NUR 2755 EVALUATION TEST QUESTIONS AND
ANSWERS SET A+
✔✔What intervention is indicated if subcutaneous emphysema threatens airway
patency? - ✔✔An endotracheal tube
✔✔What assessment parameter is most important when preparing to wean a client from
the ventilator? - ✔✔Arterial blood gas (ABG) levels
✔✔What conclusion should be reached if there is constant bubbling in the water-seal
chamber of a closed chest-drainage system? - ✔✔The system has an air leak
✔✔What is the depth of a burn that appears charred and involves the epidermis,
dermis, muscle, and bone? - ✔✔Full thickness
✔✔In which phase of burn care is wound care, nutritional support, and infection
prevention prioritized? - ✔✔Acute or Intermediate
✔✔What findings are expected in laboratory studies of a client in the emergent phase of
a burn injury? - ✔✔Hyperkalemia, hyponatremia, elevated hematocrit
✔✔What is the first systemic event after a major burn injury? - ✔✔Hemodynamic
instability
✔✔How should a nurse address pathophysiologic changes during the initial burn-shock
period? - ✔✔Administer IV fluids
✔✔How can a nurse best reduce the risk of contracture and hypertrophic scarring in a
client recovering from full-thickness burns? - ✔✔Encourage physical activity and range-
of-motion exercises
, ✔✔What action should a nurse take when applying topical antibiotic ointment for burns?
- ✔✔Apply a layer of ointment approximately 1/16 inch thick
✔✔Which lobe of the brain is responsible for a person's affect? - ✔✔Frontal lobe
✔✔What should a nurse prioritize when preparing a client for an MRI? - ✔✔Removing
all metal-containing objects
✔✔What general instructions should be provided to a client before an
electroencephalogram (EEG)? - ✔✔Please refrain from drinking coffee and any
caffeinated beverages the morning prior to the procedure
✔✔What priority medication should be administered for a client with cerebral edema
after an acute head injury? - ✔✔Mannitol
✔✔What nursing intervention takes highest priority for an unconscious client? -
✔✔Maintaining a patent airway
✔✔What is the most appropriate action for a client with a traumatic brain injury and low
mean arterial pressure? - ✔✔Participate in interventions to increase cerebral perfusion
pressure (CPP)
✔✔What diagnostic tool should be used to assess the level of consciousness in a client
with blunt force trauma to the head? - ✔✔Glasgow Coma Scale
✔✔What medication should be administered to halt a seizure in a client in status
epilepticus? - ✔✔Intravenous diazepam
✔✔What is an early sign of increased ICP? - ✔✔Disorientation and restlessness
✔✔What are priority interventions for a client on anticoagulant therapy having an
ischemic stroke? - ✔✔Supplemental oxygen and monitoring blood glucose levels
✔✔What is a complication of a cerebral aneurysm? - ✔✔Seizure
✔✔What is an absolute contraindication for thrombolytic therapy? - ✔✔Evidence of
hemorrhagic stroke
✔✔What complication should be suspected in a client with increased ICP who is febrile
and tachycardic? - ✔✔Meningitis
✔✔Which client needs emergent treatment? - ✔✔A client with an acute onset of
confusion
ANSWERS SET A+
✔✔What intervention is indicated if subcutaneous emphysema threatens airway
patency? - ✔✔An endotracheal tube
✔✔What assessment parameter is most important when preparing to wean a client from
the ventilator? - ✔✔Arterial blood gas (ABG) levels
✔✔What conclusion should be reached if there is constant bubbling in the water-seal
chamber of a closed chest-drainage system? - ✔✔The system has an air leak
✔✔What is the depth of a burn that appears charred and involves the epidermis,
dermis, muscle, and bone? - ✔✔Full thickness
✔✔In which phase of burn care is wound care, nutritional support, and infection
prevention prioritized? - ✔✔Acute or Intermediate
✔✔What findings are expected in laboratory studies of a client in the emergent phase of
a burn injury? - ✔✔Hyperkalemia, hyponatremia, elevated hematocrit
✔✔What is the first systemic event after a major burn injury? - ✔✔Hemodynamic
instability
✔✔How should a nurse address pathophysiologic changes during the initial burn-shock
period? - ✔✔Administer IV fluids
✔✔How can a nurse best reduce the risk of contracture and hypertrophic scarring in a
client recovering from full-thickness burns? - ✔✔Encourage physical activity and range-
of-motion exercises
, ✔✔What action should a nurse take when applying topical antibiotic ointment for burns?
- ✔✔Apply a layer of ointment approximately 1/16 inch thick
✔✔Which lobe of the brain is responsible for a person's affect? - ✔✔Frontal lobe
✔✔What should a nurse prioritize when preparing a client for an MRI? - ✔✔Removing
all metal-containing objects
✔✔What general instructions should be provided to a client before an
electroencephalogram (EEG)? - ✔✔Please refrain from drinking coffee and any
caffeinated beverages the morning prior to the procedure
✔✔What priority medication should be administered for a client with cerebral edema
after an acute head injury? - ✔✔Mannitol
✔✔What nursing intervention takes highest priority for an unconscious client? -
✔✔Maintaining a patent airway
✔✔What is the most appropriate action for a client with a traumatic brain injury and low
mean arterial pressure? - ✔✔Participate in interventions to increase cerebral perfusion
pressure (CPP)
✔✔What diagnostic tool should be used to assess the level of consciousness in a client
with blunt force trauma to the head? - ✔✔Glasgow Coma Scale
✔✔What medication should be administered to halt a seizure in a client in status
epilepticus? - ✔✔Intravenous diazepam
✔✔What is an early sign of increased ICP? - ✔✔Disorientation and restlessness
✔✔What are priority interventions for a client on anticoagulant therapy having an
ischemic stroke? - ✔✔Supplemental oxygen and monitoring blood glucose levels
✔✔What is a complication of a cerebral aneurysm? - ✔✔Seizure
✔✔What is an absolute contraindication for thrombolytic therapy? - ✔✔Evidence of
hemorrhagic stroke
✔✔What complication should be suspected in a client with increased ICP who is febrile
and tachycardic? - ✔✔Meningitis
✔✔Which client needs emergent treatment? - ✔✔A client with an acute onset of
confusion
