NUR 2755 / NUR2755 Exam 1: Multidimensional
Care IV / MDC 4 Exam 1 Review A and B
Combined| Latest Update 2026-27| Rated A+
1. A client has been in a MVC and D
presents with signs and symptoms
of increased intracranial pressure.
What is the most significant sign or
symptoms in increased ICP?
a. Pupil changes
b. Ipsilateral paralysis
c. Vomiting
d. Decrease in LOC
2. A client has recently suffered a B
stroke with left-sided weakness. A
nurse assesses for dysphagia,
especially with thin liquids. Which
nursing intervention is most helpful
in assessing this client to swallow
safely?
a. The client should avoid all liquids
b. Instructing to tuck the chin when
swallowing
c. Give sips of water with each bite
d. Turn head to the left
,3. A nurse assesses a 27 y.o. female B
client who presents with muscle
weakness and decreased muscle
coordination over the past few
months. What nervous system
disease is she most likely suffering
from?
a. Systemic lupus erythematous
b. Multiple sclerosis
c. Guillain-Barre syndrome
d. Myasthenia gravis
4. During an assessment of a recent A
seizure client, the nurse interprets
which finding is congruent with the
postictal state?
a. The clients motor function is
returning to baseline
b. The client states there is a visible
aura
c. The client has brief jerking of the
extremities
d. The client O2 saturation is 80%
5. The client has a head injury and is A
presenting with signs and
symptoms of increased ICP. Which
nursing intervention would be
helpful in reducing this pressure?
a. Place the neck in a neutral
position to promote venous
drainage
b. Suction hourly to stimulate the
cough reflex
c. Add extra blankets to keep the
client warm
d. Turn the client frequently to
prevent skin impairment
,6. A client injured in an MVA is C
being evaluated at the emergency
department for a possible head
injury. Which test should NOT be
done if there is indication of
increased ICP?
a. CT Scan
b. MRI Scan
c. Lumbar Puncture
d. Electroencephalogram
7. The nurse is obtaining a health B
history for a 45-year-old woman
with Guillain-Barré syndrome (GBS).
Which statement by the client does
the nurse correlate with the client's
diagnosis?
a. "I have a history of a cardiac
dysrhythmia.
b. "I just got over the flu a couple of
weeks ago, and now this."
c. "My neighbor also has Guillain-
Barré syndrome."
d. "I am an artist and work with oil
paints."
, 8. A client arrives in the emergency C
department with an ischemic stroke.
Because the healthcare team is
considering administering tissue
plasminogen activator (t-PA), what
should the nurse perform first?
a. Ask what medications the client is
taking
b. Complete the history and health
assessment
c. Identify the time of onset of the
stroke
Determine if the client is scheduled
for any surgical procedures
9. During the first 24 hours after C
thrombolytic treatment for an
ischemic stroke, the nurse's primary
goal is to control which of the
following vital signs?
a. Pulse
b. Respirations
c. Blood pressure
d. Temperature