Fall 2025/2026 Update | 100% Correct | Rasmussen University
Question 1
A client has a head injury and is presenting with signs and symptoms of increased intracranial pressure. Which nursing
intervention would be helpful in reducing this pressure?
a. Place the neck in a neutral position to promote venous drainage
b. Suction hourly to stimulate the cough reflex
c. Add extra blankets to keep the client warm.
d. Turn the client frequently to prevent skin impairment
Correct Answer
a. Place the neck in a neutral position to promote venous drainage
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,Question 2
the nurse determines that the client demonstrates an understanding of preoperative teaching with which response? Select
all that apply
a. I will need to sign a consent form before I am given my medications prior to my
surgery
b. the surgeon will want me to ambulate as soon as possible after my surgery
c. the nurse will want me to take the deepest breaths I can tolerate following my
surgery
d. I may experience some Constipation if I am taking much pain medication after
my surgery
e. the general anesthesia will prevent me from having pain for the first 24 hours
after surgery
Correct Answer
a. I will need to sign a consent form before I am given my medications prior to my
surgery
b. the surgeon will want me to ambulate as soon as possible after my surgery
c. the nurse will want me to take the deepest breaths I can tolerate following my
surgery
d. I may experience some Constipation if I am taking much pain medication after
my surgery
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,Question 3
The nurse assesses a client who presents with progressive proximal to distal muscle weakness and mild diplopia. The nurse
realizes these manifestations indicate the client most likely suffers from which peripheral nervous system disease?
a. Systemic lupus erythematosus
b. multiple sclerosis
c. Guillan- barre syndrome
d. Myasthenia gravis
Correct Answer
d. Myasthenia gravis
Question 4
A nurse is conducting to pre-screening assessment on a client for Parkinson's disease. The nurse understands which clinical
manifestation may indicate this disease?
a. Prepulsive forward movement
b. Generalized profuse sweating
c. Hyperactive behavior
d. Decreased pain sensation
Correct Answer
a. Prepulsive forward movement
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, Question 5
The client injured in an automobile accident, is being evaluated in the emergency department for a possible head injury.
Which test should not be done if there is an indication of increased intracranial pressure?
a. CT scan
b. MRI scan
c. Lumbar puncture
d. Electroencephalogram
Correct Answer
c. Lumbar puncture
Question 6
The nurse is assessing a client with Alzheimer's disease. Which finding places the client in the moderate stage of the
disease process? Select all that apply
a. Wandering
b. Anger
c. incontinence of bowel and bladder
d. Visuospatial deficit
e. violent episodes
Correct Answer
a. Wandering
b. Anger
c. incontinence of bowel and bladder
d. Visuospatial deficit
e. violent episodes
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