NR 325 EXAM 2 (CHAMBERLAIN) NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK| NR325 ADULT HEALTH
II EXAM 2 REVIEW WITH COMPLETE 250 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
Section 1: Neurological Disorders (Questions 1-70)
This section covers strokes, seizures, increased intracranial pressure, and
neurodegenerative diseases, which are foundational for Exam 2.
1. A patient is admitted with a suspected stroke. The provider orders a CT scan.
What is the primary purpose of a CT scan without contrast in this situation?
• A. To identify the exact location of a brain tumor.
• B. To rule out a hemorrhagic stroke, making the patient a candidate for tPA.
• C. To determine if the stroke was caused by an ischemic event.
• D. To measure the amount of blood flow to the brain.
Answer: B — A non-contrast CT scan is the quickest way to rule out a hemorrhagic
stroke, which is a contraindication for thrombolytic therapy.
2. Which patient would be a candidate for intracranial pressure (ICP) monitoring?
• A. A patient with a Glasgow Coma Scale (GCS) score of 8 or lower.
• B. A patient with a GCS score of 12.
• C. A patient with a severe headache.
• D. A patient with a GCS score of 15.
Answer: A — Patients with GCS scores of 8 or lower are at high risk for elevated ICP and
are candidates for monitoring.
3. The normal range for intracranial pressure (ICP) is:
, • A. 0-5 mmHg
• B. 5-10 mmHg
• C. 10-15 mmHg
• D. 15-20 mmHg
Answer: C — Normal ICP is 10-15 mmHg. Elevations can compromise cerebral
circulation.
4. What is a common complication of cerebral angiography?
• A. Increased appetite.
• B. Risk for bleeding or hematoma at the insertion site.
• C. Hypotension.
• D. Decreased intracranial pressure.
Answer: B — The insertion site is at risk for bleeding; the nurse should monitor it
closely.
5. The Confusion Assessment Method (CAM) is a specific tool used to assess for:
• A. Dementia.
• B. Delirium and confusion.
• C. Alzheimer's disease.
• D. Parkinson's disease.
Answer: B — The CAM is the most commonly used tool to screen for delirium.
6. During a seizure, which actions should the nurse take? (Select all that apply)
• A. Protect the client's head from injury.
• B. Insert a padded tongue blade to prevent the client from biting their tongue.
• C. Turn the client to a side-lying position to prevent aspiration.
• D. Loosen any restrictive clothing.
,Answer: A, C, D — A is correct (protecting the head is essential). B is incorrect (nothing
should ever be placed in the mouth of a seizing patient). C and D are correct to maintain
airway and ensure safety.
7. Which finding indicates a patient is in the postictal phase after a seizure?
• A. The patient is agitated and combative.
• B. The patient has a return to full consciousness and is confused.
• C. The patient begins to have rhythmic jerking movements.
• D. The patient's eyes are fixed and staring upward.
Answer: B — The postictal phase is characterized by confusion, exhaustion, and
sometimes sleep.
8. Which finding is characteristic of a left-sided stroke?
• A. Left-sided neglect.
• B. Impulsive behavior.
• C. Aphasia (difficulty speaking or understanding).
• D. Difficulty with spatial awareness.
Answer: C — A left-sided stroke affects language centers in the dominant (left)
hemisphere.
9. A patient with a left-sided brain injury presents with aphasia. This means the
patient has difficulty with:
• A. Vision.
• B. Motor planning.
• C. Speech and comprehension.
• D. Balance.
Answer: C — Aphasia is a language disorder.
10. Which of the following is a sign of a stroke?
, • A. Gradual onset of a headache over 24 hours.
• B. Sudden facial drooping on one side.
• C. Abdominal pain and nausea.
• D. Joint stiffness and pain.
Answer: B — Sudden facial drooping is a classic sign of a stroke.
11. A stroke occurs when a part of the brain is lacking:
• A. Oxygen.
• B. Perfusion (blood flow).
• C. Glucose.
• D. All of the above.
Answer: D — Ischemia from lack of perfusion leads to a lack of oxygen and glucose to
brain tissue.
12. Which type of stroke is caused by a blood vessel in the brain that leaks or
ruptures?
• A. Ischemic stroke
• B. Thrombotic stroke
• C. Hemorrhagic stroke
• D. Transient ischemic attack (TIA)
Answer: C — A hemorrhagic stroke is a "bleed."
13. A patient's stroke is caused by a clot that formed in a vessel narrowed by
atherosclerotic plaques. This is known as a:
• A. Thrombotic stroke.
• B. Embolic stroke.
• C. Hemorrhagic stroke.
• D. Lacunar stroke.
ACTUAL EXAM TEST BANK| NR325 ADULT HEALTH
II EXAM 2 REVIEW WITH COMPLETE 250 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST RECENT!!)
Section 1: Neurological Disorders (Questions 1-70)
This section covers strokes, seizures, increased intracranial pressure, and
neurodegenerative diseases, which are foundational for Exam 2.
1. A patient is admitted with a suspected stroke. The provider orders a CT scan.
What is the primary purpose of a CT scan without contrast in this situation?
• A. To identify the exact location of a brain tumor.
• B. To rule out a hemorrhagic stroke, making the patient a candidate for tPA.
• C. To determine if the stroke was caused by an ischemic event.
• D. To measure the amount of blood flow to the brain.
Answer: B — A non-contrast CT scan is the quickest way to rule out a hemorrhagic
stroke, which is a contraindication for thrombolytic therapy.
2. Which patient would be a candidate for intracranial pressure (ICP) monitoring?
• A. A patient with a Glasgow Coma Scale (GCS) score of 8 or lower.
• B. A patient with a GCS score of 12.
• C. A patient with a severe headache.
• D. A patient with a GCS score of 15.
Answer: A — Patients with GCS scores of 8 or lower are at high risk for elevated ICP and
are candidates for monitoring.
3. The normal range for intracranial pressure (ICP) is:
, • A. 0-5 mmHg
• B. 5-10 mmHg
• C. 10-15 mmHg
• D. 15-20 mmHg
Answer: C — Normal ICP is 10-15 mmHg. Elevations can compromise cerebral
circulation.
4. What is a common complication of cerebral angiography?
• A. Increased appetite.
• B. Risk for bleeding or hematoma at the insertion site.
• C. Hypotension.
• D. Decreased intracranial pressure.
Answer: B — The insertion site is at risk for bleeding; the nurse should monitor it
closely.
5. The Confusion Assessment Method (CAM) is a specific tool used to assess for:
• A. Dementia.
• B. Delirium and confusion.
• C. Alzheimer's disease.
• D. Parkinson's disease.
Answer: B — The CAM is the most commonly used tool to screen for delirium.
6. During a seizure, which actions should the nurse take? (Select all that apply)
• A. Protect the client's head from injury.
• B. Insert a padded tongue blade to prevent the client from biting their tongue.
• C. Turn the client to a side-lying position to prevent aspiration.
• D. Loosen any restrictive clothing.
,Answer: A, C, D — A is correct (protecting the head is essential). B is incorrect (nothing
should ever be placed in the mouth of a seizing patient). C and D are correct to maintain
airway and ensure safety.
7. Which finding indicates a patient is in the postictal phase after a seizure?
• A. The patient is agitated and combative.
• B. The patient has a return to full consciousness and is confused.
• C. The patient begins to have rhythmic jerking movements.
• D. The patient's eyes are fixed and staring upward.
Answer: B — The postictal phase is characterized by confusion, exhaustion, and
sometimes sleep.
8. Which finding is characteristic of a left-sided stroke?
• A. Left-sided neglect.
• B. Impulsive behavior.
• C. Aphasia (difficulty speaking or understanding).
• D. Difficulty with spatial awareness.
Answer: C — A left-sided stroke affects language centers in the dominant (left)
hemisphere.
9. A patient with a left-sided brain injury presents with aphasia. This means the
patient has difficulty with:
• A. Vision.
• B. Motor planning.
• C. Speech and comprehension.
• D. Balance.
Answer: C — Aphasia is a language disorder.
10. Which of the following is a sign of a stroke?
, • A. Gradual onset of a headache over 24 hours.
• B. Sudden facial drooping on one side.
• C. Abdominal pain and nausea.
• D. Joint stiffness and pain.
Answer: B — Sudden facial drooping is a classic sign of a stroke.
11. A stroke occurs when a part of the brain is lacking:
• A. Oxygen.
• B. Perfusion (blood flow).
• C. Glucose.
• D. All of the above.
Answer: D — Ischemia from lack of perfusion leads to a lack of oxygen and glucose to
brain tissue.
12. Which type of stroke is caused by a blood vessel in the brain that leaks or
ruptures?
• A. Ischemic stroke
• B. Thrombotic stroke
• C. Hemorrhagic stroke
• D. Transient ischemic attack (TIA)
Answer: C — A hemorrhagic stroke is a "bleed."
13. A patient's stroke is caused by a clot that formed in a vessel narrowed by
atherosclerotic plaques. This is known as a:
• A. Thrombotic stroke.
• B. Embolic stroke.
• C. Hemorrhagic stroke.
• D. Lacunar stroke.
