ICU Practice NCLEX Exam Questions and Correct Answers

ICU Practice NCLEX Exam Questions and Correct Answers A nurse is caring for a client after a supratentorial craniotomy. The nurse places a sign above the client's bed stating that the client should be maintained in which of the following positions? A. Prone B. Supine C. Semi-Fowlers D. Dorsal recumbent - Correct Answer C Semi-Fowlers After supratentorial surgery (surgery above the brain's tentorium), the client's head is usually elevated to 30 degrees to promote venous outflow through the jugular veins and modulate intracranial pressure (ICP). Options a,b, and d are incorrect positions after this surgery because they are likely to increase ICP. A client with a spinal cord injury is at risk of developing footdrop. The nurse should use which of the following as the effective preventative measure? A. Foot board B. Heel protectors C. Posterior splints D. Pneumatic boots - Correct Answer Answer Key: C Feedback: The most effective means of preventing footdrop is the use of posterior splints or high-top sneakers. A foot board prevents plantar flexion, but also places the client more at risk for developing pressure ulcers of the feet. Heel protectors protect the skin, but do not prevent footdrop. Pneumatic boots prevent deep vein thrombosis, but not foot drop. A client begins to experience a tonic clonic seizure. The nurse should take which of the following actions? Select all that apply. A. Restrain the client B. Turn the client to the side C. Maintain the clien