Critical Care Final Exam Practice
Questions 228 Very well Detailed
Solutions.
Critical Care Final Exam Practice
Questions 228 Very well Detailed
Solutions.
A client with a primary brain tumor has developed syndrome of inappropriate secretion of antidiuretic
hormone (SIADH). The nurse will expect to see which clinical findings upon assessment? (Select all that
apply).
a. Nausea and vomiting
b. Hyperthermia
c. Bradycardia
d. Increased weight
e. Decreased serum sodium
f. Decreased level of consciousness - ANSWER a,d,e,f
A nurse is caring for a child with a diagnosis of meningitis. What clinical findings indicate an increase in
intracranial pressure? (Select all that apply).
a. Irritability
b. Bradycardia
,Critical Care Final Exam Practice
Questions 228 Very well Detailed
Solutions.
c. Hyperalertness
d. Decreased pulse pressure
e. Decreased systolic blood pressure - ANSWER a,b
What action should the nurse take when caring for a client who has a possible skull fracture as a result
of trauma?
a. Monitor the client for signs of brain injury.
b. Check for hemorrhaging from the oral and nasal cavities.
c. Elevate the foot of the bed if the client develops symptoms of shock.
d. Observe for clinical indicators of decreased intracranial pressure and temperature. - ANSWER a
The nurse is caring for a client who was just admitted to the hospital with the diagnosis of head trauma.
Which clinical indicators should the nurse consider as evidence of increasing intracranial pressure?
(Select all that apply).
a. Vomiting
b. Irritability
c. Hypotension
,Critical Care Final Exam Practice
Questions 228 Very well Detailed
Solutions.
d. Increased respirations
e. Decreased level of consciousness - ANSWER a,b,e
The nurse uses the Glasgow Coma Scale to assess a client with a head injury. Which Glasgow Coma Scale
score indicates that the client is in a coma?
a. 6
b. 9
c. 12
d. 15 - ANSWER a
A client is scheduled for a computed tomography (CT) of the brain with contrast. When reviewing the
client's medical record, what significant finding should the nurse report to the primary healthcare
provider before the diagnostic procedure?
a. The client takes metformin daily.
b. The client has not been nothing by mouth (NPO).
c. The client reports an allergy to gadolinium.
d. The client was not prescribed a bowel prep. - ANSWER a
, Critical Care Final Exam Practice
Questions 228 Very well Detailed
Solutions.
After a head injury, a client develops a deficiency of antidiuretic hormone (ADH). What should the nurse
consider before assessing the patient about the response to secretion of ADH?
a. Serum osmolarity increases
b. Urine concentration decreases
c. Glomerular filtration decreases
d. Tubular reabsorption of water increases - ANSWER d
What interventions should the nurse implement in caring for a client with diabetes insipidus (DI)
following a head injury? (Select all that apply).
a. Providing adequate fluids within easy reach
b. Reporting an increasing urine specific gravity
c. Administering prescribed erythromycin
d. Assessing for and reporting changes in neurological status
e. Monitoring for constipation, weight loss, hypotension, and tachycardia - ANSWER a,d,e
A client is admitted with a head injury. The nurse identifies that the client's urinary catheter is draining
large amounts of clear, colorless urine. What does the nurse identify as the most likely cause?
Questions 228 Very well Detailed
Solutions.
Critical Care Final Exam Practice
Questions 228 Very well Detailed
Solutions.
A client with a primary brain tumor has developed syndrome of inappropriate secretion of antidiuretic
hormone (SIADH). The nurse will expect to see which clinical findings upon assessment? (Select all that
apply).
a. Nausea and vomiting
b. Hyperthermia
c. Bradycardia
d. Increased weight
e. Decreased serum sodium
f. Decreased level of consciousness - ANSWER a,d,e,f
A nurse is caring for a child with a diagnosis of meningitis. What clinical findings indicate an increase in
intracranial pressure? (Select all that apply).
a. Irritability
b. Bradycardia
,Critical Care Final Exam Practice
Questions 228 Very well Detailed
Solutions.
c. Hyperalertness
d. Decreased pulse pressure
e. Decreased systolic blood pressure - ANSWER a,b
What action should the nurse take when caring for a client who has a possible skull fracture as a result
of trauma?
a. Monitor the client for signs of brain injury.
b. Check for hemorrhaging from the oral and nasal cavities.
c. Elevate the foot of the bed if the client develops symptoms of shock.
d. Observe for clinical indicators of decreased intracranial pressure and temperature. - ANSWER a
The nurse is caring for a client who was just admitted to the hospital with the diagnosis of head trauma.
Which clinical indicators should the nurse consider as evidence of increasing intracranial pressure?
(Select all that apply).
a. Vomiting
b. Irritability
c. Hypotension
,Critical Care Final Exam Practice
Questions 228 Very well Detailed
Solutions.
d. Increased respirations
e. Decreased level of consciousness - ANSWER a,b,e
The nurse uses the Glasgow Coma Scale to assess a client with a head injury. Which Glasgow Coma Scale
score indicates that the client is in a coma?
a. 6
b. 9
c. 12
d. 15 - ANSWER a
A client is scheduled for a computed tomography (CT) of the brain with contrast. When reviewing the
client's medical record, what significant finding should the nurse report to the primary healthcare
provider before the diagnostic procedure?
a. The client takes metformin daily.
b. The client has not been nothing by mouth (NPO).
c. The client reports an allergy to gadolinium.
d. The client was not prescribed a bowel prep. - ANSWER a
, Critical Care Final Exam Practice
Questions 228 Very well Detailed
Solutions.
After a head injury, a client develops a deficiency of antidiuretic hormone (ADH). What should the nurse
consider before assessing the patient about the response to secretion of ADH?
a. Serum osmolarity increases
b. Urine concentration decreases
c. Glomerular filtration decreases
d. Tubular reabsorption of water increases - ANSWER d
What interventions should the nurse implement in caring for a client with diabetes insipidus (DI)
following a head injury? (Select all that apply).
a. Providing adequate fluids within easy reach
b. Reporting an increasing urine specific gravity
c. Administering prescribed erythromycin
d. Assessing for and reporting changes in neurological status
e. Monitoring for constipation, weight loss, hypotension, and tachycardia - ANSWER a,d,e
A client is admitted with a head injury. The nurse identifies that the client's urinary catheter is draining
large amounts of clear, colorless urine. What does the nurse identify as the most likely cause?
