NUR 170
NUR 170 Exam 2 with Accurate Questions & Verified
Correct Answers and Full Deep Expert Rationales |
Latest (2026/2027) Updated Version – Galen College of
Nursing
THIS DOCUMENT CONTAINS:
❖NUR 170 Exam 2
❖Accurate Questions & Verified Correct Answers
❖Full Deep Expert Rationales
❖Galen College of Nursing
❖Latest (2026/2027) Updated Version
❖100% Guaranteed Pass
,1. Which of the following patients would the nurse identify as being at the highest
risk for a stroke?
a. A 27-year-old heavy cocaine user
b. A 30-year-old who drinks a beer a day
c. A 40-year-old who uses seasonal antihistamines
d. A 65-year-old who is active and on no medications
• Correct Answer: a. A 27-year-old heavy cocaine user
• Rationale: Cocaine and other illicit drug use cause sudden severe
vasospasm, acute hypertension, and hypercoagulability, significantly
increasing the risk of both ischemic and hemorrhagic strokes, even in young
adults. While advanced age (Option D) is an unmodifiable risk factor, an
active 65-year-old with no comorbidities has a lower immediate risk than an
active substance user experiencing profound vasoconstriction. Mild alcohol
intake (Option B) and seasonal antihistamines (Option C) do not confer a
comparable stroke risk.
2. A nurse assesses a client who has a history of migraines. Which clinical
manifestation would the nurse identify as an aura?
a. Vertigo
b. Visual disturbances
c. Lethargy
d. Numbness of the tongue
• Correct Answer: b. Visual disturbances
• Rationale: An aura is a focal neurological phenomenon that occurs shortly
, before or during a migraine onset. Visual disturbances—such as flashing
lights (photopsia), zigzag lines (scintillating scotoma), or blind spots—are
the most common sensory manifestations of a migraine aura. Vertigo
(Option A), lethargy (Option C), and numbness (Option D) can occur in
atypical migraines or prodrome/postdrome phases, but visual sensations are
the classic, defining presentation of an aura.
3. A nurse assesses a patient with early-onset Multiple Sclerosis (MS). Which
clinical manifestation would the nurse expect to find?
a. Hyperresponsive reflexes
b. Nystagmus
c. Excessive somnolence
d. Heat intolerance
• Correct Answer: b. Nystagmus
• Rationale: Early signs of MS typically involve cerebellar or optic
demyelination, presenting as nystagmus (involuntary eye movements),
diplopia, blurred vision, ataxia, or intention tremors. While hyperreflexia
and heat intolerance (Uhthoff’s phenomenon) occur as the disease
progresses, early visual and cerebellar signs like nystagmus are classic initial
findings. Excessive somnolence is not a primary symptom of early MS.
4. A client begins to experience a tonic-clonic seizure and loss of consciousness.
What action would the nurse take first?
a. Start fluids via a large-bore catheter
b. Administer IV push diazepam
c. Turn the client's head to the side
NUR 170 Exam 2 with Accurate Questions & Verified
Correct Answers and Full Deep Expert Rationales |
Latest (2026/2027) Updated Version – Galen College of
Nursing
THIS DOCUMENT CONTAINS:
❖NUR 170 Exam 2
❖Accurate Questions & Verified Correct Answers
❖Full Deep Expert Rationales
❖Galen College of Nursing
❖Latest (2026/2027) Updated Version
❖100% Guaranteed Pass
,1. Which of the following patients would the nurse identify as being at the highest
risk for a stroke?
a. A 27-year-old heavy cocaine user
b. A 30-year-old who drinks a beer a day
c. A 40-year-old who uses seasonal antihistamines
d. A 65-year-old who is active and on no medications
• Correct Answer: a. A 27-year-old heavy cocaine user
• Rationale: Cocaine and other illicit drug use cause sudden severe
vasospasm, acute hypertension, and hypercoagulability, significantly
increasing the risk of both ischemic and hemorrhagic strokes, even in young
adults. While advanced age (Option D) is an unmodifiable risk factor, an
active 65-year-old with no comorbidities has a lower immediate risk than an
active substance user experiencing profound vasoconstriction. Mild alcohol
intake (Option B) and seasonal antihistamines (Option C) do not confer a
comparable stroke risk.
2. A nurse assesses a client who has a history of migraines. Which clinical
manifestation would the nurse identify as an aura?
a. Vertigo
b. Visual disturbances
c. Lethargy
d. Numbness of the tongue
• Correct Answer: b. Visual disturbances
• Rationale: An aura is a focal neurological phenomenon that occurs shortly
, before or during a migraine onset. Visual disturbances—such as flashing
lights (photopsia), zigzag lines (scintillating scotoma), or blind spots—are
the most common sensory manifestations of a migraine aura. Vertigo
(Option A), lethargy (Option C), and numbness (Option D) can occur in
atypical migraines or prodrome/postdrome phases, but visual sensations are
the classic, defining presentation of an aura.
3. A nurse assesses a patient with early-onset Multiple Sclerosis (MS). Which
clinical manifestation would the nurse expect to find?
a. Hyperresponsive reflexes
b. Nystagmus
c. Excessive somnolence
d. Heat intolerance
• Correct Answer: b. Nystagmus
• Rationale: Early signs of MS typically involve cerebellar or optic
demyelination, presenting as nystagmus (involuntary eye movements),
diplopia, blurred vision, ataxia, or intention tremors. While hyperreflexia
and heat intolerance (Uhthoff’s phenomenon) occur as the disease
progresses, early visual and cerebellar signs like nystagmus are classic initial
findings. Excessive somnolence is not a primary symptom of early MS.
4. A client begins to experience a tonic-clonic seizure and loss of consciousness.
What action would the nurse take first?
a. Start fluids via a large-bore catheter
b. Administer IV push diazepam
c. Turn the client's head to the side
