Exam 4: NUR209/ NUR 209 (New 2024/
2025 Update) Medical Surgical Nursing II
| Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
Admission vital signs for a brain-injured patient are blood pressure 128/68, pulse 110, and
respirations 26. Which set of vital signs, if taken 1 hour after admission, will be of most concern
to the nurse?
Answer:
Blood pressure 154/68, pulse
56, respirations 12
QUESTION
An unconscious patient is admitted to the ed with a head injury. The pa- tient's spouse and
teenage children stay at pt's side and ask many questions about the treatment
Answer:
Allow the family to stay with the patient and briefly explain all procedures to them
QUESTION
A 20-year old make patient is admitted with a head injury after a collision while playing
football, after noting the patient has developed clear nasal drainage, which action should the
nurse take?
Answer:
Check drainage for glucose content
, QUESTION
A patient who has suspected epidural hematoma is admitted to the emer- gency department.
Which action will the nurse expect to take?
Answer:
Prepare the patient for craniotomy
QUESTION
The public health nurse is planning a program to decrease the incidence of meningitis in
teenagers and young adults. Which action is most likely to be effective?
Answer:
Encourage immunization for adolescent and college freshmen
QUESTION
Nurses in change-of-shift report are discussing the care of a patient with a stroke who has
progressively increasing weakness and decreasing level
of consciousness (LOC). Which nursing diagnosis do they determine has the highest priority for
the patient
Answer:
Risk for aspiration
QUESTION
The home health nurse caring for an 81 year old
Answer:
provide support to the spouse caregiver
2025 Update) Medical Surgical Nursing II
| Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
Admission vital signs for a brain-injured patient are blood pressure 128/68, pulse 110, and
respirations 26. Which set of vital signs, if taken 1 hour after admission, will be of most concern
to the nurse?
Answer:
Blood pressure 154/68, pulse
56, respirations 12
QUESTION
An unconscious patient is admitted to the ed with a head injury. The pa- tient's spouse and
teenage children stay at pt's side and ask many questions about the treatment
Answer:
Allow the family to stay with the patient and briefly explain all procedures to them
QUESTION
A 20-year old make patient is admitted with a head injury after a collision while playing
football, after noting the patient has developed clear nasal drainage, which action should the
nurse take?
Answer:
Check drainage for glucose content
, QUESTION
A patient who has suspected epidural hematoma is admitted to the emer- gency department.
Which action will the nurse expect to take?
Answer:
Prepare the patient for craniotomy
QUESTION
The public health nurse is planning a program to decrease the incidence of meningitis in
teenagers and young adults. Which action is most likely to be effective?
Answer:
Encourage immunization for adolescent and college freshmen
QUESTION
Nurses in change-of-shift report are discussing the care of a patient with a stroke who has
progressively increasing weakness and decreasing level
of consciousness (LOC). Which nursing diagnosis do they determine has the highest priority for
the patient
Answer:
Risk for aspiration
QUESTION
The home health nurse caring for an 81 year old
Answer:
provide support to the spouse caregiver
