NUR 2790 PN3 EXAM 1.ACTUAL EXAM WITH REAL

NUR 2790 PN3 EXAM 1.ACTUAL EXAM WITH REAL

QUESTIONS AND CORRECT DETAILED

ANSWERS.100% VERIFIED /A+ GRADE: -

RASMUSSEN COLLEGE

Neuro

• For the client who is at risk for stroke, the most important guideline the

nurse should teach is to:

• monitor weight and activity.
• increase drinks with caffeine.
• increase amounts of sodium in the diet.
• monitor blood pressure.

• A client is being evaluated for a stroke. The nurse knows that one

of the easiest and most common diagnostic tests used to

differentiate between strokes is:

• magnetic resonance imaging (MRI).
• positron emission tomography (PET).
• electrocardiography (EEG).
• computed tomography (CT).

• While instructing a client on stroke prevention, the nurse mentions

medications that are useful in stroke prevention. The following

medications are effective in preventing a stroke, EXCEPT:

• anticholinergics.
• antiplatelets.
• anticoagulants.
• neuroprotective agents.

• A client is being seen in the emergency department experiencing

symptoms of a stroke. The nurse realizes that the administration of a medication to break clots, such as tPA, should be administered within how many minutes of the client presenting to the emergency department?

• 120 minutes
• 90 minutes
• 30 minutes
• 60 minutes

• What is the major cause of traumatic brain injuries? MVC 1 / 3

• A client is diagnosed with a mild brain injury. Which of the

following is an example of a mild injury?

• A. Vegetative state
• Coma
• Locked-in syndrome
• Concussion

• The nurse is planning care for a client diagnosed with increased

intracranial pressure after a head injury. Which of the following interventions can be used to reduce increased intracranial pressure?

• Perform range-of-motion exercises every hour.
• Keep the head of the bed in the flat position.
• Administer antibiotics as prescribed.
• Administer corticosteroids and osmotic diuretics as

prescribed.

• The nurse, caring for a client recovering from a traumatic brain injury,

knows the client and the family are eligible for specific federal

programs because of the:

• Associated Brain Act.
• Traumatic Brain Injury Act of 2008.
• Brain Protection Act.
• Health Brain Act.

• Which of the following should be avoided when caring for a client

diagnosed with increased intracranial pressure?

• Placing the client on bed rest
• Placing the bed in Trendelenburg
• Starting an intravenous access line
• Administering oxygen

• A client is being instructed on treatments available for a newly diagnosed

brain tumor. The nurse realizes that this client's treatment could include

all of the following EXCEPT:

• photo DNA therapy.
• radiation.
• surgery.
• chemotherapy.

• A client diagnosed with an embolic stroke is not a candidate for tPA. The

nurse realizes that the client might be eligible for which of the following forms of treatment? 2 / 3

• Intravenous fluid therapy
• Carotid endarterectomy
• Carotid stenting
• Antiarrhythmic medication

• The nurse is caring for a patient with increased intracranial pressure.

Which action is considered unsafe?

• Clustering many nursing activities
• Aligning the neck with the body
• Elevating the head of the bed 30 degrees
• Providing stool softeners or laxatives as ordered

• The earliest and most sensitive assessment finding that would indicate an

alteration in intracranial regulation would be?

A, inability to focus visually

• loss of primitive reflexes.

• unequal pupil size.
• change in level of consciousness.

• Components of the GCS the nurse would use to assess a patient after a head

injury include:

• head circumference.

• verbal responsiveness.

• cranial nerve function.

Liver

• Blood pressure
• / 3