NUR 257 Exam Study Guide –
Practice Questions with
Verified Answers. GRADED
A+. Latest 2026/2027 Update
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,The nurse is caring for a patient with increased
intracranial pressure (ICP). The patient has a nursing
diagnosis of "ineffective cerebral tissue perfusion."
What would be an expected outcome that the nurse
would document for this diagnosis?
A) Copes with sensory deprivation.
B) Registers normal body temperature.
C) Pays attention to grooming.
D) Obeys commands with appropriate motor
responses. - ANSWER-D) Obeys commands with
appropriate motor responses.
A patient exhibiting an altered level of
consciousness (LOC) due to blunt-force trauma to
the head is admitted to the ED. The physician
determines the patient's injury is causing increased
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,intracranial pressure (ICP). The nurse should gauge
the patient's LOC on the results of what diagnostic
tool?
A) Monro-Kellie hypothesis
B) Glasgow Coma Scale
C) Cranial nerve function
D) Mental status examination - ANSWER-B)
Glasgow Coma Scale
While completing a health history on a patient who
has recently experienced a seizure, the nurse would
assess for what characteristic associated with the
postictal state?
A) Epileptic cry
B) Confusion
C) Urinary incontinence
D) Body rigidity - ANSWER-B) Confusion
A patient is being admitted to the neurologic ICU
following an acute head injury that has resulted in
cerebral edema. When planning this patient's care,
the nurse would expect to administer what priority
medication?
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, A) Hydrochlorothiazide (HydroDIURIL)
B) Furosemide (Lasix)
C) Mannitol (Osmitrol)
D) Spirolactone (Aldactone) - ANSWER-C)
Mannitol (Osmitrol)
The nurse is providing care for a patient who is
unconscious. What nursing intervention takes
highest priority?
A) Maintaining accurate records of intake and output
B) Maintaining a patent airway
C) Inserting a nasogastric (NG) tube as ordered
D) Providing appropriate pain control - ANSWER-
B) Maintaining a patent airway
The nurse is caring for a patient in the ICU who has
a brain stem herniation and who is exhibiting an
altered level of consciousness. Monitoring reveals
that the patient's mean arterial pressure (MAP) is 60
mm Hg with an intracranial pressure (ICP) reading
of 5 mm Hg. What is the nurse's most appropriate
action?
A) Position the patient in the high Fowler's position
as tolerated.
B) Administer osmotic diuretics as ordered.
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Practice Questions with
Verified Answers. GRADED
A+. Latest 2026/2027 Update
messages.downloaded_by
,The nurse is caring for a patient with increased
intracranial pressure (ICP). The patient has a nursing
diagnosis of "ineffective cerebral tissue perfusion."
What would be an expected outcome that the nurse
would document for this diagnosis?
A) Copes with sensory deprivation.
B) Registers normal body temperature.
C) Pays attention to grooming.
D) Obeys commands with appropriate motor
responses. - ANSWER-D) Obeys commands with
appropriate motor responses.
A patient exhibiting an altered level of
consciousness (LOC) due to blunt-force trauma to
the head is admitted to the ED. The physician
determines the patient's injury is causing increased
messages.downloaded_by
,intracranial pressure (ICP). The nurse should gauge
the patient's LOC on the results of what diagnostic
tool?
A) Monro-Kellie hypothesis
B) Glasgow Coma Scale
C) Cranial nerve function
D) Mental status examination - ANSWER-B)
Glasgow Coma Scale
While completing a health history on a patient who
has recently experienced a seizure, the nurse would
assess for what characteristic associated with the
postictal state?
A) Epileptic cry
B) Confusion
C) Urinary incontinence
D) Body rigidity - ANSWER-B) Confusion
A patient is being admitted to the neurologic ICU
following an acute head injury that has resulted in
cerebral edema. When planning this patient's care,
the nurse would expect to administer what priority
medication?
messages.downloaded_by
, A) Hydrochlorothiazide (HydroDIURIL)
B) Furosemide (Lasix)
C) Mannitol (Osmitrol)
D) Spirolactone (Aldactone) - ANSWER-C)
Mannitol (Osmitrol)
The nurse is providing care for a patient who is
unconscious. What nursing intervention takes
highest priority?
A) Maintaining accurate records of intake and output
B) Maintaining a patent airway
C) Inserting a nasogastric (NG) tube as ordered
D) Providing appropriate pain control - ANSWER-
B) Maintaining a patent airway
The nurse is caring for a patient in the ICU who has
a brain stem herniation and who is exhibiting an
altered level of consciousness. Monitoring reveals
that the patient's mean arterial pressure (MAP) is 60
mm Hg with an intracranial pressure (ICP) reading
of 5 mm Hg. What is the nurse's most appropriate
action?
A) Position the patient in the high Fowler's position
as tolerated.
B) Administer osmotic diuretics as ordered.
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