Decreased risk for infection
E. Change in sleep patterns -Answer:-B,E
Normal changes in the nervous system related to aging include
recent memory loss, slower processing time, decreased
sensory perception, an increased risk for infection, changes in
sleep patterns, changes in perception of pain, and altered
balance and/or decreased coordination.
,A clients mean arterial pressure is 60 mm Hg and the ICP is 20
mm Hg. Based on the client's cerebral perfusion pressure,
what should the nurse anticipate for this client?
A. Impending brain herniation
B. Poor prognosis and cognitive function
C. Probable complete recovery
D. Unable to tell from this information -Answer:-B. Poor
prognosis and cognitive function
The cerebral perfusion pressure (CPP) is the ICP - MAP (60-
20=40). For optimal outcomes, CPP should be at least 70 mm
Hg. This client has a very low CPP, which will probably lead to
a poorer prognosis with significant cognitive dysfunction
should the client survive. This data does not indicate
impending brain herniation or complete recovery.
A client has a traumatic brain injury. The nurse assesses the
following: pulse change from 82 to 60, pulse pressure increase
from 26-40, and respiratory irregularities. What action by the
nurse takes priority?
A. Call the provider and Rapid Response Team
B. Incase the rate of the IV fluid administration
C. Notify respiratory therapy for a breathing treatment
, D. Prepare the give IV pain medication -Answer:-A. Call the
provider or Rapid Response Team
These manifestations indicate Cushing's Triad, a potentially
life-threatening increase in ICP, which is an emergency.
immediate medical attention is necessary, so the nurse notifies
the provider, or Rapid Response Team. Increasing fluids would
increase ICP. The client does not need a breathing treatment or
pain medication.
A nurse is caring for four clients in the neurologic ICU. After
receiving the hand-off report, which client should the nurse
see first?
A. Client with a GCS that was 10 and is now 8
B. Client with a GCS that was 9 and is now 12
C. Client with a moderate brain injury who is amnesic for the
event
D. Client who is requesting pain medication for a headache -
Answer:-A. Client with a GCS that was 10 and is now 8
A 2-point decrease in GCS is clinically significant and the nurse
needs to see this client first. An improvement in the score is a
good sign. Amnesia is an expected finding with brain injuries,
