Chamberlain College of Nursing NR283 Test Question Bank (Exam 1,
Exam 2, Exam 3, Final Exam, 300 Q/A): Pathophysiology | 100 % Verified
Answers wit h rationales , Already Graded A+
Chamberlain College of Nursing NR283 Test Question Bank (Exam 1,
Exam 2, Exam 3, Final Exam, 300 Q/A): Pathophysiology | 100 % Verified
Answers wit h rationales , Already Graded A+
1. A client with increased intracranial pressure (ICP) is at highest risk
for which complication?
A. Cerebral hypoxia
B. Hypovolemia
C. Renal failure
D. Cardiac tamponade
Answer: A
Rationale: Increased ICP decreases cerebral perfusion pressure, leading
to reduced oxygen delivery to brain tissue.
2. Which assessment finding is an early indicator of increased ICP?
A. Bradycardia
B. Decreased level of consciousness
C. Widened pulse pressure
D. Cheyne-Stokes respirations
,Chamberlain College of Nursing NR283 Test Question Bank (Exam 1,
Exam 2, Exam 3, Final Exam, 300 Q/A): Pathophysiology | 100 % Verified
Answers wit h rationales , Already Graded A+
Answer: B
Rationale: Changes in LOC are the earliest and most sensitive sign of
increased ICP.
3. A nurse is caring for a client with a suspected stroke. Which action
is the priority?
A. Obtain a detailed health history
B. Check blood glucose level
C. Administer aspirin
D. Lower blood pressure
Answer: B
Rationale: Hypoglycemia can mimic stroke symptoms and must be
ruled out immediately.
4. Which finding differentiates a hemorrhagic stroke from an
ischemic stroke?
A. Unilateral weakness
B. Sudden severe headache
C. Facial droop
D. Difficulty speaking
Answer: B
Rationale: A “worst headache of life” is classic for hemorrhagic stroke.
,Chamberlain College of Nursing NR283 Test Question Bank (Exam 1,
Exam 2, Exam 3, Final Exam, 300 Q/A): Pathophysiology | 100 % Verified
Answers wit h rationales , Already Graded A+
5. A client receiving tissue plasminogen activator (tPA) requires
which nursing intervention?
A. Frequent neurological assessments
B. Administration of anticoagulants
C. Deep tissue massage
D. IM injections for pain
Answer: A
Rationale: tPA increases bleeding risk; neuro checks detect intracranial
hemorrhage early.
6. Which position is best for a client with increased ICP?
A. Supine
B. Trendelenburg
C. Head of bed elevated 30°
D. Side-lying with knees flexed
Answer: C
Rationale: Elevating the HOB promotes venous drainage and lowers ICP.
7. A client with meningitis is placed on droplet precautions. When
can precautions be discontinued?
A. After fever resolves
B. After 24 hours of antibiotics
C. After negative blood cultures
D. At discharge
, Chamberlain College of Nursing NR283 Test Question Bank (Exam 1,
Exam 2, Exam 3, Final Exam, 300 Q/A): Pathophysiology | 100 % Verified
Answers wit h rationales , Already Graded A+
Answer: B
Rationale: Droplet precautions are maintained until 24 hours of
effective antibiotics.
8. Which assessment finding is most concerning in a client with
Guillain-Barré syndrome?
A. Ascending weakness
B. Tingling in hands
C. Decreased vital capacity
D. Absent deep tendon reflexes
Answer: C
Rationale: Respiratory failure is the most life-threatening complication
of GBS.
9. A client with a seizure disorder should be taught to avoid which
trigger?
A. High-protein meals
B. Bright flashing lights
C. Moderate exercise
D. Daily naps
Answer: B
Rationale: Flashing lights can precipitate seizures in susceptible
individuals.
Exam 2, Exam 3, Final Exam, 300 Q/A): Pathophysiology | 100 % Verified
Answers wit h rationales , Already Graded A+
Chamberlain College of Nursing NR283 Test Question Bank (Exam 1,
Exam 2, Exam 3, Final Exam, 300 Q/A): Pathophysiology | 100 % Verified
Answers wit h rationales , Already Graded A+
1. A client with increased intracranial pressure (ICP) is at highest risk
for which complication?
A. Cerebral hypoxia
B. Hypovolemia
C. Renal failure
D. Cardiac tamponade
Answer: A
Rationale: Increased ICP decreases cerebral perfusion pressure, leading
to reduced oxygen delivery to brain tissue.
2. Which assessment finding is an early indicator of increased ICP?
A. Bradycardia
B. Decreased level of consciousness
C. Widened pulse pressure
D. Cheyne-Stokes respirations
,Chamberlain College of Nursing NR283 Test Question Bank (Exam 1,
Exam 2, Exam 3, Final Exam, 300 Q/A): Pathophysiology | 100 % Verified
Answers wit h rationales , Already Graded A+
Answer: B
Rationale: Changes in LOC are the earliest and most sensitive sign of
increased ICP.
3. A nurse is caring for a client with a suspected stroke. Which action
is the priority?
A. Obtain a detailed health history
B. Check blood glucose level
C. Administer aspirin
D. Lower blood pressure
Answer: B
Rationale: Hypoglycemia can mimic stroke symptoms and must be
ruled out immediately.
4. Which finding differentiates a hemorrhagic stroke from an
ischemic stroke?
A. Unilateral weakness
B. Sudden severe headache
C. Facial droop
D. Difficulty speaking
Answer: B
Rationale: A “worst headache of life” is classic for hemorrhagic stroke.
,Chamberlain College of Nursing NR283 Test Question Bank (Exam 1,
Exam 2, Exam 3, Final Exam, 300 Q/A): Pathophysiology | 100 % Verified
Answers wit h rationales , Already Graded A+
5. A client receiving tissue plasminogen activator (tPA) requires
which nursing intervention?
A. Frequent neurological assessments
B. Administration of anticoagulants
C. Deep tissue massage
D. IM injections for pain
Answer: A
Rationale: tPA increases bleeding risk; neuro checks detect intracranial
hemorrhage early.
6. Which position is best for a client with increased ICP?
A. Supine
B. Trendelenburg
C. Head of bed elevated 30°
D. Side-lying with knees flexed
Answer: C
Rationale: Elevating the HOB promotes venous drainage and lowers ICP.
7. A client with meningitis is placed on droplet precautions. When
can precautions be discontinued?
A. After fever resolves
B. After 24 hours of antibiotics
C. After negative blood cultures
D. At discharge
, Chamberlain College of Nursing NR283 Test Question Bank (Exam 1,
Exam 2, Exam 3, Final Exam, 300 Q/A): Pathophysiology | 100 % Verified
Answers wit h rationales , Already Graded A+
Answer: B
Rationale: Droplet precautions are maintained until 24 hours of
effective antibiotics.
8. Which assessment finding is most concerning in a client with
Guillain-Barré syndrome?
A. Ascending weakness
B. Tingling in hands
C. Decreased vital capacity
D. Absent deep tendon reflexes
Answer: C
Rationale: Respiratory failure is the most life-threatening complication
of GBS.
9. A client with a seizure disorder should be taught to avoid which
trigger?
A. High-protein meals
B. Bright flashing lights
C. Moderate exercise
D. Daily naps
Answer: B
Rationale: Flashing lights can precipitate seizures in susceptible
individuals.
