NUR 355 Exam 3 Newest Actual Exam Preparation With
Complete Questions And Correct Answers With
Rationales | Already Graded A+||Brand New Version!!
Patient arrives at the ED with a gunshot wound to the left lower abdominal
quadrant. He has an open wound that is bleeding heavily. His vitals are BP 86/50
P130 RR 32. Which intervention is most appropriate at this time? - ---answer---
;Prepare the pt. For an emergency exploratory laparotomy
The patient has been diagnosed with brown- sequard syndrome. The patient
would demonstrate the following clinical signs: - ---answer---;Loss of motor on the
same side, loss of sensory on the opposite side
The rape victim keeps repeating "why me? Why me?" The best response by the
nurse would be: - ---answer---;"We are here to help you get through this"
The first 8 hours after a head injury from a motorcycle crash, the patient, age 40,
excretes 3000ml of urine with an IV intake of 800ml. The patient had received
Decadron in the ER. The nurse would suspect that this patient has - ---answer---
;Diabetes insipidus (excessive fluid loss)
The patient is admitted to the ER following a severe head injury from a driving
accident. The nurse's priority in the management of the patient is - ---answer---
;Managing cervical spine immobilization
, The patient is being monitored for increased ICP. Which of the patient's signs and
symptoms are most indicative of increasing ICP? Select all that apply - ---answer---
;Lethargy, nausea and vomiting
The patient with cerebral edema has a bp of 140/100 and ICP of 16. The nurse
would correctly calculate the patients cerebral perfusion pressure to be - ---
answer---;97
The nurse is caring for the patient three days after an open head injury. During
the management of the patient the nurse has a new onset of severe headache,
fever, and nuchal rigidity. The assessment findings are most indicative of what
complication? - ---answer---;Acute meningitis
When is the nurse's main goal when she encounters a possible human trafficker
situation? - ---answer---;Be a safe place for the victim to share their story should
they choose to do so
The patient arrives in the ER with a possible foreign body. Which information in
the history would be most concerning - ---answer---;Copper, vegetable material
The nurse is caring for a patient in the critical care unit following a head injury.
The patient experienced a brief loss of consciousness at the time of the injury and
then regained it. The patient has now lost it again. The nurse takes immediate
action knowing this is significant for - ---answer---;Epidural hematoma
The client is taking a prescribed dose of dilantin to control seizures. Results of the
phenytoin blood level study reveal a level of 35 mcg/ml. Which of the following
Complete Questions And Correct Answers With
Rationales | Already Graded A+||Brand New Version!!
Patient arrives at the ED with a gunshot wound to the left lower abdominal
quadrant. He has an open wound that is bleeding heavily. His vitals are BP 86/50
P130 RR 32. Which intervention is most appropriate at this time? - ---answer---
;Prepare the pt. For an emergency exploratory laparotomy
The patient has been diagnosed with brown- sequard syndrome. The patient
would demonstrate the following clinical signs: - ---answer---;Loss of motor on the
same side, loss of sensory on the opposite side
The rape victim keeps repeating "why me? Why me?" The best response by the
nurse would be: - ---answer---;"We are here to help you get through this"
The first 8 hours after a head injury from a motorcycle crash, the patient, age 40,
excretes 3000ml of urine with an IV intake of 800ml. The patient had received
Decadron in the ER. The nurse would suspect that this patient has - ---answer---
;Diabetes insipidus (excessive fluid loss)
The patient is admitted to the ER following a severe head injury from a driving
accident. The nurse's priority in the management of the patient is - ---answer---
;Managing cervical spine immobilization
, The patient is being monitored for increased ICP. Which of the patient's signs and
symptoms are most indicative of increasing ICP? Select all that apply - ---answer---
;Lethargy, nausea and vomiting
The patient with cerebral edema has a bp of 140/100 and ICP of 16. The nurse
would correctly calculate the patients cerebral perfusion pressure to be - ---
answer---;97
The nurse is caring for the patient three days after an open head injury. During
the management of the patient the nurse has a new onset of severe headache,
fever, and nuchal rigidity. The assessment findings are most indicative of what
complication? - ---answer---;Acute meningitis
When is the nurse's main goal when she encounters a possible human trafficker
situation? - ---answer---;Be a safe place for the victim to share their story should
they choose to do so
The patient arrives in the ER with a possible foreign body. Which information in
the history would be most concerning - ---answer---;Copper, vegetable material
The nurse is caring for a patient in the critical care unit following a head injury.
The patient experienced a brief loss of consciousness at the time of the injury and
then regained it. The patient has now lost it again. The nurse takes immediate
action knowing this is significant for - ---answer---;Epidural hematoma
The client is taking a prescribed dose of dilantin to control seizures. Results of the
phenytoin blood level study reveal a level of 35 mcg/ml. Which of the following
