NIGHTINGALE BSN 366 – FINAL EXAM 4|QUESTIONS
AND ANSWERS|GRADED A+|2026 UPDATE|100%
CORRECT
1–20
1.
Priority assessment in neurological deterioration:
A. Glasgow Coma Scale
B. Skin turgor
C. Bowel sounds
D. Appetite
Answer: A
Rationale: GCS measures level of consciousness and brain function.
2.
Signs of increased intracranial pressure (ICP):
A. Bradycardia, hypertension, irregular respirations
B. Tachycardia, hypotension
C. Fever only
D. Rash and itching
Answer: A
Rationale: Cushing’s triad indicates rising ICP.
3.
Best position for elevated ICP:
A. Head midline, HOB 30°
B. Flat supine
C. Trendelenburg
D. Prone
,Answer: A
Rationale: Promotes venous drainage from brain.
4.
Early sign of stroke:
A. Facial droop
B. Fever
C. Rash
D. Edema
Answer: A
Rationale: FAST assessment identifies facial asymmetry.
5.
Priority stroke intervention:
A. CT scan
B. Food
C. Exercise
D. Oral fluids
Answer: A
Rationale: Imaging confirms type of stroke before treatment.
6.
Thrombolytic therapy window:
A. 3–4.5 hours
B. 24 hours
C. 1 week
D. Anytime
Answer: A
Rationale: Must be given early to restore perfusion.
7.
, Seizure first action:
A. Protect airway
B. Insert oral object
C. Restrain patient
D. Give food
Answer: A
Rationale: Maintain airway and prevent aspiration.
8.
Post-seizure phase is called:
A. Postictal phase
B. Aura phase
C. Tonic phase
D. Clonic phase
Answer: A
Rationale: Confusion and fatigue occur after seizure.
9.
Meningitis sign:
A. Nuchal rigidity
B. Rash only
C. Weight gain
D. Edema
Answer: A
Rationale: Neck stiffness is classic sign.
10.
Most accurate diabetes long-term test:
A. HbA1c
B. Random glucose
C. Urine sugar
D. Ketones
AND ANSWERS|GRADED A+|2026 UPDATE|100%
CORRECT
1–20
1.
Priority assessment in neurological deterioration:
A. Glasgow Coma Scale
B. Skin turgor
C. Bowel sounds
D. Appetite
Answer: A
Rationale: GCS measures level of consciousness and brain function.
2.
Signs of increased intracranial pressure (ICP):
A. Bradycardia, hypertension, irregular respirations
B. Tachycardia, hypotension
C. Fever only
D. Rash and itching
Answer: A
Rationale: Cushing’s triad indicates rising ICP.
3.
Best position for elevated ICP:
A. Head midline, HOB 30°
B. Flat supine
C. Trendelenburg
D. Prone
,Answer: A
Rationale: Promotes venous drainage from brain.
4.
Early sign of stroke:
A. Facial droop
B. Fever
C. Rash
D. Edema
Answer: A
Rationale: FAST assessment identifies facial asymmetry.
5.
Priority stroke intervention:
A. CT scan
B. Food
C. Exercise
D. Oral fluids
Answer: A
Rationale: Imaging confirms type of stroke before treatment.
6.
Thrombolytic therapy window:
A. 3–4.5 hours
B. 24 hours
C. 1 week
D. Anytime
Answer: A
Rationale: Must be given early to restore perfusion.
7.
, Seizure first action:
A. Protect airway
B. Insert oral object
C. Restrain patient
D. Give food
Answer: A
Rationale: Maintain airway and prevent aspiration.
8.
Post-seizure phase is called:
A. Postictal phase
B. Aura phase
C. Tonic phase
D. Clonic phase
Answer: A
Rationale: Confusion and fatigue occur after seizure.
9.
Meningitis sign:
A. Nuchal rigidity
B. Rash only
C. Weight gain
D. Edema
Answer: A
Rationale: Neck stiffness is classic sign.
10.
Most accurate diabetes long-term test:
A. HbA1c
B. Random glucose
C. Urine sugar
D. Ketones
