NSG 3250 ADULT HEALTH I EXAM 3 NEUROLOGIC, MUSCULOSKELETAL &
SENSORY DISORDERS EXAM REVIEW QUESTIONS, MULTIPLE CHOICES,
CORRECT ANSWERS, AND EXPERT RATIONALES LATEST UPDATE
49 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Prioritize nursing interventions for adults experiencing acute neurologic deterioration using current stroke
and ICP management standards
2 Analyze diagnostic and laboratory data to differentiate neurologic, musculoskeletal, and sensory disorders
and guide safe pharmacologic therapy
3 Evaluate postoperative and rehabilitative care for clients with musculoskeletal trauma or joint replacement
for complications such as fat embolism, VTE, and compartment syndrome
4 Apply evidence-based sensory and vestibular assessment and safety interventions to prevent injury and
optimize function
5 NSG 3250 Adult Health I Exam 3 Neurologic
6 Musculoskeletal & Sensory Disorders Exam Review Questions
7 Multiple Choices
8 Correct Answers
9 and Expert Rationales Latest Update 2026
10 2027 Galen College Of Nursing
11 Foundations of Adult Health Nursing I - Neurologic, Musculoskeletal & Sensory Disorders
12 Applied Adult Health Nursing I - Neurologic, Musculoskeletal & Sensory Disorders
13 Advanced Adult Health Nursing I - Neurologic, Musculoskeletal & Sensory Disorders
14 Adult Health Nursing I - Neurologic, Musculoskeletal & Sensory Disorders Review
ABSTRACT
Page 1
,This study document brings together 49 carefully worded exam questions drawn from NSG 3250
Adult Health I Exam 3 Neurologic, Musculoskeletal & Sensory Disorders Exam Review Questions,
Multiple Choices, Correct Answers, and Expert Rationales Latest Update 2026-2027 Galen
College Of Nursing, with the strongest emphasis placed on Prioritize nursing interventions for
adults experiencing acute neurologic deterioration using current stroke and ICP management
standards, Analyze diagnostic and laboratory data to differentiate neurologic, musculoskeletal, and
sensory disorders and guide safe pharmacologic therapy, Evaluate postoperative and rehabilitative
care for clients with musculoskeletal trauma or joint replacement for complications such as fat
embolism, VTE and and compartment syndrome. Every item follows the wording style and level of
reasoning you meet in the real paper, and each one is paired with a clear rationale so the correct
choice is never a guess. Work through the set at your own pace, mark the questions that slow you
down, then come back to them until the reasoning feels automatic. Learners who revise this way
walk into the exam room recognising the pattern behind the questions instead of meeting them for
the first time. Keep going - steady, honest practice is what turns a difficult paper into a comfortable
pass.
Q1 PRIORITIZE NURSING INTERVENTIONS FOR ADULTS EXPERIENCING ACUTE
NEUROLOGIC DETERIORATION USING CURRENT STROKE AND ICP MANAGEMENT
STANDARDS
A client is admitted with an acute ischemic stroke and receives IV thrombolytic
therapy. Which assessment finding most urgently indicates a need to stop the
infusion and notify the provider?
A. New-onset severe headache with acute hypertension and vomiting CORRECT
B. Blood pressure 180/100 mm Hg before therapy initiation
C. Mild gingival bleeding when brushing teeth
D. National Institutes of Health Stroke Scale score improvement of 3 points
RATIONALE: New severe headache, acute hypertension, and vomiting suggest intracranial
hemorrhage, the most feared complication of thrombolysis, requiring immediate cessation and
emergent imaging. A pretreatment BP of 180/100 mm Hg is a threshold consideration but not a
stop-therapy sign once treatment has begun, mild gingival bleeding is expected, and NIHSS
improvement indicates therapeutic benefit.
Page 2
, Q2 PRIORITIZE NURSING INTERVENTIONS FOR ADULTS EXPERIENCING ACUTE
NEUROLOGIC DETERIORATION USING CURRENT STROKE AND ICP MANAGEMENT
STANDARDS
Which laboratory trend in a client receiving high-dose IV corticosteroids for an
acute neurologic inflammatory disorder should the nurse report first as a priority
concern?
A. Serum glucose rising from 110 to 240 mg/dL over 24 hours CORRECT
B. Serum potassium decreasing from 4.2 to 3.9 mEq/L
C. White blood cell count rising from 8,000 to 12,000/mm3
D. Serum sodium decreasing from 140 to 136 mEq/L
RATIONALE: Corticosteroids induce hyperglycemia that can precipitate hyperglycemic crises and
worsen neurologic injury, so a rapid glucose rise to 240 mg/dL requires immediate intervention.
The potassium, sodium, and WBC changes are mild and within or near expected ranges for
steroid therapy, making them lower priority.
Q3 PRIORITIZE NURSING INTERVENTIONS FOR ADULTS EXPERIENCING ACUTE
NEUROLOGIC DETERIORATION USING CURRENT STROKE AND ICP MANAGEMENT
STANDARDS
A client with a closed femoral shaft fracture develops sudden dyspnea, confusion,
and a petechial rash over the chest and axillae. Which intervention is the
immediate nursing priority?
A. Apply supplemental oxygen and prepare for emergent supportive care while notifying the
provider CORRECT
B. Administer prescribed IV heparin bolus for suspected pulmonary embolism
C. Immobilize the extremity and apply ice to reduce swelling
D. Elevate the head of the bed and encourage incentive spirometry every hour
RATIONALE: The triad of dyspnea, confusion, and petechial rash after a long-bone fracture
indicates fat embolism syndrome, which requires immediate oxygenation and supportive
management; heparin is not indicated and may worsen bleeding. Immobilization and ice are
appropriate for the fracture itself, not the systemic crisis, and spirometry does not address the
embolic process.
Page 3
SENSORY DISORDERS EXAM REVIEW QUESTIONS, MULTIPLE CHOICES,
CORRECT ANSWERS, AND EXPERT RATIONALES LATEST UPDATE
49 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Prioritize nursing interventions for adults experiencing acute neurologic deterioration using current stroke
and ICP management standards
2 Analyze diagnostic and laboratory data to differentiate neurologic, musculoskeletal, and sensory disorders
and guide safe pharmacologic therapy
3 Evaluate postoperative and rehabilitative care for clients with musculoskeletal trauma or joint replacement
for complications such as fat embolism, VTE, and compartment syndrome
4 Apply evidence-based sensory and vestibular assessment and safety interventions to prevent injury and
optimize function
5 NSG 3250 Adult Health I Exam 3 Neurologic
6 Musculoskeletal & Sensory Disorders Exam Review Questions
7 Multiple Choices
8 Correct Answers
9 and Expert Rationales Latest Update 2026
10 2027 Galen College Of Nursing
11 Foundations of Adult Health Nursing I - Neurologic, Musculoskeletal & Sensory Disorders
12 Applied Adult Health Nursing I - Neurologic, Musculoskeletal & Sensory Disorders
13 Advanced Adult Health Nursing I - Neurologic, Musculoskeletal & Sensory Disorders
14 Adult Health Nursing I - Neurologic, Musculoskeletal & Sensory Disorders Review
ABSTRACT
Page 1
,This study document brings together 49 carefully worded exam questions drawn from NSG 3250
Adult Health I Exam 3 Neurologic, Musculoskeletal & Sensory Disorders Exam Review Questions,
Multiple Choices, Correct Answers, and Expert Rationales Latest Update 2026-2027 Galen
College Of Nursing, with the strongest emphasis placed on Prioritize nursing interventions for
adults experiencing acute neurologic deterioration using current stroke and ICP management
standards, Analyze diagnostic and laboratory data to differentiate neurologic, musculoskeletal, and
sensory disorders and guide safe pharmacologic therapy, Evaluate postoperative and rehabilitative
care for clients with musculoskeletal trauma or joint replacement for complications such as fat
embolism, VTE and and compartment syndrome. Every item follows the wording style and level of
reasoning you meet in the real paper, and each one is paired with a clear rationale so the correct
choice is never a guess. Work through the set at your own pace, mark the questions that slow you
down, then come back to them until the reasoning feels automatic. Learners who revise this way
walk into the exam room recognising the pattern behind the questions instead of meeting them for
the first time. Keep going - steady, honest practice is what turns a difficult paper into a comfortable
pass.
Q1 PRIORITIZE NURSING INTERVENTIONS FOR ADULTS EXPERIENCING ACUTE
NEUROLOGIC DETERIORATION USING CURRENT STROKE AND ICP MANAGEMENT
STANDARDS
A client is admitted with an acute ischemic stroke and receives IV thrombolytic
therapy. Which assessment finding most urgently indicates a need to stop the
infusion and notify the provider?
A. New-onset severe headache with acute hypertension and vomiting CORRECT
B. Blood pressure 180/100 mm Hg before therapy initiation
C. Mild gingival bleeding when brushing teeth
D. National Institutes of Health Stroke Scale score improvement of 3 points
RATIONALE: New severe headache, acute hypertension, and vomiting suggest intracranial
hemorrhage, the most feared complication of thrombolysis, requiring immediate cessation and
emergent imaging. A pretreatment BP of 180/100 mm Hg is a threshold consideration but not a
stop-therapy sign once treatment has begun, mild gingival bleeding is expected, and NIHSS
improvement indicates therapeutic benefit.
Page 2
, Q2 PRIORITIZE NURSING INTERVENTIONS FOR ADULTS EXPERIENCING ACUTE
NEUROLOGIC DETERIORATION USING CURRENT STROKE AND ICP MANAGEMENT
STANDARDS
Which laboratory trend in a client receiving high-dose IV corticosteroids for an
acute neurologic inflammatory disorder should the nurse report first as a priority
concern?
A. Serum glucose rising from 110 to 240 mg/dL over 24 hours CORRECT
B. Serum potassium decreasing from 4.2 to 3.9 mEq/L
C. White blood cell count rising from 8,000 to 12,000/mm3
D. Serum sodium decreasing from 140 to 136 mEq/L
RATIONALE: Corticosteroids induce hyperglycemia that can precipitate hyperglycemic crises and
worsen neurologic injury, so a rapid glucose rise to 240 mg/dL requires immediate intervention.
The potassium, sodium, and WBC changes are mild and within or near expected ranges for
steroid therapy, making them lower priority.
Q3 PRIORITIZE NURSING INTERVENTIONS FOR ADULTS EXPERIENCING ACUTE
NEUROLOGIC DETERIORATION USING CURRENT STROKE AND ICP MANAGEMENT
STANDARDS
A client with a closed femoral shaft fracture develops sudden dyspnea, confusion,
and a petechial rash over the chest and axillae. Which intervention is the
immediate nursing priority?
A. Apply supplemental oxygen and prepare for emergent supportive care while notifying the
provider CORRECT
B. Administer prescribed IV heparin bolus for suspected pulmonary embolism
C. Immobilize the extremity and apply ice to reduce swelling
D. Elevate the head of the bed and encourage incentive spirometry every hour
RATIONALE: The triad of dyspnea, confusion, and petechial rash after a long-bone fracture
indicates fat embolism syndrome, which requires immediate oxygenation and supportive
management; heparin is not indicated and may worsen bleeding. Immobilization and ice are
appropriate for the fracture itself, not the systemic crisis, and spirometry does not address the
embolic process.
Page 3
