ADVANCED MED SURG EXAM
TEST|
ADVANCED MED-SURG ACTUAL
EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS |
ALREADY GRADED A+
D
O
N
The nurse is caring for a client who has encephalitis. It is a priority for
O
the nurse to notify the PHCP if the client develops
T
a. A HA
C
O
b. Fatigue
PY
c. Increased sensitivity to noise
d. Decreased pulse rate - ✔✔✔ Correct Answer > d. Decreased pulse rate
The nurse is observing a newly hired nurse care for a client who
sustained a closed head injury, is receiving mechanical ventilation, and is
at risk for developing ICP. Which of the following actions, if performed
by the newly hired nurse, requires intervention by the charge nurse?
,a. Using the bag-valve-mask on the client when the low-pressure
alarm sounds
b. Maintaining the client's head at midline, neutral position
c. Setting up suction equipment at the bedside
d. Raising the foot of the client's bed - ✔✔✔ Correct Answer > D. Raising
the foot of the client's bed
D
The newly hired nurse is caring for a client who was admitted 12 hours
O
ago with a TBI and is at risk for developing ICP. It requires intervention
N
by the nurse preceptor if the newly hired nurse is observed
O
T
C
O
a. Checking the client's vital signs every hour
PY
b. Clustering client care activities
c. Instructing the client not to assist during repositioning
d. Encouraging the client's visitors not to stimulate the client - ✔✔✔
Correct Answer > B. Clustering client care activities
The nurse is assessing clients for the risk of sustaining a TBI. Which of
the following clients should the nurse identify as being at greatest risk?
,a. 45-year-old who has epilepsy and takes prescribed phenytoin
b. 7-yar-old who is learning how to ride a bike without training wheels
c. 20-yar-old college student who participates on the football team
d. 60-yar-old who lives alone and wears a hearing aid - ✔✔✔ Correct Answer
> C. 20 year old college student who participates on the football team
D
O
The nurse is caring for assigned clients. Which of the following
N
assessment findings requires the nurse to notify the PHCP?
O
T
C
a. An output of 30 ml from the surgical drain of a client who had a
O
craniotomy 6 hrs ago
PY
b. A report of tinnitus by a client who was recently diagnosed with an
acoustic neuroma
c. The development of asymmetric pupils with no reaction to light in
a client who has a TBI
d. A decrease in the Glasgow coma scale score from 4 to 3 in a client
who has a brain tumor - ✔✔✔ Correct Answer > C. The development of
asymmetric pupils with no reaction to light in a client who has a TBI
, The nurse is caring for a client who had a TBI with skull fracture. The
nurse notes that the client has developed rhinorrhea that is positive for
glucose. Which of the following actions should the nurse take next?
a. Apply a drip pad to the client's nose
b. Prepare to suction the client
D
c. Perform a halo sign test
O
N
d. Notify the PHCP - ✔✔✔ Correct Answer > C. Perform a halo sign test
O
T
The nurse is assessing a client who has experienced a mild TBI. Which
C
O
of the following findings is consistent with this diagnosis?
PY
a. Difficulty concentrating
b. A Glasgow coma scale score of 11
c. Constricted pupils that are nonreactive to light
d. Hand tremors - ✔✔✔ Correct Answer > A. Difficulty Concentrating
TEST|
ADVANCED MED-SURG ACTUAL
EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS |
ALREADY GRADED A+
D
O
N
The nurse is caring for a client who has encephalitis. It is a priority for
O
the nurse to notify the PHCP if the client develops
T
a. A HA
C
O
b. Fatigue
PY
c. Increased sensitivity to noise
d. Decreased pulse rate - ✔✔✔ Correct Answer > d. Decreased pulse rate
The nurse is observing a newly hired nurse care for a client who
sustained a closed head injury, is receiving mechanical ventilation, and is
at risk for developing ICP. Which of the following actions, if performed
by the newly hired nurse, requires intervention by the charge nurse?
,a. Using the bag-valve-mask on the client when the low-pressure
alarm sounds
b. Maintaining the client's head at midline, neutral position
c. Setting up suction equipment at the bedside
d. Raising the foot of the client's bed - ✔✔✔ Correct Answer > D. Raising
the foot of the client's bed
D
The newly hired nurse is caring for a client who was admitted 12 hours
O
ago with a TBI and is at risk for developing ICP. It requires intervention
N
by the nurse preceptor if the newly hired nurse is observed
O
T
C
O
a. Checking the client's vital signs every hour
PY
b. Clustering client care activities
c. Instructing the client not to assist during repositioning
d. Encouraging the client's visitors not to stimulate the client - ✔✔✔
Correct Answer > B. Clustering client care activities
The nurse is assessing clients for the risk of sustaining a TBI. Which of
the following clients should the nurse identify as being at greatest risk?
,a. 45-year-old who has epilepsy and takes prescribed phenytoin
b. 7-yar-old who is learning how to ride a bike without training wheels
c. 20-yar-old college student who participates on the football team
d. 60-yar-old who lives alone and wears a hearing aid - ✔✔✔ Correct Answer
> C. 20 year old college student who participates on the football team
D
O
The nurse is caring for assigned clients. Which of the following
N
assessment findings requires the nurse to notify the PHCP?
O
T
C
a. An output of 30 ml from the surgical drain of a client who had a
O
craniotomy 6 hrs ago
PY
b. A report of tinnitus by a client who was recently diagnosed with an
acoustic neuroma
c. The development of asymmetric pupils with no reaction to light in
a client who has a TBI
d. A decrease in the Glasgow coma scale score from 4 to 3 in a client
who has a brain tumor - ✔✔✔ Correct Answer > C. The development of
asymmetric pupils with no reaction to light in a client who has a TBI
, The nurse is caring for a client who had a TBI with skull fracture. The
nurse notes that the client has developed rhinorrhea that is positive for
glucose. Which of the following actions should the nurse take next?
a. Apply a drip pad to the client's nose
b. Prepare to suction the client
D
c. Perform a halo sign test
O
N
d. Notify the PHCP - ✔✔✔ Correct Answer > C. Perform a halo sign test
O
T
The nurse is assessing a client who has experienced a mild TBI. Which
C
O
of the following findings is consistent with this diagnosis?
PY
a. Difficulty concentrating
b. A Glasgow coma scale score of 11
c. Constricted pupils that are nonreactive to light
d. Hand tremors - ✔✔✔ Correct Answer > A. Difficulty Concentrating
