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NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3
NEWEST 2026-2027 COMPLETE 100 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+|BRAND NEW!!
A nurse witnesses a client begin to experience a tonic-
clonic seizure and loss of consciousness. Which action
should the nurse take?
a. Start fluids via a large-bore catheter.
b. Turn the clients head to the side.
c. Administer IV push diazepam.
d. Prepare to intubate the client. - ANSWER-B
Rationale: The nurse should turn the clients head to the
side to prevent aspiration and allow drainage of
secretions. Anticonvulsants are administered on a routine
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basis if a seizure is sustained. If the seizure is sustained
(status epilepticus), the client must be intubated and
should be administered oxygen, 0.9% sodium chloride,
and IV push lorazepam or diazepam.
After a stroke, a client has ataxia. What intervention is
most appropriate to include on the clients plan of care?
a. Ambulate only with a gait belt.
b. Encourage double swallowing.
c. Monitor lung sounds after eating.
d. Perform post-void residuals - ANSWER-A
Rationale: Ataxia is a gait disturbance. For the clients
safety, he or she should have assistance and use the gait
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belt when ambulating. Ataxia is not related to swallowing,
aspiration, or voiding.
A client in the emergency department is having a stroke
and needs a carotid artery angioplasty with stenting. The
clients mental status is deteriorating. What action by the
nurse is most appropriate?
a. Attempt to find the family to sign a consent.
b. Inform the provider that the procedure cannot occur.
c. Nothing; no consent is needed in an emergency.
d. Sign the consent form for the client. - ANSWER-A
Rationale: The nurse should attempt to find the family to
give consent. If no family is present or can be found, under
the principle of emergency consent, a life-saving
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procedure can be performed without formal consent. The
nurse should not just sign the consent form.
A client has a traumatic brain injury and a positive halo
sign. The client is in the intensive care unit, sedated and
on a ventilator, and is in critical but stable condition. What
collaborative problem takes priority at this time?
a. Inability to communicate
b. Nutritional deficit
c. Risk for acquiring an infection
d. Risk for skin breakdown - ANSWER-C
Rationale: The positive halo sign indicates a leak of
cerebrospinal fluid. This places the client at high risk of
acquiring an infection. Communication and nutrition are
NSG233 EXAM 3 /NSG 233 MED SURG III EXAM 3
NEWEST 2026-2027 COMPLETE 100 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+|BRAND NEW!!
A nurse witnesses a client begin to experience a tonic-
clonic seizure and loss of consciousness. Which action
should the nurse take?
a. Start fluids via a large-bore catheter.
b. Turn the clients head to the side.
c. Administer IV push diazepam.
d. Prepare to intubate the client. - ANSWER-B
Rationale: The nurse should turn the clients head to the
side to prevent aspiration and allow drainage of
secretions. Anticonvulsants are administered on a routine
,2|Page
basis if a seizure is sustained. If the seizure is sustained
(status epilepticus), the client must be intubated and
should be administered oxygen, 0.9% sodium chloride,
and IV push lorazepam or diazepam.
After a stroke, a client has ataxia. What intervention is
most appropriate to include on the clients plan of care?
a. Ambulate only with a gait belt.
b. Encourage double swallowing.
c. Monitor lung sounds after eating.
d. Perform post-void residuals - ANSWER-A
Rationale: Ataxia is a gait disturbance. For the clients
safety, he or she should have assistance and use the gait
,3|Page
belt when ambulating. Ataxia is not related to swallowing,
aspiration, or voiding.
A client in the emergency department is having a stroke
and needs a carotid artery angioplasty with stenting. The
clients mental status is deteriorating. What action by the
nurse is most appropriate?
a. Attempt to find the family to sign a consent.
b. Inform the provider that the procedure cannot occur.
c. Nothing; no consent is needed in an emergency.
d. Sign the consent form for the client. - ANSWER-A
Rationale: The nurse should attempt to find the family to
give consent. If no family is present or can be found, under
the principle of emergency consent, a life-saving
, 4|Page
procedure can be performed without formal consent. The
nurse should not just sign the consent form.
A client has a traumatic brain injury and a positive halo
sign. The client is in the intensive care unit, sedated and
on a ventilator, and is in critical but stable condition. What
collaborative problem takes priority at this time?
a. Inability to communicate
b. Nutritional deficit
c. Risk for acquiring an infection
d. Risk for skin breakdown - ANSWER-C
Rationale: The positive halo sign indicates a leak of
cerebrospinal fluid. This places the client at high risk of
acquiring an infection. Communication and nutrition are
