NUR 257 EXAM 3 FINAL EXAM NEWEST 2024-2025

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NUR 257 EXAM 3 FINAL EXAM NEWEST 2024-2025

ACTUAL EXAM COMPLETE 170 QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+

The neurologic ICU nurse is admitting a patient following a craniotomy using the supratentorial approach. How should the nurse best position the patient?

• Position the patient supine.
• Maintain head of bed (HOB) elevated at 30 to 45 degrees.
• Position patient in prone position.
• Maintain bed in Trendelenberg position. - ANSWER- B

A clinic nurse is caring for a patient diagnosed with migraine headaches.During the patient teaching session, the patient questions the nurse regarding alcohol consumption. What would the nurse be correct in telling the patient about the effects of alcohol?

• Alcohol causes hormone fluctuations.
• Alcohol causes vasodilation of the blood vessels.
• Alcohol has an excitatory effect on the CNS.
• Alcohol diminishes endorphins in the brain. - ANSWER- B 1 / 4

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A patient has developed diabetes insipidus after having increased ICP following head trauma. What nursing assessment best addresses this complication?

• Vigilant monitoring of fluid balance
• Continuous BP monitoring
• Serial arterial blood gases (ABGs)
• Monitoring of the patient's airway for patency - ANSWER- A

What should the nurse suspect when hourly assessment of urine output on a patient postcraniotomy exhibits a urine output from a catheter of 1,500 mL for two consecutive hours?

• Cushing syndrome
• Syndrome of inappropriate antidiuretic hormone (SIADH)
• Adrenal crisis
• Diabetes insipidus - ANSWER- D

During the examination of an unconscious patient, the nurse observes that the patient's pupils are fixed and dilated. What is the most plausible clinical significance of the nurse's finding?

• It suggests onset of metabolic problems.
• It indicates paralysis on the right side of the body. 2 / 4

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• It indicates paralysis of cranial nerve X.
• It indicates an injury at the midbrain level. - ANSWER- D

Following a traumatic brain injury, a patient has been in a coma for several days. Which of the following statements is true of this patient's current LOC?

• The patient occasionally makes incomprehensible sounds.
• The patient's current LOC will likely become a permanent state.
• The patient may occasionally make nonpurposeful movements.
• The patient is incapable of spontaneous respirations - ANSWER- C

The nurse is caring for a patient with permanent neurologic impairments resulting from a traumatic head injury. When working with this patient and family, what mutual goal should be prioritized?

• Achieve as high a level of function as possible.
• Enhance the quantity of the patient's life.
• Teach the family proper care of the patient.
• Provide community assistance. - ANSWER- A

The nurse is providing care for a patient who is withdrawing from heavy alcohol use. The nurse and other members of the care team are present at the bedside when the patient has a seizure. In preparation for 3 / 4

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documenting this clinical event, the nurse should note which of the following?

• The ability of the patient to follow instructions during the seizure.
• The success or failure of the care team to physically restrain the

patient.

• The patient's ability to explain his seizure during the postictal period.
• The patient's activities immediately prior to the seizure. - ANSWER-

D

The nurse is caring for a patient whose recent health history includes an altered LOC. What should be the nurse's first action when assessing this patient?

• Assessing the patient's verbal response
• Assessing the patient's ability to follow complex commands
• Assessing the patient's judgment
• Assessing the patient's response to pain - ANSWER- A

The nurse caring for a patient in a persistent vegetative state is regularly assessing for potential complications. Complications of neurologic dysfunction for which the nurse should assess include which of the following? Select all that apply.

• Contractures
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