NSG 252 Exam 3 (New 2026/ 2027 Update)
Questions & Answers {Grade A} 100%
Correct (Verified Solutions) Grand Canyon
University
The nurse is conducting a health screening on a client with a family history of
hypertension. Which assessment finding would alert the nurse to the need for further
teaching related to stroke (brain attack) prevention?
a. Eats high-fiber grain cereal with skim milk for breakfast
b. Has a blood pressure of 118/78 mm Hg and has lost 10 pounds recently
c. Uses condoms for pregnancy and disease prevention and jogs 2 miles daily
d. Uses oral contraceptives for pregnancy prevention and works as a manager of a
busy medical-surgical unit - correct answer the answer is d.
Oral contraceptive use is discouraged in some clients because of the adverse effect of
clot formation. The use of oral contraceptives, obesity, hypertension,
hypercholesterolemia, and smoking are all modifiable risk factors for stroke. Low-fat
,diet and stress-reduction methods are encouraged and identified in options 1 and 3. In
option 2, the client has a normal blood pressure and has lost weight.
The nurse has implemented a plan of care for a client diagnosed with a cervical 5 (C5)
spinal cord injury to promote health maintenance. Which client outcome indicates the
effectiveness of the plan?
a. Maintenance of intact skin
b. Regaining of bladder and bowel control
c. Performance of activities of daily living independently
d. Independent transfer of self to and from the wheelchair - correct answer the
answer is a.
A C5 spinal cord injury results in quadriplegia with no sensation below the clavicle,
including most of the arms and hands. The client maintains the partial movement of the
shoulders and elbows. Maintaining intact skin is an outcome for spinal cord injury
clients. The remaining options are inappropriate for this client.
,The nurse teaches a client diagnosed with a spinal cord injury about measures to
prevent autonomic hyperreflexia. Which statement by the client indicates the need for
further teaching?
a. "It is best if I avoid tight clothing and lumpy bedclothes."
b. "I should watch for headache, congestion, and flushed skin."
c. "Signs/symptoms I should watch for include fever and chest pain."
d. "I need to pay close attention to how frequently my bowels move." - correct answer
the answer is c.
Autonomic hyperreflexia generally occurs in a client with a spinal cord injury after the
period of spinal shock resolves. It occurs with injuries above T6 and cervical injuries.
Signs/symptoms of autonomic hyperreflexia include headache, congestion, flushed
skin above the level of injury and cold skin below it, diaphoresis, nausea, and anxiety.
Fever and chest pain are not associated with this condition.
, The home care nurse provides instructions about the management of pruritus to a
client with hepatitis who developed jaundice. Which statement made by the client
suggests to the nurse that the client needs further teaching?
a. "I need to wear loose cotton clothing."
b. "A tepid water bath should help stop the itching."
c. "Keeping the house warmer is likely to lessen the itching"
d. "I need to take the prescribed antihistamines as I'm supposed to." - correct answer
the answer is c.
Pruritus is caused by the accumulation of bile salts in the skin and results from
obstructed biliary excretion. The client would be instructed to keep the house
temperature cool in order to minimize the itching. The client should avoid the use of
alkaline soap, and he or she (client) should wear loose, soft, cotton clothing.
Antihistamines may relieve the itching, as will tepid water and emollient baths.
A child experienced a basilar skull fracture that resulted in the presence of Battle's
sign. Which would the nurse expect to observe in the child?
Questions & Answers {Grade A} 100%
Correct (Verified Solutions) Grand Canyon
University
The nurse is conducting a health screening on a client with a family history of
hypertension. Which assessment finding would alert the nurse to the need for further
teaching related to stroke (brain attack) prevention?
a. Eats high-fiber grain cereal with skim milk for breakfast
b. Has a blood pressure of 118/78 mm Hg and has lost 10 pounds recently
c. Uses condoms for pregnancy and disease prevention and jogs 2 miles daily
d. Uses oral contraceptives for pregnancy prevention and works as a manager of a
busy medical-surgical unit - correct answer the answer is d.
Oral contraceptive use is discouraged in some clients because of the adverse effect of
clot formation. The use of oral contraceptives, obesity, hypertension,
hypercholesterolemia, and smoking are all modifiable risk factors for stroke. Low-fat
,diet and stress-reduction methods are encouraged and identified in options 1 and 3. In
option 2, the client has a normal blood pressure and has lost weight.
The nurse has implemented a plan of care for a client diagnosed with a cervical 5 (C5)
spinal cord injury to promote health maintenance. Which client outcome indicates the
effectiveness of the plan?
a. Maintenance of intact skin
b. Regaining of bladder and bowel control
c. Performance of activities of daily living independently
d. Independent transfer of self to and from the wheelchair - correct answer the
answer is a.
A C5 spinal cord injury results in quadriplegia with no sensation below the clavicle,
including most of the arms and hands. The client maintains the partial movement of the
shoulders and elbows. Maintaining intact skin is an outcome for spinal cord injury
clients. The remaining options are inappropriate for this client.
,The nurse teaches a client diagnosed with a spinal cord injury about measures to
prevent autonomic hyperreflexia. Which statement by the client indicates the need for
further teaching?
a. "It is best if I avoid tight clothing and lumpy bedclothes."
b. "I should watch for headache, congestion, and flushed skin."
c. "Signs/symptoms I should watch for include fever and chest pain."
d. "I need to pay close attention to how frequently my bowels move." - correct answer
the answer is c.
Autonomic hyperreflexia generally occurs in a client with a spinal cord injury after the
period of spinal shock resolves. It occurs with injuries above T6 and cervical injuries.
Signs/symptoms of autonomic hyperreflexia include headache, congestion, flushed
skin above the level of injury and cold skin below it, diaphoresis, nausea, and anxiety.
Fever and chest pain are not associated with this condition.
, The home care nurse provides instructions about the management of pruritus to a
client with hepatitis who developed jaundice. Which statement made by the client
suggests to the nurse that the client needs further teaching?
a. "I need to wear loose cotton clothing."
b. "A tepid water bath should help stop the itching."
c. "Keeping the house warmer is likely to lessen the itching"
d. "I need to take the prescribed antihistamines as I'm supposed to." - correct answer
the answer is c.
Pruritus is caused by the accumulation of bile salts in the skin and results from
obstructed biliary excretion. The client would be instructed to keep the house
temperature cool in order to minimize the itching. The client should avoid the use of
alkaline soap, and he or she (client) should wear loose, soft, cotton clothing.
Antihistamines may relieve the itching, as will tepid water and emollient baths.
A child experienced a basilar skull fracture that resulted in the presence of Battle's
sign. Which would the nurse expect to observe in the child?
