NUR 240 Exam 4 Questions & Detailed Correct Answers – A+ Grade

NUR 240 EXAM 4 QUESTIONS AND
DETAILED CORRECT ANSWERS; A+ GRADE


769. The nurse is assessing the motor and sensory function of an
unconscious client. The nurse should use which technique to
test the client's peripheral response to pain?


1. Sternal rub


2. Nail bed pressure


3. Pressure on the orbital rim


4. Squeezing of the sternocleidomastoid muscle - correct
answer- 2. Nail bed pressure


770. The nurse is caring for the client with increased intracranial
pressure. The nurse would note which trend in vital signs if the
intracranial pressure is rising?


1. Increasing temperature, increasing pulse, increasing
respirations, decreasing blood pressure

, 2. Increasing temperature, decreasing pulse, decreasing
respirations, increasing blood pressure


3. Decreasing temperature, decreasing pulse, in creasing
respirations, decreasing blood pressure


4. Decreasing temperature, increasing pulse, decreasing
respirations, increasing blood pressure - correct answer- 2.
Increasing temperature, decreasing pulse, decreasing
respirations, increasing blood pressure


771. A client recovering from a head injury is participating in
care. The nurse determines that the client understands
measures to prevent elevations in intracranial pressure if the
nurse observes the client doing which activity?


1. Blowing the nose


2. Isometric exercises


3. Coughing vigorously