NURS 495 EXAM IV :NEURO –NCLEX q s|2024-2025 COMPLETE
EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS )
GUARANTEED PASS.
Which of the following conditions indicates that spinal shock is
resolving in a client with C7 quadriplegia?
1. Urinary continence
2. Spontaneous respirations
3. Absence of pain sensation in chest
4. Spasticity - ANSWER -4
The nurse is evaluating neurological signs of the male client in spinal
shock following spinal cord injury. Which of the following
observations by the nurse indicates that spinal shock persists?
1. Inability to elicit a Babinski's reflex
2. Positive reflexes
3. Hyperreflexia
4. Reflex emptying of the bladder - ANSWER -1
A client with head trauma develops a urine output of 300 ml/hr, dry
skin, and dry mucous membranes. Which of the following nursing
interventions is the most appropriate to perform initially?
1. Anticipate treatment for renal failure
2. Slow down the IV fluids and notify the physician
3. Evaluate urine specific gravity
, 4. Provide emollients to the skin to prevent breakdown - ANSWER -3
The client with a head injury has been urinating copious amounts
of dilute urine through the Foley catheter. The client's urine output
for the previous shift was 3000 ml. The nurse implements a new
physician order to administer:
1. Dexamethasone (Decadron)
2. Mannitol (Osmitrol)
3. Desmopressin (DDAVP, stimate)
4. Ethacrynic acid (Edecrin) - ANSWER -3
The nurse is discussing the purpose of an electroencephalogram
(EEG) with the family of a client with massive cerebral hemorrhage
and loss of consciousness. It would be most accurate for the nurse to
tell family members that the test measures which of the following
conditions?
1. Extent of intracranial bleeding
2. Activity of the brain
3. Percent of functional brain tissue 4. Sites of brain injury - ANSWER
-2
A client comes into the ER after hitting his head in an MVA. He's alert
and oriented. Which of the following nursing interventions should be
done first?
1. Assess full ROM to determine extent of injuries
2. Immobilize the client's head and neck
3. Call for an immediate chest x-ray
4. Open the airway with the head-tilt chin-lift maneuver - ANSWER -2
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