PN3 FINAL UPDATED ACTUAL Exam
Questions and CORRECT Answers
For the client who is at risk for stroke, the most important guideline the nurse should teach is to:
- CORRECT ANSWER - monitor blood pressure.
A client is being evaluated for a stroke. The nurse knows that one of the easiest and most
common diagnostic tests used to differentiate between strokes is: - CORRECT ANSWER -
computed tomography (CT).
While instructing a client on stroke prevention, the nurse mentions medications that are useful in
stroke prevention. The following medications are effective in preventing a stroke, EXCEPT: -
CORRECT ANSWER - anticholinergics
A client is being seen in the emergency department experiencing symptoms of a stroke. The
nurse realizes that the administration of a medication to break clots, such as tPA, should be
administered within how many minutes of the client presenting to the emergency department? -
CORRECT ANSWER - 60 minutes
What is the major cause of traumatic brain injuries? - CORRECT ANSWER - MVC
A client is diagnosed with a mild brain injury. Which of the following is an example of a mild
injury? - CORRECT ANSWER - Concussion
The nurse is planning care for a client diagnosed with increased intracranial pressure after a head
injury. Which of the following interventions can be used to reduce increased intracranial
pressure? - CORRECT ANSWER - Administer corticosteroids and osmotic diuretics as
prescribed.
The nurse, caring for a client recovering from a traumatic brain injury, knows the client and the
family are eligible for specific federal programs because of the: - CORRECT ANSWER -
Traumatic Brain Injury Act of 2008
, Which of the following should be avoided when caring for a client diagnosed with increased
intracranial pressure? - CORRECT ANSWER - Placing the bed in Trendelenburg
A client is being instructed on treatments available for a newly diagnosed brain tumor. The nurse
realizes that this client's treatment could include all of the following EXCEPT: - CORRECT
ANSWER - photo DNA therapy
A client diagnosed with an embolic stroke is not a candidate for tPA. The nurse realizes that the
client might be eligible for which of the following forms of treatment? - CORRECT
ANSWER - Carotid stenting
The nurse is caring for a patient with increased intracranial pressure. Which action is considered
unsafe? - CORRECT ANSWER - Clustering many nursing activities
The earliest and most sensitive assessment finding that would indicate an alteration in
intracranial regulation would be? - CORRECT ANSWER - change in level of
consciousness.
Components of the GCS the nurse would use to assess a patient after a head injury include: -
CORRECT ANSWER - verbal responsiveness.
A child care worker complains of flu-like symptoms. On further assessment, hepatitis is
suspected. The nurse realizes that this individual is at risk for which type of hepatitis? -
CORRECT ANSWER - Hepatitis A
An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most likely
cause of this problem is: - CORRECT ANSWER - drinking excessive alcohol
A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess
for is: - CORRECT ANSWER - Bleeding
Questions and CORRECT Answers
For the client who is at risk for stroke, the most important guideline the nurse should teach is to:
- CORRECT ANSWER - monitor blood pressure.
A client is being evaluated for a stroke. The nurse knows that one of the easiest and most
common diagnostic tests used to differentiate between strokes is: - CORRECT ANSWER -
computed tomography (CT).
While instructing a client on stroke prevention, the nurse mentions medications that are useful in
stroke prevention. The following medications are effective in preventing a stroke, EXCEPT: -
CORRECT ANSWER - anticholinergics
A client is being seen in the emergency department experiencing symptoms of a stroke. The
nurse realizes that the administration of a medication to break clots, such as tPA, should be
administered within how many minutes of the client presenting to the emergency department? -
CORRECT ANSWER - 60 minutes
What is the major cause of traumatic brain injuries? - CORRECT ANSWER - MVC
A client is diagnosed with a mild brain injury. Which of the following is an example of a mild
injury? - CORRECT ANSWER - Concussion
The nurse is planning care for a client diagnosed with increased intracranial pressure after a head
injury. Which of the following interventions can be used to reduce increased intracranial
pressure? - CORRECT ANSWER - Administer corticosteroids and osmotic diuretics as
prescribed.
The nurse, caring for a client recovering from a traumatic brain injury, knows the client and the
family are eligible for specific federal programs because of the: - CORRECT ANSWER -
Traumatic Brain Injury Act of 2008
, Which of the following should be avoided when caring for a client diagnosed with increased
intracranial pressure? - CORRECT ANSWER - Placing the bed in Trendelenburg
A client is being instructed on treatments available for a newly diagnosed brain tumor. The nurse
realizes that this client's treatment could include all of the following EXCEPT: - CORRECT
ANSWER - photo DNA therapy
A client diagnosed with an embolic stroke is not a candidate for tPA. The nurse realizes that the
client might be eligible for which of the following forms of treatment? - CORRECT
ANSWER - Carotid stenting
The nurse is caring for a patient with increased intracranial pressure. Which action is considered
unsafe? - CORRECT ANSWER - Clustering many nursing activities
The earliest and most sensitive assessment finding that would indicate an alteration in
intracranial regulation would be? - CORRECT ANSWER - change in level of
consciousness.
Components of the GCS the nurse would use to assess a patient after a head injury include: -
CORRECT ANSWER - verbal responsiveness.
A child care worker complains of flu-like symptoms. On further assessment, hepatitis is
suspected. The nurse realizes that this individual is at risk for which type of hepatitis? -
CORRECT ANSWER - Hepatitis A
An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most likely
cause of this problem is: - CORRECT ANSWER - drinking excessive alcohol
A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess
for is: - CORRECT ANSWER - Bleeding
