GNRS 558: PHARMACOLOGY FOR
ADVANCED NURSING PRACTICE FINAL
EXAM ACTUAL EXAM 280 QUESTIONS AND
CORRRECT ANSWERS WITH RATIONALES
2026- 2027. NEWEST
The nurse provides care for an adolescent client after a skateboard accident
that resulted in a brief episode of unconsicousness. The client's scalp and
facial lacerations were treated and dressed in the emergency department.
which nursing care measure is the HIGHEST priority?
1. change the head wound dressings.
2. perform neurological checks frequently.
3. administer antiemetic medications.
4. Manage the client's report of a headache. - ANSWER-2. perform neurological
checks frequently.
,The nurse provides care for a school-age client with a TBI. Which symptoms
best indicate IICP?
1. Headache, cring, sensitivity to loud noises and bright lights.
2. Widening pulse pressure, slowed respirations, bradycardia.
3. Hypotension, cyanosis, tachcardia.
4. Increased temperature, increase in respirations. - ANSWER-2. Widening
pulse pressure, slowed respirations, bradycardia.
The nurse provides care for a client diagnosed with a closed head injury and
IICP. Whichaction by the nurse is best?
1. Position the clinet with head of bed flat and cleint's head in a neutral
positon.
,2. Instruct client to exhale when turning or moving in bed.
3. Encourage client to cough and deep breathe every two hours.
4. Suciton client frequently and hyperoxygenate prior to suctioning. - ANSWER-
2. Instruct client to exhale when turning or moving in bed.
The nurse provides care for a client with expressive aphasia due to dysarthria
from a stroke. Which techniqu is most appropriate for the nurse to use when
helping the client communicate?
1. Speaking slowly and with a raised volume
2.Encouraging the client to use gestures
3. Allowing the client to speak in short phrases.
4. reminding the client to swallow before speaking - ANSWER-3. Allowing the
client to speak in short phrases.
, The nurse provides care for a client admitted to the emergency department
following an autoobile accident. The client reports dizziness, and th health
care provider suspects a head injury. The nurse intervenes if which activity is
observed?
1. The client is placed in trendelenburg position.
2. the clien'ts neck is immobilized prior to being X-rayed
3. The nursing staff frequently monitors the client's level of consciousness.
4. The nursing staff observes for seizures. - ANSWER-1. The client is placed in
trendelenburg position.
An unconscious client arrives in the emergency department following a fall
that resulted in a severe head injury. Which action does the nurse take first?
1. Assess the patency of the airway.
ADVANCED NURSING PRACTICE FINAL
EXAM ACTUAL EXAM 280 QUESTIONS AND
CORRRECT ANSWERS WITH RATIONALES
2026- 2027. NEWEST
The nurse provides care for an adolescent client after a skateboard accident
that resulted in a brief episode of unconsicousness. The client's scalp and
facial lacerations were treated and dressed in the emergency department.
which nursing care measure is the HIGHEST priority?
1. change the head wound dressings.
2. perform neurological checks frequently.
3. administer antiemetic medications.
4. Manage the client's report of a headache. - ANSWER-2. perform neurological
checks frequently.
,The nurse provides care for a school-age client with a TBI. Which symptoms
best indicate IICP?
1. Headache, cring, sensitivity to loud noises and bright lights.
2. Widening pulse pressure, slowed respirations, bradycardia.
3. Hypotension, cyanosis, tachcardia.
4. Increased temperature, increase in respirations. - ANSWER-2. Widening
pulse pressure, slowed respirations, bradycardia.
The nurse provides care for a client diagnosed with a closed head injury and
IICP. Whichaction by the nurse is best?
1. Position the clinet with head of bed flat and cleint's head in a neutral
positon.
,2. Instruct client to exhale when turning or moving in bed.
3. Encourage client to cough and deep breathe every two hours.
4. Suciton client frequently and hyperoxygenate prior to suctioning. - ANSWER-
2. Instruct client to exhale when turning or moving in bed.
The nurse provides care for a client with expressive aphasia due to dysarthria
from a stroke. Which techniqu is most appropriate for the nurse to use when
helping the client communicate?
1. Speaking slowly and with a raised volume
2.Encouraging the client to use gestures
3. Allowing the client to speak in short phrases.
4. reminding the client to swallow before speaking - ANSWER-3. Allowing the
client to speak in short phrases.
, The nurse provides care for a client admitted to the emergency department
following an autoobile accident. The client reports dizziness, and th health
care provider suspects a head injury. The nurse intervenes if which activity is
observed?
1. The client is placed in trendelenburg position.
2. the clien'ts neck is immobilized prior to being X-rayed
3. The nursing staff frequently monitors the client's level of consciousness.
4. The nursing staff observes for seizures. - ANSWER-1. The client is placed in
trendelenburg position.
An unconscious client arrives in the emergency department following a fall
that resulted in a severe head injury. Which action does the nurse take first?
1. Assess the patency of the airway.
