GNRS 558: PHARMACOLOGY FOR
ADVANCED NURSING PRACTICE FINAL
EXAM ACTUAL EXAM 130 QUESTIONS AND
CORRRECT ANSWERS WITH RAATIONALES
ALREADY GRADED A+ 2026-2027.
The nurse is admitting a patient with a basal skull fracture. The nurse notes
ecchymoses
around both eyes and clear drainage from the patient's nose. Which admission
order would
the nurse question?
a. Keep the head of bed elevated.
b. Insert nasogastric tube to low suction.
c. Turn patient side to side every 2 hours.
d. Apply cold packs intermittently to face. - ANSWER-b. Insert nasogastric tube
to low suction.
,Rationale: Rhinorrhea may indicate a dural tear with cerebrospinal fluid
leakage. Insertion of a
nasogastric tube will increase the risk for infections such as meningitis.
An athlete is seen in the clinic 6 weeks after a concussion. Which assessment
information will
the nurse collect to determine whether the patient is developing
postconcussion syndrome?
a. Short-term memory
b. Muscle coordination
c. Glasgow Coma Scale
d. Pupil reaction to light - ANSWER-a. Short-term memory
,When assessing a patient who has a right frontal lobe tumor, which finding
would the nurse expect?
a. Expressive aphasia
b. Impaired judgment
c. Right-sided weakness
d. Difficulty swallowin - ANSWER-b. Impaired judgment
Which statement by a patient who is being discharged from the emergency
department (ED) after a concussion indicates a need for intervention by the
nurse?
a. "I will return if I feel dizzy or nauseated."
b. "I am going to drive home and go right to bed."
c. "I do not even remember being in an accident today."
d. "I can take acetaminophen (Tylenol) for my headache." - ANSWER-b. "I am
going to drive home and go right to bed."
, After having a craniectomy and left anterior fossae incision, a patient has
weakness, impaired physical mobility, and a decreased level of consciousness.
Which nursing action will be included in the plan of care?
a. Cluster nursing activities to allow longer rest periods.
b. Turn and reposition the patient side to side every 2 hours.
c. Position the bed flat and log roll to reposition the patient.
d. Perform range-of-motion (ROM) exercises every 4 hours. - ANSWER-d.
Perform range-of-motion (ROM) exercises every 4 hours.
A patient who has bacterial meningitis is disoriented and anxious. Which
action will the nurse include in the plan of care?
a. Encourage family members to remain at the bedside.
b. Apply soft restraints to protect the patient from injury.
c. Keep the room well-lighted to improve patient orientation.
ADVANCED NURSING PRACTICE FINAL
EXAM ACTUAL EXAM 130 QUESTIONS AND
CORRRECT ANSWERS WITH RAATIONALES
ALREADY GRADED A+ 2026-2027.
The nurse is admitting a patient with a basal skull fracture. The nurse notes
ecchymoses
around both eyes and clear drainage from the patient's nose. Which admission
order would
the nurse question?
a. Keep the head of bed elevated.
b. Insert nasogastric tube to low suction.
c. Turn patient side to side every 2 hours.
d. Apply cold packs intermittently to face. - ANSWER-b. Insert nasogastric tube
to low suction.
,Rationale: Rhinorrhea may indicate a dural tear with cerebrospinal fluid
leakage. Insertion of a
nasogastric tube will increase the risk for infections such as meningitis.
An athlete is seen in the clinic 6 weeks after a concussion. Which assessment
information will
the nurse collect to determine whether the patient is developing
postconcussion syndrome?
a. Short-term memory
b. Muscle coordination
c. Glasgow Coma Scale
d. Pupil reaction to light - ANSWER-a. Short-term memory
,When assessing a patient who has a right frontal lobe tumor, which finding
would the nurse expect?
a. Expressive aphasia
b. Impaired judgment
c. Right-sided weakness
d. Difficulty swallowin - ANSWER-b. Impaired judgment
Which statement by a patient who is being discharged from the emergency
department (ED) after a concussion indicates a need for intervention by the
nurse?
a. "I will return if I feel dizzy or nauseated."
b. "I am going to drive home and go right to bed."
c. "I do not even remember being in an accident today."
d. "I can take acetaminophen (Tylenol) for my headache." - ANSWER-b. "I am
going to drive home and go right to bed."
, After having a craniectomy and left anterior fossae incision, a patient has
weakness, impaired physical mobility, and a decreased level of consciousness.
Which nursing action will be included in the plan of care?
a. Cluster nursing activities to allow longer rest periods.
b. Turn and reposition the patient side to side every 2 hours.
c. Position the bed flat and log roll to reposition the patient.
d. Perform range-of-motion (ROM) exercises every 4 hours. - ANSWER-d.
Perform range-of-motion (ROM) exercises every 4 hours.
A patient who has bacterial meningitis is disoriented and anxious. Which
action will the nurse include in the plan of care?
a. Encourage family members to remain at the bedside.
b. Apply soft restraints to protect the patient from injury.
c. Keep the room well-lighted to improve patient orientation.
