NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3
NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3 NEWEST
2025/2026 COMPLETE 300 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
a nurse is caring for a patient who is experiencing autonomic dysreflexia due to a
C5 spinal cord injury. after checking the patient's vital signs, which of the following
actions should the nurse perform next?
a) administer nifedipine
b) place in high-fowler's position
c) check for urinary retention
d) check for a fecal impaction - ANSWER-b) place in high-fowler's position
rationale: placing in high-fowler's position to decrease the BP and reduce the risk
of end-organ damage from the sudden rise in BP
a nurse is assessing a patient who has ICP and has received IV mannitol. which of
the following findings indicates a therapeutic effect of this medication?
a) decreased blood glucose
b) decreased bronchospasms
c) increased urine output
d) increased temperature - ANSWER-c) increased urine output
rationale: mannitol is an osmotic diuretic used to reduce ICP by mobilizing
intracranial fluid and inhibiting the reabsorption of water and electrolytes in the
1|Page
, NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3
kidneys. increased urine output and decreased intracranial pressure are
therapeutic effects of this medication.
a nurse is assessing a patient who was admitted to the facility for observation
following a closed head injury. which of the following is the priority assessment
the nurse should perform to determine a change in the neurological status?
a) vital signs
b) body posture
c) level of consciousness
d) examination of pupils - ANSWER-c) level of consciousness
rationale: using the urgent vs nonurgent priority setting framework to consider
urgent needs to be the priority because they pose more of a risk to the patient. a
change in LOC can be the first indication of a change in neurologic status
a nurse is assessing a patient with a closed head injury who has received mannitol
for manifestations of ICP. which of the following indicates that the medication is
having a therapeutic effect?
a) serum osmolarity is 310
b) pupils are dilated
c) HR is 56
d) the patient is restless - ANSWER-a) serum osmolarity is 310
rationale: mannitol is an osmotic diuretic used to reduce cerebral edema by
drawing water out of the brain tissue. a serum osmolarity of 310 is desired. a
decreased in cerebral edema should result in a decrease in ICP.
2|Page
, NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3
a nurse responds to a call from a PCA that a patient just had a seizure and is
unconscious. which of the following assessments is the nurse's priority?
a) measure vital signs
b) perform a neurological exam
c) check airway patency
d) assess for injuries - ANSWER-c) check airway patency
rationale: following the ABC framework, ensuring a patent airway would be
priority
a nurse is caring for a patient who has as cerebral lesion and develops
hyperthermia. which of the following areas of the patient's brain is affected?
a) Wernicke's area
b) cerebral cortex
c) basal ganglia
d) hypothalamus - ANSWER-d) hypothalamus
rationale: the hypothalamus is responsible for the regulation of body temperature
during a neurological assessment, a nurse asks the patient to name all of his
children, their ages and their birth dates. which of the following types of memory
is the nurse testing?
a) remote
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, NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3
b) sensory
c) immediate
d) recall - ANSWER-a) remote
rationale: the nurse tests remote or long-term memory by asking questions such
as where and when the patient was born, his age, when he graduated, childrens
names, ages and birthdates. should verify information later on with family or
friends
a patient with a head injury has an arterial BP of 92/50 and an ICP of 18. the nurse
uses the assessments to calculate the cerebral perfusion pressure (CPP). how
should the nurse interpret the results?
a) CPP is so low that brain death is imminent
b) CPP is low and the BP should be increased
c) CPP is high and ICP should be reduced
d) CPP is adequate for normal cerebral blood flow - ANSWER-b) CPP is low and the
BP should be increased
a nurse is teaching a patient who has a new diagnosis of simple partial seizures
about auras. which of the following statements by the patient indicates an
understanding of the teaching?
a) an aura is a sensory warning that a seizure is imminent
b) an aura is a continuous seizure in which seizures occur in rapid succession
c) an aura is a period of sleepiness following the seizure
d) an aura is a brief LOC accompanied by staring - ANSWER-a) an aura is a sensory
warning that a seizure is imminent
4|Page
NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3 NEWEST
2025/2026 COMPLETE 300 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
a nurse is caring for a patient who is experiencing autonomic dysreflexia due to a
C5 spinal cord injury. after checking the patient's vital signs, which of the following
actions should the nurse perform next?
a) administer nifedipine
b) place in high-fowler's position
c) check for urinary retention
d) check for a fecal impaction - ANSWER-b) place in high-fowler's position
rationale: placing in high-fowler's position to decrease the BP and reduce the risk
of end-organ damage from the sudden rise in BP
a nurse is assessing a patient who has ICP and has received IV mannitol. which of
the following findings indicates a therapeutic effect of this medication?
a) decreased blood glucose
b) decreased bronchospasms
c) increased urine output
d) increased temperature - ANSWER-c) increased urine output
rationale: mannitol is an osmotic diuretic used to reduce ICP by mobilizing
intracranial fluid and inhibiting the reabsorption of water and electrolytes in the
1|Page
, NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3
kidneys. increased urine output and decreased intracranial pressure are
therapeutic effects of this medication.
a nurse is assessing a patient who was admitted to the facility for observation
following a closed head injury. which of the following is the priority assessment
the nurse should perform to determine a change in the neurological status?
a) vital signs
b) body posture
c) level of consciousness
d) examination of pupils - ANSWER-c) level of consciousness
rationale: using the urgent vs nonurgent priority setting framework to consider
urgent needs to be the priority because they pose more of a risk to the patient. a
change in LOC can be the first indication of a change in neurologic status
a nurse is assessing a patient with a closed head injury who has received mannitol
for manifestations of ICP. which of the following indicates that the medication is
having a therapeutic effect?
a) serum osmolarity is 310
b) pupils are dilated
c) HR is 56
d) the patient is restless - ANSWER-a) serum osmolarity is 310
rationale: mannitol is an osmotic diuretic used to reduce cerebral edema by
drawing water out of the brain tissue. a serum osmolarity of 310 is desired. a
decreased in cerebral edema should result in a decrease in ICP.
2|Page
, NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3
a nurse responds to a call from a PCA that a patient just had a seizure and is
unconscious. which of the following assessments is the nurse's priority?
a) measure vital signs
b) perform a neurological exam
c) check airway patency
d) assess for injuries - ANSWER-c) check airway patency
rationale: following the ABC framework, ensuring a patent airway would be
priority
a nurse is caring for a patient who has as cerebral lesion and develops
hyperthermia. which of the following areas of the patient's brain is affected?
a) Wernicke's area
b) cerebral cortex
c) basal ganglia
d) hypothalamus - ANSWER-d) hypothalamus
rationale: the hypothalamus is responsible for the regulation of body temperature
during a neurological assessment, a nurse asks the patient to name all of his
children, their ages and their birth dates. which of the following types of memory
is the nurse testing?
a) remote
3|Page
, NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3
b) sensory
c) immediate
d) recall - ANSWER-a) remote
rationale: the nurse tests remote or long-term memory by asking questions such
as where and when the patient was born, his age, when he graduated, childrens
names, ages and birthdates. should verify information later on with family or
friends
a patient with a head injury has an arterial BP of 92/50 and an ICP of 18. the nurse
uses the assessments to calculate the cerebral perfusion pressure (CPP). how
should the nurse interpret the results?
a) CPP is so low that brain death is imminent
b) CPP is low and the BP should be increased
c) CPP is high and ICP should be reduced
d) CPP is adequate for normal cerebral blood flow - ANSWER-b) CPP is low and the
BP should be increased
a nurse is teaching a patient who has a new diagnosis of simple partial seizures
about auras. which of the following statements by the patient indicates an
understanding of the teaching?
a) an aura is a sensory warning that a seizure is imminent
b) an aura is a continuous seizure in which seizures occur in rapid succession
c) an aura is a period of sleepiness following the seizure
d) an aura is a brief LOC accompanied by staring - ANSWER-a) an aura is a sensory
warning that a seizure is imminent
4|Page
