NUR 170 Exam 2 Review – 2026/2027 Edition –
Actual Questions with 100% Verified Correct
Answers
Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
OVERVIEW:
NUR 170 Exam 2 Review – 2026/2027 covers neuro: stroke, migraine aura,
MS, seizures, Parkinson's, right vs left hemisphere stroke; respiratory:
asthma, COPD, ABGs, oxygen devices, trach ties, TB precautions; sensory:
Meniere's, glaucoma, retinal detachment, macular degeneration, cataract,
hearing impairment, and IOP safety plus tPA contraindications with
emphasis on prioritization, medication teaching, and patient safety
interventions for exam success finally
Answers are in bold Green, with rationales after.
1. Which of the following patients would the nurse identify as being highest risk for
stroke?
a. A 27-year-old heavy cocaine user
b. A 30-year-old who drinks a beer a day
c. A 40-year-old who uses seasonal antihistamines
d. A 65-year-old who is active and on no medications
Rationale: Cocaine causes severe vasoconstriction, hypertension, and vasospasm,
significantly increasing risk for both ischemic and hemorrhagic stroke even in
young adults. Occasional alcohol, antihistamines, and healthy aging without
comorbidities are not comparable risk factors.
, 2. A nurse assesses a client who has a history of migraines. Which clinical
manifestation would the nurse identify as an aura?
a. Vertigo
b. Visual disturbances
c. Lethargy
d. Numbness of the tongue
Rationale: Migraine aura is a focal neurologic phenomenon preceding headache,
most commonly visual (scintillating scotoma, flashing lights, zigzag lines). Vertigo
and lethargy are associated symptoms, not aura. Aura typically lasts 20-60 minutes.
3. A nurse assesses a patient with early-onset MS. Which clinical manifestation
would the nurse expect to find?
a. Hyperresponsive reflexes
b. Nystagmus
c. Excessive somnolence
d. Heat intolerance
Rationale: Early MS involves demyelination of cranial nerves and cerebellar tracts.
Nystagmus, diplopia, and blurred vision are classic early signs. Hyperreflexia occurs
later; heat intolerance worsens symptoms (Uhthoff phenomenon) but is not a
primary manifestation; somnolence is not typical.
4. A client begins to experience a tonic-clonic seizure and loss of consciousness.
What action would the nurse take first?
a. Start fluids via a large-bore catheter
b. Administer IV push diazepam
c. Turn the client's head to the side
d. Prepare to intubate the patient
Rationale: Priority is airway and safety. Turning head to side allows secretions to
drain, prevents aspiration, and keeps airway patent. Do not restrain or put objects
in mouth. IV meds and fluids are secondary after protecting airway and preventing
injury.
5. A clinic nurse notes that many of the patients present with flu-like symptoms.
Which recommendation would the nurse not give to them?
a. Take antipyretics for fever
b. Get plenty of rest
c. Increase intake of fluids
Actual Questions with 100% Verified Correct
Answers
Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
OVERVIEW:
NUR 170 Exam 2 Review – 2026/2027 covers neuro: stroke, migraine aura,
MS, seizures, Parkinson's, right vs left hemisphere stroke; respiratory:
asthma, COPD, ABGs, oxygen devices, trach ties, TB precautions; sensory:
Meniere's, glaucoma, retinal detachment, macular degeneration, cataract,
hearing impairment, and IOP safety plus tPA contraindications with
emphasis on prioritization, medication teaching, and patient safety
interventions for exam success finally
Answers are in bold Green, with rationales after.
1. Which of the following patients would the nurse identify as being highest risk for
stroke?
a. A 27-year-old heavy cocaine user
b. A 30-year-old who drinks a beer a day
c. A 40-year-old who uses seasonal antihistamines
d. A 65-year-old who is active and on no medications
Rationale: Cocaine causes severe vasoconstriction, hypertension, and vasospasm,
significantly increasing risk for both ischemic and hemorrhagic stroke even in
young adults. Occasional alcohol, antihistamines, and healthy aging without
comorbidities are not comparable risk factors.
, 2. A nurse assesses a client who has a history of migraines. Which clinical
manifestation would the nurse identify as an aura?
a. Vertigo
b. Visual disturbances
c. Lethargy
d. Numbness of the tongue
Rationale: Migraine aura is a focal neurologic phenomenon preceding headache,
most commonly visual (scintillating scotoma, flashing lights, zigzag lines). Vertigo
and lethargy are associated symptoms, not aura. Aura typically lasts 20-60 minutes.
3. A nurse assesses a patient with early-onset MS. Which clinical manifestation
would the nurse expect to find?
a. Hyperresponsive reflexes
b. Nystagmus
c. Excessive somnolence
d. Heat intolerance
Rationale: Early MS involves demyelination of cranial nerves and cerebellar tracts.
Nystagmus, diplopia, and blurred vision are classic early signs. Hyperreflexia occurs
later; heat intolerance worsens symptoms (Uhthoff phenomenon) but is not a
primary manifestation; somnolence is not typical.
4. A client begins to experience a tonic-clonic seizure and loss of consciousness.
What action would the nurse take first?
a. Start fluids via a large-bore catheter
b. Administer IV push diazepam
c. Turn the client's head to the side
d. Prepare to intubate the patient
Rationale: Priority is airway and safety. Turning head to side allows secretions to
drain, prevents aspiration, and keeps airway patent. Do not restrain or put objects
in mouth. IV meds and fluids are secondary after protecting airway and preventing
injury.
5. A clinic nurse notes that many of the patients present with flu-like symptoms.
Which recommendation would the nurse not give to them?
a. Take antipyretics for fever
b. Get plenty of rest
c. Increase intake of fluids
