Exam 1: NU 185 NU185 Latest

Exam 1: NU 185 / NU185 (Latest

Update 2025 / 2026) Medical- Surgical Nursing II | Quiz Questions with Verified Answers | Grade A | 100% Correct - Galen

Question:

The nurse is caring for a client in a coma who has suffered a closed head injury. Which intervention should the nurse implement to prevent increases in intracranial pressure (ICP)?

Answer:

Elevate the head of the bed to 30 degrees

RATIONALE

Head elevation facilitates drainage and assists in lower or prevention of ICP.

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Question:

The nurse is assessing a client following a head injury. Which of the following would nurse correlate as an early sign of increased intracranial pressure

(ICP)?

Answer:

Restlessness and confusion

RATIONALE

Changes in LOC are the earliest signs of ICP.

Question:

The nurse is caring for a client who had a repair of a cerebral aneurysm. The primary healthcare provider (PHCP) has prescribed stool softeners. Which of the following is correct regarding the need for a stool softener?

Answer:

Prevents straining, which increases intracranial pressure (ICP)

RATIONALE

Straining could cause the cerebral aneurysm to rupture. The Valsalva maneuver would be of concern in the patient who had suffered an MI.

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Question:

A client has been receiving levodopa-carbidopa for Parkinson disease. Which of the following would indicate a therapeutic response to the medication therapy?

Answer:

Decreased rigidity and tremor

RATIONALE

This medication is used to control Parkinson's disease. Decreased rigidity and tremors would be an expected response for this medication.

Question:

The nurse is reinforcing teaching to a client who has multiple sclerosis. When teaching the client how to reduce fatigue, the nurse should tell the client to

Answer:

rest in a room set at a comfortable temperature.

RATIONALE

Muscle relaxers and a hot bath will increase the fatigue. Patients should be encouraged to take naps or frequent rest periods to conserve energy.

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Question:

A client has been newly diagnosed with Multiple Sclerosis (MS). Which of the following is correct regarding MS?

Answer:

Development of demyelinization of the myelin sheath, interfering with nerve transmission

RATIONALE

Destruction of the myelin sheath is caused by an autoimmune response.

Question:

A client who has just been burned is brought to the emergency room for treatment. They have sustained burns to the entire back and buttock region as well as the posterior, upper half of both legs. Based on the rule of nines, the nurse determines that what percentage of the body has been burned?

Answer:

27%

RATIONALE

The entire back including buttocks is 18%. The posterior (back), upper half of both legs is 9%. That is a total of 27%.

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