NUR 2755 MIDTERM EXAM QUESTIONS AND
ANSWERS SET A+
✔✔Which lobe of the brain is responsible for a person's affect? - ✔✔Frontal lobe
✔✔What should a nurse prioritize when preparing a client for an MRI? - ✔✔Removing
all metal-containing objects
✔✔What general instructions should be provided to a client before an
electroencephalogram (EEG)? - ✔✔Please refrain from drinking coffee and any
caffeinated beverages the morning prior to the procedure
✔✔What priority medication should be administered for a client with cerebral edema
after an acute head injury? - ✔✔Mannitol
✔✔What nursing intervention takes highest priority for an unconscious client? -
✔✔Maintaining a patent airway
✔✔What is the most appropriate action for a client with a traumatic brain injury and low
mean arterial pressure? - ✔✔Participate in interventions to increase cerebral perfusion
pressure (CPP)
✔✔What diagnostic tool should be used to assess the level of consciousness in a client
with blunt force trauma to the head? - ✔✔Glasgow Coma Scale
✔✔What medication should be administered to halt a seizure in a client in status
epilepticus? - ✔✔Intravenous diazepam
✔✔What is an early sign of increased ICP? - ✔✔Disorientation and restlessness
✔✔What are priority interventions for a client on anticoagulant therapy having an
ischemic stroke? - ✔✔Supplemental oxygen and monitoring blood glucose levels
, ✔✔What is a complication of a cerebral aneurysm? - ✔✔Seizure
✔✔What is an absolute contraindication for thrombolytic therapy? - ✔✔Evidence of
hemorrhagic stroke
✔✔What complication should be suspected in a client with increased ICP who is febrile
and tachycardic? - ✔✔Meningitis
✔✔Which client needs emergent treatment? - ✔✔A client with an acute onset of
confusion
✔✔What assessment finding is most consistent with heat stroke? - ✔✔Hot, dry skin
✔✔What is the most appropriate treatment for a client who swallowed highly acidic toilet
bowl cleaner? - ✔✔Giving milk to drink
✔✔What finding should lead to suspicion of internal hemorrhage in a trauma client? -
✔✔Rapid pulse and decreased capillary refill
✔✔What is the priority action regarding consent for treatment of an unconscious client?
- ✔✔Clearly document level of consciousness (LOC) and health status on the client's
chart
✔✔What nursing action is most appropriate for a client with blunt abdominal trauma? -
✔✔Immobilize the client on a backboard
✔✔What complication should be considered for a client with a fractured femur exhibiting
cool, moist skin? - ✔✔Hemorrhage
✔✔How would a client with full thickness burns over 75% of the body be triaged? -
✔✔Black
✔✔What type of injury should the nurse expect in clients who have experienced a blast
injury? - ✔✔Tympanic membrane rupture
✔✔What is the priority for a homeless client admitted during a blizzard with
hypothermia? - ✔✔Addressing the client's hypothermia
✔✔What is the percentage of total body surface area burned for a client with full
thickness burns to the anterior torso and bilateral anterior arms? - ✔✔27%
ANSWERS SET A+
✔✔Which lobe of the brain is responsible for a person's affect? - ✔✔Frontal lobe
✔✔What should a nurse prioritize when preparing a client for an MRI? - ✔✔Removing
all metal-containing objects
✔✔What general instructions should be provided to a client before an
electroencephalogram (EEG)? - ✔✔Please refrain from drinking coffee and any
caffeinated beverages the morning prior to the procedure
✔✔What priority medication should be administered for a client with cerebral edema
after an acute head injury? - ✔✔Mannitol
✔✔What nursing intervention takes highest priority for an unconscious client? -
✔✔Maintaining a patent airway
✔✔What is the most appropriate action for a client with a traumatic brain injury and low
mean arterial pressure? - ✔✔Participate in interventions to increase cerebral perfusion
pressure (CPP)
✔✔What diagnostic tool should be used to assess the level of consciousness in a client
with blunt force trauma to the head? - ✔✔Glasgow Coma Scale
✔✔What medication should be administered to halt a seizure in a client in status
epilepticus? - ✔✔Intravenous diazepam
✔✔What is an early sign of increased ICP? - ✔✔Disorientation and restlessness
✔✔What are priority interventions for a client on anticoagulant therapy having an
ischemic stroke? - ✔✔Supplemental oxygen and monitoring blood glucose levels
, ✔✔What is a complication of a cerebral aneurysm? - ✔✔Seizure
✔✔What is an absolute contraindication for thrombolytic therapy? - ✔✔Evidence of
hemorrhagic stroke
✔✔What complication should be suspected in a client with increased ICP who is febrile
and tachycardic? - ✔✔Meningitis
✔✔Which client needs emergent treatment? - ✔✔A client with an acute onset of
confusion
✔✔What assessment finding is most consistent with heat stroke? - ✔✔Hot, dry skin
✔✔What is the most appropriate treatment for a client who swallowed highly acidic toilet
bowl cleaner? - ✔✔Giving milk to drink
✔✔What finding should lead to suspicion of internal hemorrhage in a trauma client? -
✔✔Rapid pulse and decreased capillary refill
✔✔What is the priority action regarding consent for treatment of an unconscious client?
- ✔✔Clearly document level of consciousness (LOC) and health status on the client's
chart
✔✔What nursing action is most appropriate for a client with blunt abdominal trauma? -
✔✔Immobilize the client on a backboard
✔✔What complication should be considered for a client with a fractured femur exhibiting
cool, moist skin? - ✔✔Hemorrhage
✔✔How would a client with full thickness burns over 75% of the body be triaged? -
✔✔Black
✔✔What type of injury should the nurse expect in clients who have experienced a blast
injury? - ✔✔Tympanic membrane rupture
✔✔What is the priority for a homeless client admitted during a blizzard with
hypothermia? - ✔✔Addressing the client's hypothermia
✔✔What is the percentage of total body surface area burned for a client with full
thickness burns to the anterior torso and bilateral anterior arms? - ✔✔27%
