Exam Practice
Questions
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, a,d,e,f
A client with a primary brain tumor has developed syndrome of inappropriate secretion of
antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings upon
assessment? (Select all that apply).
a. Nausea and vomiting
b. Hyperthermia
c. Bradycardia
d. Increased weight
e. Decreased serum sodium
f. Decreased level of consciousness
a,b
A nurse is caring for a child with a diagnosis of meningitis. What clinical findings indicate an
increase in intracranial pressure? (Select all that apply).
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,a. Irritability
b. Bradycardia
c. Hyperalertness
d. Decreased pulse pressure
e. Decreased systolic blood pressure
a
What action should the nurse take when caring for a client who has a possible skull fracture as
a result of trauma?
a. Monitor the client for signs of brain injury.
b. Check for hemorrhaging from the oral and nasal cavities.
c. Elevate the foot of the bed if the client develops symptoms of shock.
d. Observe for clinical indicators of decreased intracranial pressure and temperature.
a,b,e
The nurse is caring for a client who was just admitted to the hospital with the diagnosis of
head trauma. Which clinical indicators should the nurse consider as evidence of increasing
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, intracranial pressure? (Select all that apply).
a. Vomiting
b. Irritability
c. Hypotension
d. Increased respirations
e. Decreased level of consciousness
a
The nurse uses the Glasgow Coma Scale to assess a client with a head injury. Which Glasgow
Coma Scale score indicates that the client is in a coma?
a. 6
b. 9
c. 12
d. 15
a
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