NURS-4581 Quiz 8 Questions and 100% Correct Answers 2026/27 Update - UTA
Question 1
0..1 pts
A client with an acute brain injury is receiving IV Mannitol, an osmotic diuretic. If this
medication is effective, what does the nurse expect?
Increased cerebral perfusion pressure
Increased urinary output
Reduction of Glasgow coma scale values
Decreased cerebral perfusion pressure
By encouraging reduction of cerebral edema, mannitol reduces intracranial pressure and
increases cerebral perfusion pressure and cerebral perfusion. An increase in serum
osmolarity above 320 mOsm is indicative of the development of acute tubular necrosis, a
complication of mannitol therapy. Reduction of the Glasgow Coma Scale values and
development of fixed and dilated pupils indicate a probable increase in intracranial
pressure, which is not a positive development and is not related to the mannitol therapy
Question 2
0..1 pts
On initial admission of a trauma victim to the emergency department, the nurse
completes a primary survey. The client is awake and tachypneic, is using accessory
muscles of respiration, has unequal chest expansion, and is very anxious. There are
absent breath sounds on the right side and cyanosis on 100% oxygen, and the trachea is
deviated to the left. What action takes the highest priority during the primary survey?
Assess the pain level
Assisting ventilation with bag-mask device
Chest tube insertion
Starting two large bore IVs
These symptoms are congruent with tension pneumothorax, a life-threatening
emergency that requires immediate needle thoracotomy or chest tube insertion to
preserve life. Since the patient is breathing and talking, the upper airway is adequately
clear, so suctioning of the upper airway and assisting ventilation with a bag-mask device
are not necessary at this time. The patient will need IV started, but Airway and Breathing
come before C circulation.
Question 3
, 0..1 pts
While auscultating a trauma victim's chest for breath sounds you believe you hear muffle
heart sounds. You assess that this
Patient needs a nasogastric tube immediately to prevent aspiration pneumonia
Patient is hemorrhaging and needs immediate transfusion.
Could be a diaphragmatic rupture and notify the physician immediately.
Could be cardiac tamponade and needs a pericardial centesis
Muffled heart sounds is part of Beck's triad indicating a possible
cardiac tamponade which needs immediate intervention. You would hear bowel sounds
in the chest if there were a tear in the diaphragm.
Question 4
0..1 pts
A client sustained an injury to the right arm after falling off a motorcycle. The client is
complaining of severe pain and is unable to feel the fingers of the right hand. Radial
pulse is absent. What is the priority intervention by the nurse?
Notify the physician.
Splint the arm with a compression wrap.
Elevate the right arm above the level of the heart.
Apply an ice pack to the affected area.
The physician should be notified immediately since this client is exhibiting signs of
decreased circulation and nerve involvement, which could be an indication of
compartment syndrome. Clients with compartment syndrome exhibit pain out of
proportion to the injury. Decreased sensation, pallor, and pulselessness are late signs of
compartment syndrome and the viability of the affected extremity is at risk. The
orthopedic or general surgeon should be notified immediately so that the compartment
syndrome pressures can be measured and a fasciotomy performed, if necessary, to save
the extremity. The extremity should never be elevated or wrapped when compartment
syndrome is suspected because this will decrease arterial inflow and
exacerbate ischemia. Applying ice packs will not increase blood flow to the affected
extremity.
Question 5
0..1 pts
Question 1
0..1 pts
A client with an acute brain injury is receiving IV Mannitol, an osmotic diuretic. If this
medication is effective, what does the nurse expect?
Increased cerebral perfusion pressure
Increased urinary output
Reduction of Glasgow coma scale values
Decreased cerebral perfusion pressure
By encouraging reduction of cerebral edema, mannitol reduces intracranial pressure and
increases cerebral perfusion pressure and cerebral perfusion. An increase in serum
osmolarity above 320 mOsm is indicative of the development of acute tubular necrosis, a
complication of mannitol therapy. Reduction of the Glasgow Coma Scale values and
development of fixed and dilated pupils indicate a probable increase in intracranial
pressure, which is not a positive development and is not related to the mannitol therapy
Question 2
0..1 pts
On initial admission of a trauma victim to the emergency department, the nurse
completes a primary survey. The client is awake and tachypneic, is using accessory
muscles of respiration, has unequal chest expansion, and is very anxious. There are
absent breath sounds on the right side and cyanosis on 100% oxygen, and the trachea is
deviated to the left. What action takes the highest priority during the primary survey?
Assess the pain level
Assisting ventilation with bag-mask device
Chest tube insertion
Starting two large bore IVs
These symptoms are congruent with tension pneumothorax, a life-threatening
emergency that requires immediate needle thoracotomy or chest tube insertion to
preserve life. Since the patient is breathing and talking, the upper airway is adequately
clear, so suctioning of the upper airway and assisting ventilation with a bag-mask device
are not necessary at this time. The patient will need IV started, but Airway and Breathing
come before C circulation.
Question 3
, 0..1 pts
While auscultating a trauma victim's chest for breath sounds you believe you hear muffle
heart sounds. You assess that this
Patient needs a nasogastric tube immediately to prevent aspiration pneumonia
Patient is hemorrhaging and needs immediate transfusion.
Could be a diaphragmatic rupture and notify the physician immediately.
Could be cardiac tamponade and needs a pericardial centesis
Muffled heart sounds is part of Beck's triad indicating a possible
cardiac tamponade which needs immediate intervention. You would hear bowel sounds
in the chest if there were a tear in the diaphragm.
Question 4
0..1 pts
A client sustained an injury to the right arm after falling off a motorcycle. The client is
complaining of severe pain and is unable to feel the fingers of the right hand. Radial
pulse is absent. What is the priority intervention by the nurse?
Notify the physician.
Splint the arm with a compression wrap.
Elevate the right arm above the level of the heart.
Apply an ice pack to the affected area.
The physician should be notified immediately since this client is exhibiting signs of
decreased circulation and nerve involvement, which could be an indication of
compartment syndrome. Clients with compartment syndrome exhibit pain out of
proportion to the injury. Decreased sensation, pallor, and pulselessness are late signs of
compartment syndrome and the viability of the affected extremity is at risk. The
orthopedic or general surgeon should be notified immediately so that the compartment
syndrome pressures can be measured and a fasciotomy performed, if necessary, to save
the extremity. The extremity should never be elevated or wrapped when compartment
syndrome is suspected because this will decrease arterial inflow and
exacerbate ischemia. Applying ice packs will not increase blood flow to the affected
extremity.
Question 5
0..1 pts
