NRSG 3420 EXAM 2 (NORTHEASTERN) LATEST
2026/2027 TEST BANK | NRSG 3420 NURSING CARE OF
ADULTS 2 EXAM 2 REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
1. A nurse is assessing a client with a suspected stroke. Which finding is most
consistent with a stroke involving the left hemisphere?
A. Left-sided hemiplegia
B. Right-sided hemiplegia and aphasia
C. Neglect of the left side of the body
D. Impulsivity and poor judgment
Answer: B
Rationale: The left hemisphere controls the right side of the body and is responsible for
language. A left hemisphere stroke typically causes right-sided hemiplegia and aphasia.
Right hemisphere strokes cause left-sided neglect and impulsivity.
,2. A client with a stroke is experiencing difficulty articulating words but
understands what is being said. This is known as:
A. Expressive aphasia
B. Receptive aphasia
C. Dysarthria
D. Apraxia
Answer: A
Rationale: Expressive aphasia (Broca's aphasia) is characterized by difficulty producing
speech while comprehension remains intact. Receptive aphasia involves impaired
understanding. Dysarthria is a motor speech disorder. Apraxia is difficulty performing
learned movements.
3. A patient with increased intracranial pressure (ICP) is agitated and restless.
What is the nurse's priority action?
A. Reassure the patient verbally
B. Raise the head of the bed to 45 degrees
C. Administer oral fluids
D. Encourage the patient to sleep
Answer: B
Rationale: Elevating the head of the bed promotes venous drainage, which helps
reduce ICP. Reassurance alone is insufficient. Oral fluids may increase ICP. Encouraging
sleep does not address the immediate need to lower ICP.
,4. A nurse observes decerebrate posturing in a patient with a traumatic brain
injury. What does this indicate?
A. Brainstem dysfunction
B. Improvement in neurological function
C. Mild brain injury
D. Decreased spinal reflexes
Answer: A
Rationale: Decerebrate posturing is associated with severe brainstem damage and is a
poor neurological sign.
5. A nurse is performing a neuro assessment and notes the patient is only
responsive to painful stimuli. How should this level of consciousness be
documented?
A. Alert
B. Lethargic
C. Obtunded
D. Stuporous
Answer: D
Rationale: Stuporous patients respond only to vigorous or painful stimuli. Lethargic
patients are drowsy but arousable. Obtunded patients are confused and slow to
respond. Alert patients are fully awake.
6. The nurse is using the Glasgow Coma Scale (GCS). A patient scores 2 for eye
response, 3 for verbal, and 5 for motor. What is the total score?
, A. 8
B. 9
C. 10
D. 11
Answer: C
Rationale: GCS total = 2 (eye) + 3 (verbal) + 5 (motor) = 10.
7. Which of the following findings in a patient with increased ICP requires
immediate intervention?
A. Glasgow Coma Scale score of 15
B. Pupils equal and reactive
C. Cushing's triad
D. Headache that improves with acetaminophen
Answer: C
Rationale: Cushing's triad (widened pulse pressure, bradycardia, irregular respirations)
is a late and critical sign of increased ICP.
8. What is the most appropriate action when suctioning a patient with increased
ICP?
A. Preoxygenate before suctioning
B. Suction repeatedly until clear
C. Hyperventilate after suctioning
D. Lower the head of the bed during suctioning
2026/2027 TEST BANK | NRSG 3420 NURSING CARE OF
ADULTS 2 EXAM 2 REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
1. A nurse is assessing a client with a suspected stroke. Which finding is most
consistent with a stroke involving the left hemisphere?
A. Left-sided hemiplegia
B. Right-sided hemiplegia and aphasia
C. Neglect of the left side of the body
D. Impulsivity and poor judgment
Answer: B
Rationale: The left hemisphere controls the right side of the body and is responsible for
language. A left hemisphere stroke typically causes right-sided hemiplegia and aphasia.
Right hemisphere strokes cause left-sided neglect and impulsivity.
,2. A client with a stroke is experiencing difficulty articulating words but
understands what is being said. This is known as:
A. Expressive aphasia
B. Receptive aphasia
C. Dysarthria
D. Apraxia
Answer: A
Rationale: Expressive aphasia (Broca's aphasia) is characterized by difficulty producing
speech while comprehension remains intact. Receptive aphasia involves impaired
understanding. Dysarthria is a motor speech disorder. Apraxia is difficulty performing
learned movements.
3. A patient with increased intracranial pressure (ICP) is agitated and restless.
What is the nurse's priority action?
A. Reassure the patient verbally
B. Raise the head of the bed to 45 degrees
C. Administer oral fluids
D. Encourage the patient to sleep
Answer: B
Rationale: Elevating the head of the bed promotes venous drainage, which helps
reduce ICP. Reassurance alone is insufficient. Oral fluids may increase ICP. Encouraging
sleep does not address the immediate need to lower ICP.
,4. A nurse observes decerebrate posturing in a patient with a traumatic brain
injury. What does this indicate?
A. Brainstem dysfunction
B. Improvement in neurological function
C. Mild brain injury
D. Decreased spinal reflexes
Answer: A
Rationale: Decerebrate posturing is associated with severe brainstem damage and is a
poor neurological sign.
5. A nurse is performing a neuro assessment and notes the patient is only
responsive to painful stimuli. How should this level of consciousness be
documented?
A. Alert
B. Lethargic
C. Obtunded
D. Stuporous
Answer: D
Rationale: Stuporous patients respond only to vigorous or painful stimuli. Lethargic
patients are drowsy but arousable. Obtunded patients are confused and slow to
respond. Alert patients are fully awake.
6. The nurse is using the Glasgow Coma Scale (GCS). A patient scores 2 for eye
response, 3 for verbal, and 5 for motor. What is the total score?
, A. 8
B. 9
C. 10
D. 11
Answer: C
Rationale: GCS total = 2 (eye) + 3 (verbal) + 5 (motor) = 10.
7. Which of the following findings in a patient with increased ICP requires
immediate intervention?
A. Glasgow Coma Scale score of 15
B. Pupils equal and reactive
C. Cushing's triad
D. Headache that improves with acetaminophen
Answer: C
Rationale: Cushing's triad (widened pulse pressure, bradycardia, irregular respirations)
is a late and critical sign of increased ICP.
8. What is the most appropriate action when suctioning a patient with increased
ICP?
A. Preoxygenate before suctioning
B. Suction repeatedly until clear
C. Hyperventilate after suctioning
D. Lower the head of the bed during suctioning
