ICR Final Exam Practice Questions and Answers NUR 336
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NUR 336 ICR
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NUR 336 ICR
ICR Final Exam Practice Questions and Answers NUR 336
ICR Final Exam Practice Questions and Answers NUR 336
ICR Final Exam Practice Questions and Answers NUR 336
ICR Final Exam Practice Questions and Answers NUR 336
ICR Final Exam Practice Questions and Answers NUR 336
ICR Final Exam...
NUR 336: ICR Final Exam Practice
Questions and Answers.
NUR 336: ICR Final Exam Practice
Questions and Answers.
The nurse is caring for a patient with increased intracranial pressure. Which action is
considered unsafe?
a. Aligning the neck with the body
b. Clustering many nursing activities
c. Elevating the head of the bed 30 degrees
d. Providing stool softeners or laxatives as ordered - CORRECT ANSWER B. Clustering
many nursing activities
The earliest and most sensitive assessment finding that would indicate an alteration in
intracranial regulation would be
a. change in level of consciousness.
b. inability to focus visually.
c. loss of primitive reflexes.
d. unequal pupil size. - CORRECT ANSWER A. Change in level of consciousness
When caring for the patient after a head injury, the nurse would be most concerned with
assessment findings which included respiratory changes,
a. hypertension, and bradycardia.
b. hypertension, and tachycardia.
c. hypotension, and bradycardia.
d. hypotension, and tachycardia. - CORRECT ANSWER A. Hypertension and
bradycardia
Components of the GCS the nurse would use to assess a patient after a head injury
include
a. blood pressure.
b. cranial nerve function.
c. head circumference.
d. verbal responsiveness. - CORRECT ANSWER D. Verbal responsiveness
Primary prevention strategies to reduce the occurrence of head injuries would include
a. blood pressure control.
b. smoking cessation.
c. maintaining a healthy weight.
d. violence prevention. - CORRECT ANSWER D. Violence prevention
The nurse preparing to care for a patient after a suspected stroke would question an
order for a(n)
a. antihypertensive.
,NUR 336: ICR Final Exam Practice
Questions and Answers.
b. antipyretic.
c. osmotic diuretic.
d. sedative. - CORRECT ANSWER A. Antihypertensive
After shunt procedure, the nurse would monitor the patients neurologic status by using
the
a. electroencephalogram.
b. GCS.
c. National Institutes of Health Stroke Scale.
d. Monro-Kellie doctrine. - CORRECT ANSWER B. GCS
A nurse prepares to teach a client who has experienced damage to the left temporal
lobe of the brain. Which action should the nurse take when providing education about
newly prescribed medications to this client?
a. Help the client identify each medication by its color.
b. Provide written materials with large print size.
c. Sit on the clients right side and speak into the right ear.
d. Allow the client to use a white board to ask questions. - CORRECT ANSWER C. Sit
on the clients right side and speak into the right ear
A nurse plans care for a client who has a hypoactive response to a test of deep tendon
reflexes. Which intervention should the nurse include in this clients plan of care?
a. Check bath water temperature with a thermometer.
b. Provide the client with assistance when ambulating.
c. Place elastic support hose on the clients legs.
d. Assess the clients feet for wounds each shift. - CORRECT ANSWER B. Provide the
client with assistance when ambulating
A nurse teaches an 80-year-old client with diminished touch sensation. Which statement
should the nurse include in this clients teaching?
a. Place soft rugs in your bathroom to decrease pain in your feet.
b. Bathe in warm water to increase your circulation.
c. Look at the placement of your feet when walking.
d. Walk barefoot to decrease pressure ulcers from your shoes. - CORRECT ANSWER
C. Look at the placement of your feet when walking
A nurse assesses a client's recent memory. Which client statement confirms that the
clients remote memory is intact?
a. A young girl wrapped in a shroud fell asleep on a bed of clouds.
b. I was born on April 3, 1967, in Johnstown Community Hospital.
c. Apple, chair, and pencil are the words you just stated.
d. I ate oatmeal with wheat toast and orange juice for breakfast. - CORRECT ANSWER
D. I ate oatmeal with wheat toast and orange juice for breakfast
, NUR 336: ICR Final Exam Practice
Questions and Answers.
A nurse assesses a client who demonstrates a positive Rombergs sign with eyes closed
but not with eyes open. Which condition does the nurse associate with this finding?
a. Difficulty with proprioception
b. Peripheral motor disorder
c. Impaired cerebellar function
d. Positive pronator drift - CORRECT ANSWER A. Difficulty with proprioception
A nurse asks a client to take deep breaths during an electroencephalography. The client
asks, Why are you asking me to do this? How should the nurse respond?
a. Hyperventilation causes vascular dilation of cerebral arteries, which decreases
electoral activity in the brain.
b. Deep breathing helps you to relax and allows the electroencephalograph to obtain a
better waveform.
c. Hyperventilation causes cerebral vasoconstriction and increases the likelihood of
seizure activity.
d. Deep breathing will help you to blow off carbon dioxide and decreases intracranial
pressures. - CORRECT ANSWER C. Hyperventilation causes cerebral vasoconstriction
and increases the likelihood of seizure activity
A nurse assesses a client recovering from a cerebral angiography via the clients right
femoral artery. Which assessment should the nurse complete?
a. Palpate bilateral lower extremity pulses.
b. Obtain orthostatic blood pressure readings.
c. Perform a funduscopic examination.
d. Assess the gag reflex prior to eating. - CORRECT ANSWER A. Palpate bilateral
lower extremity pulses
A nurse obtains a focused health history for a client who is scheduled for magnetic
resonance angiography. Which priority question should the nurse ask before the test?
a. Have you had a recent blood transfusion?
b. Do you have allergies to iodine or shellfish?
c. Are you taking any cardiac medications?
d. Do you currently use oral contraceptives? - CORRECT ANSWER B. Do you have
allergies to iodine or shellfish?
A nurse is caring for a client with a history of renal insufficiency who is scheduled for a
computed tomography scan of the head with contrast medium. Which priority
intervention should the nurse implement?
a. Educate the client about strict bedrest after the procedure.
b. Place an indwelling urinary catheter to closely monitor output.
c. Obtain a prescription for intravenous fluids.
d. Contact the provider to cancel the procedure. - CORRECT ANSWER C. Obtain a
prescription for intravenous fluids
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