NUR 2755 MULTIDIMENSIONAL CARE IV
LEARNING WORKBOOK 2026 COMPLEX
CLINICAL SCENARIOS AND PATIENT
MANAGEMENT
◉ 6. A client's neurological status deteriorates over hours, and a
craniotomy is performed to
evacuate a hematoma. Which nursing intervention is indicated to
help decrease the threat of increased intracranial pressure?
a. Elevate the head of the bed 30 degrees
b. Cluster nursing interventions to provide uninterrupted periods of
rest
c. Teach the client to cough and deep breathe to prevent the
necessity for suctioning
d. Teach the client to hold his breath and bear down while
repositioning in bed..
Answer: a. Elevate the head of the bed 30 degrees
◉ 7. A client presents to the emergency room with complaints of
bilateral lower extremity loss of sensation that started in the feet but
has now progressed to the knees and hips. The nurse interprets
these symptoms to indicate an immediate workup for which of the
following diseases?
,a. Myasthenia gravis
b. Simple, partial seizure
c. Guillain-Barre Syndrome
d. Cerebrovascular accident.
Answer: c. Guillain-Barre Syndrome
◉ 8. The charge nurse is obtaining the client's signature on a
surgical consent form. The client
states, I didn't really understand what my surgeon explained, but I
trust him completely, which response by the charge nurse is correct?
a. I need to contact your surgeon so your questions can be answered
b. I can answer any questions that you might have regarding your
surgery.
c. As long as you are comfortable, then you may sign the consent
form.
d. Maybe you should call your surgeon to be sure it is okay to sign
the consent..
Answer: a. I need to contact your surgeon so your questions can be
answered
◉ 9. A client has a head injury and is presenting with signs and
symptoms of increased intracranial pressure. Which nursing
intervention would be helpful in reducing this pressure?
a. Place the neck in a neutral position to promote venous drainage
,b. Suction hourly to stimulate the cough reflex
c. Add extra blankets to keep the client warm.
d. Turn the client frequently to prevent skin impairment.
Answer: a. Place the neck in a neutral position to promote venous
drainage
◉ 10. A client has recently suffered a stroke with left-sided
weakness. The nurse assesses for
dysphagia, especially with thin liquids. Which nursing intervention
is most helpful in assisting this patient to swallow safely?
a. The client should avoid all liquids.
b. Instructing to tuck the chin when swallowing
c. Give sips of water with each bite
d. Turn head to the left..
Answer: b. Instructing to tuck the chin when swallowing
◉ 11. A client has a comminuted fracture of T6-T7, resulting in
paraplegia. The nurse educates the client on preventing autonomic
dysreflexia. Which of the following is the priority intervention in this
medical emergency?
a. Scheduled bladder and bowel training
b. Choosing foods to prevent nausea
c. Avoiding food allergies
, d. Preventing electrolyte imbalances.
Answer: a. Scheduled bladder and bowel training
◉ 12. The nurse develops a care plan for a client recovering from
surgery. What nursing interventions will the nurse include to
minimize the effects of venous stasis?
a. Pillows under the knee in a position of comfort
b. Sitting with feet flat on the floor
c. Early ambulation
d. Gentle leg massage.
Answer: c. Early ambulation
◉ 13. The client has an order for 0.45% sodium chloride 1 liter to
infuse over 15 hours. At what rate in mL/hr would the nurse set the
infusion pump? Round to the nearest whole number, do not use a
trailing zero..
Answer: 67 ml/hr
◉ 14. A client with multiple sclerosis (MS) is receiving baclofen. The
nurse determines that the drug is effective when it causes which
action?
a. Induces sleep
b. Stimulates the client's appetite
c. Relieves muscular spasticity
LEARNING WORKBOOK 2026 COMPLEX
CLINICAL SCENARIOS AND PATIENT
MANAGEMENT
◉ 6. A client's neurological status deteriorates over hours, and a
craniotomy is performed to
evacuate a hematoma. Which nursing intervention is indicated to
help decrease the threat of increased intracranial pressure?
a. Elevate the head of the bed 30 degrees
b. Cluster nursing interventions to provide uninterrupted periods of
rest
c. Teach the client to cough and deep breathe to prevent the
necessity for suctioning
d. Teach the client to hold his breath and bear down while
repositioning in bed..
Answer: a. Elevate the head of the bed 30 degrees
◉ 7. A client presents to the emergency room with complaints of
bilateral lower extremity loss of sensation that started in the feet but
has now progressed to the knees and hips. The nurse interprets
these symptoms to indicate an immediate workup for which of the
following diseases?
,a. Myasthenia gravis
b. Simple, partial seizure
c. Guillain-Barre Syndrome
d. Cerebrovascular accident.
Answer: c. Guillain-Barre Syndrome
◉ 8. The charge nurse is obtaining the client's signature on a
surgical consent form. The client
states, I didn't really understand what my surgeon explained, but I
trust him completely, which response by the charge nurse is correct?
a. I need to contact your surgeon so your questions can be answered
b. I can answer any questions that you might have regarding your
surgery.
c. As long as you are comfortable, then you may sign the consent
form.
d. Maybe you should call your surgeon to be sure it is okay to sign
the consent..
Answer: a. I need to contact your surgeon so your questions can be
answered
◉ 9. A client has a head injury and is presenting with signs and
symptoms of increased intracranial pressure. Which nursing
intervention would be helpful in reducing this pressure?
a. Place the neck in a neutral position to promote venous drainage
,b. Suction hourly to stimulate the cough reflex
c. Add extra blankets to keep the client warm.
d. Turn the client frequently to prevent skin impairment.
Answer: a. Place the neck in a neutral position to promote venous
drainage
◉ 10. A client has recently suffered a stroke with left-sided
weakness. The nurse assesses for
dysphagia, especially with thin liquids. Which nursing intervention
is most helpful in assisting this patient to swallow safely?
a. The client should avoid all liquids.
b. Instructing to tuck the chin when swallowing
c. Give sips of water with each bite
d. Turn head to the left..
Answer: b. Instructing to tuck the chin when swallowing
◉ 11. A client has a comminuted fracture of T6-T7, resulting in
paraplegia. The nurse educates the client on preventing autonomic
dysreflexia. Which of the following is the priority intervention in this
medical emergency?
a. Scheduled bladder and bowel training
b. Choosing foods to prevent nausea
c. Avoiding food allergies
, d. Preventing electrolyte imbalances.
Answer: a. Scheduled bladder and bowel training
◉ 12. The nurse develops a care plan for a client recovering from
surgery. What nursing interventions will the nurse include to
minimize the effects of venous stasis?
a. Pillows under the knee in a position of comfort
b. Sitting with feet flat on the floor
c. Early ambulation
d. Gentle leg massage.
Answer: c. Early ambulation
◉ 13. The client has an order for 0.45% sodium chloride 1 liter to
infuse over 15 hours. At what rate in mL/hr would the nurse set the
infusion pump? Round to the nearest whole number, do not use a
trailing zero..
Answer: 67 ml/hr
◉ 14. A client with multiple sclerosis (MS) is receiving baclofen. The
nurse determines that the drug is effective when it causes which
action?
a. Induces sleep
b. Stimulates the client's appetite
c. Relieves muscular spasticity
