100% Verified and Correct Questions and
Answers 2025/2026.
1. A nurse is caring for a client who experienced a traumatic head injury and
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hasanintraventricularcatheter(Ventriculostomy)forICPmonitoring.
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Thenurseshouldmonitortheclient forwhichofthefollowingcomplications relate
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to the ventriculostomy?:
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a. Headache
b. Infection
c. Aphasia
d. Hypertension
Answer:b.Infection y
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Rationale Monitorfor infection and use strict asepsis to avoid life-threatening meningitis
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, 2. AnurseisprovidingeducationtoaclientwhoistoundergoanEEGthenext day.
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Which of the following info should the nurse include in the teaching?
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a. "Do not wash your hair the morning of the procedure."
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b. "Tryand stay awake most of the night prior to the procedure."
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c. "The procedure will take approximately 15 mins."
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d. "Youwillneedtolieflatfor4hoursaftertheprocedure."
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Answer:b."Tryandstay awake most of the night prior to the procedure."
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Rationale Telltheclienttoremainawaketoprovidecranialstressandincreasethe
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possibility of abnormal electrical activity
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3. A nurse is caring for a client who is postprocedural following a lumbar
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punctureandreportsathrobbingheadachewhensittingupright.Whichofthe
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following actions should the nurse take? SATA.
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a. Use the GCS scale to assess the client
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b. Assist the client into a supine position gy gy gy gy gy gy
c. Administer an opioid analgesic gy gy gy
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Answer:B, D y
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4. Anurseis caringfora client whohascontinuousbladderirrigationfollow- ing a
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transurethral resection of the prostate (TURP).Which of the following findings
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should the nurse report to the provider?
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a Output equal to the instilled irrigate
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b. Client reports bladder spasms gy gy gy
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, c. Viscous urinary output with clots
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d. Reports of strong urge to urinate
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Answer:c.Viscous urinary output with clots
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, Rationale Urine that is bright red with clots is an indication of arterial bleeding.
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5. Anurse is monitoring the ECG of a client who has hypocalcemia.Which of the
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following findings should the nurse expect?
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a. FlattenedT waves y
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b. Prolonged QT intervals gy gy
c. Shortened QT intervals gy gy
dWidenedQRS complexes
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Answer:b.Prolonged QT intervals y
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Rationale Manifestationsofhypocalcemiaincludetingling,numbness,tetany,seizures,
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pro- longed QT intervals, and laryngospasm.
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6. A nurse is preparing a client who has a brain tumor for a CT scan.Which ofthe
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followingfactorsaffectsthemannerinwhichthenursewillpreparethe client for
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the scan?
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a. No food or fluids consumed for 4 hours
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b. Difficulty recalling recent events gy gy gy
c. Development of hives while eating shrimp gy gy gy gy gy
d. Paresthesia in both hands gy gy gy
Answer: c.Development of hives while eating shrimp Shellfish allergy is
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contraindication of use of contrast media during a CT scan.
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7. Anurseispreparinganin-serviceprogramaboutthestagesofacutekidney
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injury.Which of the following pieces of info should the nurse include about
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prerenal azotemia?
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