N440 ICR TEST QUESTIONS AND
ANSWERS
The nurse is providing discharge teaching for the parents of a school age child
being discharged on Valproic Acid (Depakote). What statement by the family
indicates further teaching is necessary?
A. "he should chew the sprinkles before he swallows them"
B. "he should not drink cola with this medication"
C. "he should take this medication with meals to prevent stomach upset"
D. "I should bring him to the office if I notice increased bruising" - ANSWER
I should bring him to the office if I notice increased bruising
The nurse is caring for a patient with a traumatic brain injury. On day seven, the
nurse notes large amounts of urine output and an elevated serum sodium level.
Which complication of TBI does this assessment finding suggest to the nurse?
A. syndrome of inappropriate antidiuretic hormone
B. cerebral salt wasting
C. diabetes insipidus
D. renal failure - ANSWER diabetes insipidus
A patient with a moderate diffuse head injury is demonstrating a variety of
neurological symptoms. Which intervention would be a priority when caring for
this patient?
A. replacing electrolytes based upon AM lab values
B. measuring vital signs and mean arterial pressure
C. administering maintenance fluids with dextrose
D. administering enteral feedings - ANSWER measuring vital signs and mean
arterial pressure
The nurse is caring for a client with a suspected epidural hematoma. What
assessment would alert the nurse to progression of the disease process? Select
All That Apply.
Period of unconsciousness immediately after the event.
ANSWERS
The nurse is providing discharge teaching for the parents of a school age child
being discharged on Valproic Acid (Depakote). What statement by the family
indicates further teaching is necessary?
A. "he should chew the sprinkles before he swallows them"
B. "he should not drink cola with this medication"
C. "he should take this medication with meals to prevent stomach upset"
D. "I should bring him to the office if I notice increased bruising" - ANSWER
I should bring him to the office if I notice increased bruising
The nurse is caring for a patient with a traumatic brain injury. On day seven, the
nurse notes large amounts of urine output and an elevated serum sodium level.
Which complication of TBI does this assessment finding suggest to the nurse?
A. syndrome of inappropriate antidiuretic hormone
B. cerebral salt wasting
C. diabetes insipidus
D. renal failure - ANSWER diabetes insipidus
A patient with a moderate diffuse head injury is demonstrating a variety of
neurological symptoms. Which intervention would be a priority when caring for
this patient?
A. replacing electrolytes based upon AM lab values
B. measuring vital signs and mean arterial pressure
C. administering maintenance fluids with dextrose
D. administering enteral feedings - ANSWER measuring vital signs and mean
arterial pressure
The nurse is caring for a client with a suspected epidural hematoma. What
assessment would alert the nurse to progression of the disease process? Select
All That Apply.
Period of unconsciousness immediately after the event.
