GNRS 558 ACTUAL FINAL EXAM |COMPLETE AND GRADED
QUESTIONS AND ANSWERS 2026 LATEST UPDATED | 100% GRADED
CORRECT | 100% GUARANTEED TO PASS | GET A+
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.
2. Check the client's pupils for size and reaction to light.
3. Establish the clien'ts LOC
4. evaluate the client's motor response - (answer)1. Assess the patency of the airway.
, The nurse notes a client is able to open the eyes spontaneously, follow command to hold up two
fingers, and correclty identify the day of the week and current location. Using the GCS, which
score does the nurse correctly assign to the client?
1. 3
2. 6
3. 10
4. 15 - (answer)4. 15
The nurse assesses for signs associated with IICP in a client diagnosed with a subdural
hematoma. Which is the earliest sign of an increase in ICP?
1. a change in LOC
2. a widening pulse pressure
3. bradycardia
4. decorticate position - (answer)1. a change in LOC
The nurse assess a client diagnosed with cerebral contusion and IICP. Which is the correct initial
nursing aciton?
QUESTIONS AND ANSWERS 2026 LATEST UPDATED | 100% GRADED
CORRECT | 100% GUARANTEED TO PASS | GET A+
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.
2. Check the client's pupils for size and reaction to light.
3. Establish the clien'ts LOC
4. evaluate the client's motor response - (answer)1. Assess the patency of the airway.
, The nurse notes a client is able to open the eyes spontaneously, follow command to hold up two
fingers, and correclty identify the day of the week and current location. Using the GCS, which
score does the nurse correctly assign to the client?
1. 3
2. 6
3. 10
4. 15 - (answer)4. 15
The nurse assesses for signs associated with IICP in a client diagnosed with a subdural
hematoma. Which is the earliest sign of an increase in ICP?
1. a change in LOC
2. a widening pulse pressure
3. bradycardia
4. decorticate position - (answer)1. a change in LOC
The nurse assess a client diagnosed with cerebral contusion and IICP. Which is the correct initial
nursing aciton?
