NUR 445. Exam 3 Questions
The nurse monitors for which clinical manifestations of increased intracranial pressure
in the patient diagnosed with a brain tumor? Select all that apply.
A. Ataxia
B. Papilledema
C. Diarrhea
D. Vomiting
E. Headache - answerA, B, D, E
In monitoring a patient recovering from a craniotomy for treatment of a brain tumor,
which assessment findings require the nurse to notify the surgeon? Select all that apply.
A. Heart rate 52 bpm
B. Temperature 99.2°F
C. Respiratory rate 10 and irregular
D. Urine output 200 mL over 4 hours
E. Systolic blood pressure 198 mm Hg - answerA, C, E
The nurse correlates which clinical manifestations to autonomic dysreflexia in a patient
with a spinal cord injury?
A. Hypertension with tachycardia
B. Hypertension with bradycardia
C. Hypotension with bradycardia
D. Hypotension with tachycardia - answerB. Hypertension with bradycardia
A patient with amyotrophic lateral sclerosis (ALS) is being prepared for discharge. What
teaching would be essential for the family to receive before taking the patient home?
Select all that apply.
A. Skin care
B. Aspiration precautions
C. Recognizing exacerbations
D. Lower extremity circulation
E. Strategies to lose weight - answerA, B, D
The nurse monitors for which clinical manifestation in the patient with neurogenic
shock?
A. Tachycardia
B. Hypertension
The nurse monitors for which clinical manifestations of increased intracranial pressure
in the patient diagnosed with a brain tumor? Select all that apply.
A. Ataxia
B. Papilledema
C. Diarrhea
D. Vomiting
E. Headache - answerA, B, D, E
In monitoring a patient recovering from a craniotomy for treatment of a brain tumor,
which assessment findings require the nurse to notify the surgeon? Select all that apply.
A. Heart rate 52 bpm
B. Temperature 99.2°F
C. Respiratory rate 10 and irregular
D. Urine output 200 mL over 4 hours
E. Systolic blood pressure 198 mm Hg - answerA, C, E
The nurse correlates which clinical manifestations to autonomic dysreflexia in a patient
with a spinal cord injury?
A. Hypertension with tachycardia
B. Hypertension with bradycardia
C. Hypotension with bradycardia
D. Hypotension with tachycardia - answerB. Hypertension with bradycardia
A patient with amyotrophic lateral sclerosis (ALS) is being prepared for discharge. What
teaching would be essential for the family to receive before taking the patient home?
Select all that apply.
A. Skin care
B. Aspiration precautions
C. Recognizing exacerbations
D. Lower extremity circulation
E. Strategies to lose weight - answerA, B, D
The nurse monitors for which clinical manifestation in the patient with neurogenic
shock?
A. Tachycardia
B. Hypertension
