NURS 104 EXAM 2 QUESTIONS
AND ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT
_____ is a powerful influence when the decision-making process
is dealing with recovery or a peaceful death.
a. Hope
b. Religion
c. Culture
d. Ethics - correct answer- a. Hope
Hope is a powerful influence on decision making, and a shift
from hope for recovery to hope for a peaceful death should be
guided by clinicians with exemplary communication skills. Ethics,
religion, and culture can influence the decision process
regarding care and end-of-life decisions.
12 Cranial Nerves - correct answer- Ooh ooh ooh to
touch and feel very great vag ah heaven
I - Olfactory nerve
II - Optic nerve
,III - Oculomotor nerve
IV - Trochlear nerve
V - Trigeminal nerve/dentist nerve
VI - Abducens nerve
VII - Facial nerve
VIII - Vestibulocochlear nerve/Auditory nerve
IX - Glossopharyngeal nerve
X - Vagus nerve
XI - Accessory nerve/Spinal accessory nerve
XII - Hypoglossal nerve
A 20-year-old male patient is admitted with a head injury after a
collision while playing football. After noting that the
patient has developed clear nasal drainage, which action should
the nurse take?
a. Have the patient gently blow the nose.
b. Check the drainage for glucose content.
c. Teach the patient that rhinorrhea is expected after a head
injury.
,d. Obtain a specimen of the fluid to send for culture and
sensitivity. - correct answer- b. Check the drainage for
glucose content.
Clear nasal drainage in a patient with a head injury suggests a
dural tear and cerebrospinal fluid (CSF) leakage. If the
drainage is CSF, it will test positive for glucose. Fluid leaking
from the nose will have normal nasal flora, so culture and
sensitivity will not be useful. Blowing the nose is avoided to
prevent CSF leakage.
A 23-year-old patient who is suspected of having an epidural
hematoma is admitted to the emergency department. Which
action will the nurse plan to take?
a. Administer IV furosemide (Lasix).
b. Prepare the patient for craniotomy.
c. Initiate high-dose barbiturate therapy.
d. Type and crossmatch for blood transfusion. - correct
answer- b. Prepare the patient for craniotomy.
The principal treatment for epidural hematoma is rapid surgery
to remove the hematoma and prevent herniation. If
, intracranial pressure (ICP) is elevated after surgery, furosemide
or high-dose barbiturate therapy may be needed, but these will
not be of benefit unless the hematoma is removed. Minimal
blood loss occurs with head injuries, and transfusion is usually
not necessary.
A 27-year-old patient who has been treated for status
epilepticus in the emergency department will be transferred to
the medical nursing unit. Which equipment should the nurse
have available in the patient's assigned room (select all that
apply)?
a. Side-rail pads
b. Tongue blade
c. Oxygen mask
d. Suction tubing
e. Urinary catheter
f. Nasogastric tube - correct answer- a. Side-rail pads
c. Oxygen mask
d. Suction tubing
The patient is at risk for further seizures, and oxygen and
suctioning may be needed after any seizures to clear the airway
AND ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT
_____ is a powerful influence when the decision-making process
is dealing with recovery or a peaceful death.
a. Hope
b. Religion
c. Culture
d. Ethics - correct answer- a. Hope
Hope is a powerful influence on decision making, and a shift
from hope for recovery to hope for a peaceful death should be
guided by clinicians with exemplary communication skills. Ethics,
religion, and culture can influence the decision process
regarding care and end-of-life decisions.
12 Cranial Nerves - correct answer- Ooh ooh ooh to
touch and feel very great vag ah heaven
I - Olfactory nerve
II - Optic nerve
,III - Oculomotor nerve
IV - Trochlear nerve
V - Trigeminal nerve/dentist nerve
VI - Abducens nerve
VII - Facial nerve
VIII - Vestibulocochlear nerve/Auditory nerve
IX - Glossopharyngeal nerve
X - Vagus nerve
XI - Accessory nerve/Spinal accessory nerve
XII - Hypoglossal nerve
A 20-year-old male patient is admitted with a head injury after a
collision while playing football. After noting that the
patient has developed clear nasal drainage, which action should
the nurse take?
a. Have the patient gently blow the nose.
b. Check the drainage for glucose content.
c. Teach the patient that rhinorrhea is expected after a head
injury.
,d. Obtain a specimen of the fluid to send for culture and
sensitivity. - correct answer- b. Check the drainage for
glucose content.
Clear nasal drainage in a patient with a head injury suggests a
dural tear and cerebrospinal fluid (CSF) leakage. If the
drainage is CSF, it will test positive for glucose. Fluid leaking
from the nose will have normal nasal flora, so culture and
sensitivity will not be useful. Blowing the nose is avoided to
prevent CSF leakage.
A 23-year-old patient who is suspected of having an epidural
hematoma is admitted to the emergency department. Which
action will the nurse plan to take?
a. Administer IV furosemide (Lasix).
b. Prepare the patient for craniotomy.
c. Initiate high-dose barbiturate therapy.
d. Type and crossmatch for blood transfusion. - correct
answer- b. Prepare the patient for craniotomy.
The principal treatment for epidural hematoma is rapid surgery
to remove the hematoma and prevent herniation. If
, intracranial pressure (ICP) is elevated after surgery, furosemide
or high-dose barbiturate therapy may be needed, but these will
not be of benefit unless the hematoma is removed. Minimal
blood loss occurs with head injuries, and transfusion is usually
not necessary.
A 27-year-old patient who has been treated for status
epilepticus in the emergency department will be transferred to
the medical nursing unit. Which equipment should the nurse
have available in the patient's assigned room (select all that
apply)?
a. Side-rail pads
b. Tongue blade
c. Oxygen mask
d. Suction tubing
e. Urinary catheter
f. Nasogastric tube - correct answer- a. Side-rail pads
c. Oxygen mask
d. Suction tubing
The patient is at risk for further seizures, and oxygen and
suctioning may be needed after any seizures to clear the airway
