NUR 417
NUR
Final
417Exam
NUR
Final
417
(Lewis
Exam
Final
Evolve)
(Lewis
ExamEvolve)
–
(Lewis
Medical-Surgical
Evolve)
– Medical-Surgical
– Medical-Surgical
Nursing Nursing
Study Guide,
Nursing
StudyPractice
Guide,
StudyPractice
Questions
Guide, Practice
Questions
& Answers
Questions
& Answers
2026_2027
& Answers
2026_2027
Update.pdf
2026_2027
Update.pdf
Update.pdf
NUR 417 Final Exam (Lewis Evolve) –
Medical-Surgical Nursing Study Guide,
Practice Questions & Answers
2026/2027 Update
NUR 417
NUR
Final
417Exam
NUR
Final
417
(Lewis
Exam
Final
Evolve)
(Lewis
ExamEvolve)
–
(Lewis
Medical-Surgical
Evolve)
– Medical-Surgical
– Medical-Surgical
Nursing Nursing
Study Guide,
Nursing
StudyPractice
Guide,
StudyPractice
Questions
Guide, Practice
Questions
& Answers
Questions
& Answers
2026_2027
& Answers
2026_2027
Update.pdf
2026_2027
Update.pdf
Update.pdf
,NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
The patient with a brain tumor is being monitored for increased intracranial pressure (ICP)
with a ventriculostomy. What nursing intervention is priority?
A. Administer IV mannitol as ordered.
B. Ventilator use to hyperoxygenate the patient.
C. Use strict aseptic technique with dressing changes.
D. Be aware of changes in ICP related to cerebrospinal fluid leaks.
C
The priority nursing intervention is to use strict aseptic technique with dressing changes and
any handling of the insertion site to prevent the serious complication of infection. IV mannitol
or hypertonic saline will be administered as ordered for increased ICP. Ventilators may be
used to maintain oxygenation. CSF leaks may cause inaccurate ICP readings, or CSF may be
drained to decrease ICP, but strict aseptic technique to prevent infection is the nurse's
priority of care.
NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
,NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
A patient is hospitalized for a frontal skull fracture from a blunt force head injury. Thin
bloody fluid is draining from the patient’s nose. What action by the nurse is most
appropriate?
A. Place packing in the patient's nares.
B. Apply a loose gauze pad under the patient's nose.
C. Place the patient in a modified Trendelenburg position.
D. Ask the patient to gently blow the nose to clear the drainage.
B
Cerebrospinal fluid (CSF) rhinorrhea (clear or bloody drainage from the nose) may occur
with a frontal skull fracture. A loose collection pad may be placed under the nose, and if thin
bloody fluid is present, the blood will coalesce, and a yellow halo will form if CSF is present.
If clear drainage is present, testing for glucose would indicate the presence of CSF. Mixed
blood and CSF will test positive for glucose because blood contains glucose. If CSF
rhinorrhea occurs, the nurse should inform the provider immediately. The head of the bed
may be raised to decrease the CSF pressure so that a tear can seal. The nurse should not
place packing in the nasal cavity, and the patient should not sneeze or blow the nose.
NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
, NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
A patient is diagnosed with diabetes insipidus after transsphenoidal resection of a
pituitary adenoma. What should the nurse consider as a sign of improvement?
A. Serum sodium of 120 mEq/L
B. Urine specific gravity of 1.001
C. Fasting blood glucose of 80 mg/dL
D. Serum osmolality of 290 mOsm/kg
D
Laboratory findings in diabetes insipidus include elevated serum osmolality and serum
sodium and decreased urine specific gravity. Normal serum osmolality is 285 to 295
mOsm/kg, normal serum sodium is 136 to 145 mEq/L, and normal specific gravity is 1.005 to
1.030. High blood glucose levels occur with diabetes.
NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
NUR
Final
417Exam
NUR
Final
417
(Lewis
Exam
Final
Evolve)
(Lewis
ExamEvolve)
–
(Lewis
Medical-Surgical
Evolve)
– Medical-Surgical
– Medical-Surgical
Nursing Nursing
Study Guide,
Nursing
StudyPractice
Guide,
StudyPractice
Questions
Guide, Practice
Questions
& Answers
Questions
& Answers
2026_2027
& Answers
2026_2027
Update.pdf
2026_2027
Update.pdf
Update.pdf
NUR 417 Final Exam (Lewis Evolve) –
Medical-Surgical Nursing Study Guide,
Practice Questions & Answers
2026/2027 Update
NUR 417
NUR
Final
417Exam
NUR
Final
417
(Lewis
Exam
Final
Evolve)
(Lewis
ExamEvolve)
–
(Lewis
Medical-Surgical
Evolve)
– Medical-Surgical
– Medical-Surgical
Nursing Nursing
Study Guide,
Nursing
StudyPractice
Guide,
StudyPractice
Questions
Guide, Practice
Questions
& Answers
Questions
& Answers
2026_2027
& Answers
2026_2027
Update.pdf
2026_2027
Update.pdf
Update.pdf
,NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
The patient with a brain tumor is being monitored for increased intracranial pressure (ICP)
with a ventriculostomy. What nursing intervention is priority?
A. Administer IV mannitol as ordered.
B. Ventilator use to hyperoxygenate the patient.
C. Use strict aseptic technique with dressing changes.
D. Be aware of changes in ICP related to cerebrospinal fluid leaks.
C
The priority nursing intervention is to use strict aseptic technique with dressing changes and
any handling of the insertion site to prevent the serious complication of infection. IV mannitol
or hypertonic saline will be administered as ordered for increased ICP. Ventilators may be
used to maintain oxygenation. CSF leaks may cause inaccurate ICP readings, or CSF may be
drained to decrease ICP, but strict aseptic technique to prevent infection is the nurse's
priority of care.
NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
,NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
A patient is hospitalized for a frontal skull fracture from a blunt force head injury. Thin
bloody fluid is draining from the patient’s nose. What action by the nurse is most
appropriate?
A. Place packing in the patient's nares.
B. Apply a loose gauze pad under the patient's nose.
C. Place the patient in a modified Trendelenburg position.
D. Ask the patient to gently blow the nose to clear the drainage.
B
Cerebrospinal fluid (CSF) rhinorrhea (clear or bloody drainage from the nose) may occur
with a frontal skull fracture. A loose collection pad may be placed under the nose, and if thin
bloody fluid is present, the blood will coalesce, and a yellow halo will form if CSF is present.
If clear drainage is present, testing for glucose would indicate the presence of CSF. Mixed
blood and CSF will test positive for glucose because blood contains glucose. If CSF
rhinorrhea occurs, the nurse should inform the provider immediately. The head of the bed
may be raised to decrease the CSF pressure so that a tear can seal. The nurse should not
place packing in the nasal cavity, and the patient should not sneeze or blow the nose.
NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
, NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
A patient is diagnosed with diabetes insipidus after transsphenoidal resection of a
pituitary adenoma. What should the nurse consider as a sign of improvement?
A. Serum sodium of 120 mEq/L
B. Urine specific gravity of 1.001
C. Fasting blood glucose of 80 mg/dL
D. Serum osmolality of 290 mOsm/kg
D
Laboratory findings in diabetes insipidus include elevated serum osmolality and serum
sodium and decreased urine specific gravity. Normal serum osmolality is 285 to 295
mOsm/kg, normal serum sodium is 136 to 145 mEq/L, and normal specific gravity is 1.005 to
1.030. High blood glucose levels occur with diabetes.
NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf NUR 417 FINAL EXAM (Lewis Evolve).pdf
