,Galen NSG 3250 Exam 3 | Adult Health I
Nursing Practice (2026) Actual Q&A PDF
1. Which of the following best describes the primary function of the left
hemisphere of the brain?
A) Spoken language, written language, reasoning, and number skills
B) Spatial awareness and visual‑motor integration
C) Artistic and musical abilities
D) Nonverbal communication
Correct Answer: Spoken language, written language, reasoning, and number
skills
Rationale: The left hemisphere is dominant for language, analytical thinking,
and mathematical reasoning. The right hemisphere handles spatial, artistic, and
nonverbal functions.
2. The nurse is assessing a patient’s deep tendon reflexes. A normal response is
documented as:
A) 0 (absent)
B) 2+ (brisk and normal)
C) 4+ (hyperactive with clonus)
D) 1+ (diminished)
Correct Answer: 2+ (brisk and normal)
,Rationale: Deep tendon reflexes are graded 0‑4+. A 2+ response is the expected
normal finding. 0 is absent, 4+ is hyperactive, and 1+ is diminished.
3. A patient who just suffered a suspected ischemic stroke arrives in the
emergency department. The nurse’s primary assessment should first focus on:
A) Swallowing ability
B) Motor function
C) Cardiac and respiratory status (ABCs)
D) Neurological status using the NIHSS
Correct Answer: Cardiac and respiratory status (ABCs)
Rationale: Airway, breathing, and circulation are the immediate priorities for
any emergency patient, including stroke. Once stable, a detailed neurological
exam follows.
4. The nurse is preparing to administer IV medications for a patient in status
epilepticus. Which combination is typically used first‑line?
A) Lorazepam and phenytoin
B) Furosemide and digoxin
C) Albuterol and ipratropium
D) Morphine and ondansetron
Correct Answer: Lorazepam and phenytoin
, Rationale: Status epilepticus is treated emergently with a benzodiazepine
(lorazepam) to stop the seizure, followed by a loading dose of an anticonvulsant
(phenytoin) to prevent recurrence.
5. A patient has had an ischemic stroke and has been admitted to the medical
unit. To best prevent joint deformities, the nurse should:
A) Place a pillow in the axilla when external rotation is limited
B) Perform passive range of motion once daily
C) Keep the patient supine at all times
D) Apply splints to all extremities
Correct Answer: Place a pillow in the axilla when external rotation is limited
Rationale: A pillow in the axilla prevents adduction contractures of the
shoulder, maintaining proper alignment and preventing deformity. ROM should
be performed 4‑5 times daily.
6. A patient diagnosed with transient ischemic attacks (TIAs) is scheduled for a
carotid endarterectomy. The nurse explains that the purpose of this procedure
is to:
A) Bypass a blocked cerebral artery
B) Remove atherosclerotic plaques blocking cerebral flow
C) Repair a damaged blood vessel
D) Implant a stent in the carotid artery
Correct Answer: Remove atherosclerotic plaques blocking cerebral flow
Nursing Practice (2026) Actual Q&A PDF
1. Which of the following best describes the primary function of the left
hemisphere of the brain?
A) Spoken language, written language, reasoning, and number skills
B) Spatial awareness and visual‑motor integration
C) Artistic and musical abilities
D) Nonverbal communication
Correct Answer: Spoken language, written language, reasoning, and number
skills
Rationale: The left hemisphere is dominant for language, analytical thinking,
and mathematical reasoning. The right hemisphere handles spatial, artistic, and
nonverbal functions.
2. The nurse is assessing a patient’s deep tendon reflexes. A normal response is
documented as:
A) 0 (absent)
B) 2+ (brisk and normal)
C) 4+ (hyperactive with clonus)
D) 1+ (diminished)
Correct Answer: 2+ (brisk and normal)
,Rationale: Deep tendon reflexes are graded 0‑4+. A 2+ response is the expected
normal finding. 0 is absent, 4+ is hyperactive, and 1+ is diminished.
3. A patient who just suffered a suspected ischemic stroke arrives in the
emergency department. The nurse’s primary assessment should first focus on:
A) Swallowing ability
B) Motor function
C) Cardiac and respiratory status (ABCs)
D) Neurological status using the NIHSS
Correct Answer: Cardiac and respiratory status (ABCs)
Rationale: Airway, breathing, and circulation are the immediate priorities for
any emergency patient, including stroke. Once stable, a detailed neurological
exam follows.
4. The nurse is preparing to administer IV medications for a patient in status
epilepticus. Which combination is typically used first‑line?
A) Lorazepam and phenytoin
B) Furosemide and digoxin
C) Albuterol and ipratropium
D) Morphine and ondansetron
Correct Answer: Lorazepam and phenytoin
, Rationale: Status epilepticus is treated emergently with a benzodiazepine
(lorazepam) to stop the seizure, followed by a loading dose of an anticonvulsant
(phenytoin) to prevent recurrence.
5. A patient has had an ischemic stroke and has been admitted to the medical
unit. To best prevent joint deformities, the nurse should:
A) Place a pillow in the axilla when external rotation is limited
B) Perform passive range of motion once daily
C) Keep the patient supine at all times
D) Apply splints to all extremities
Correct Answer: Place a pillow in the axilla when external rotation is limited
Rationale: A pillow in the axilla prevents adduction contractures of the
shoulder, maintaining proper alignment and preventing deformity. ROM should
be performed 4‑5 times daily.
6. A patient diagnosed with transient ischemic attacks (TIAs) is scheduled for a
carotid endarterectomy. The nurse explains that the purpose of this procedure
is to:
A) Bypass a blocked cerebral artery
B) Remove atherosclerotic plaques blocking cerebral flow
C) Repair a damaged blood vessel
D) Implant a stent in the carotid artery
Correct Answer: Remove atherosclerotic plaques blocking cerebral flow
