Week 15 NCLEX Practice Questions

Week 15 NCLEX Practice Questions 5.0 (5 reviews) Students also studied Terms in this set (10) Nightingale College BSN 395 Save Facts on Aging Quiz 50 terms chrismason0513 Preview NCLEX-RN Practice Questions For 2...Teacher 33 terms TutorDkPreview 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview Week 1 14 terms Ash A patient has suffered a traumatic brain injury (TBI). Less than 48 hours later, the patient is on ventilatory support with continuous intracranial pressure and hemodynamic monitoring. Which Glasgow Coma Scale (GCS) score correlates with this patient's condition?7 9 11 13 7 In a patient with a head trauma, Battle sign is indicative of which type of injury?Concussion Contusion Skull fracture Cerebral hematoma Skull fracture

A patient is admitted for a transient ischemic attack with left-sided weakness. During the admission assessment, the patient states he is also experiencing absentmindedness, vomiting, and intermittent photophobia. The patient is on warfarin (Coumadin) therapy. The patient cannot recall any significant injury involving a blow to his head. Based on this information, what is the most likely cause of his symptoms?Chronic subdural hematoma Subacute subdural hematoma Acute subdural hematoma Epidural hematoma Chronic subdural hematoma A patient is admitted for a spinal cord injury (SCI) after a 10-foot fall from a rooftop where he landed on his buttocks. What type of injury would the nurse expect to see with this SCI?Rotation Hyperextension Hyperflexion Axial loading Axial loading A patient with blunt trauma to the upper abdomen has a positive Kehr sign. This finding is indicative of which problem?Ruptured diaphram Ruptured bladder Ruptured spleen Ruptured kidney Ruptured spleen What is a priority nursing diagnosis for the patient in shock regardless of the phase or type?Ineffective breathing pattern

Imbalanced nutrition: less than body requirements

Deficient fluid volume Ineffective tissue perfusion Ineffective tissue perfusion A postoperative patient has a heart rate of 110 beats/min and blood pressure (BP) of 110/80 mm Hg (previously 130/60 mm Hg). Urine output has been 20 mL/h for the past 3 hours, capillary filling time is 5 seconds, the skin is cool, the neck veins are flattened, and the patient is complaining of thirst. The nurse suspects the may be experiencing which disorder?Anaphylaxis Cardiac tamponade Hypovolemic shock Cardiogenic shock Hypovolemic shock

The nurse notes that the patient's arterial blood gases reflect hypoxia, respiratory alkalosis, scattered crackles, and distended jugular veins. Heart tones are distant, but an S3 and S4 are noted despite scant amounts of concentrated urine output. The nurse anticipates the administration of which therapy?Amiodarone Isotonic saline Furosemide Sodium bicarbonate Furosemide The nurse is developing a care plan for the patient in cardiogenic shock. What is the goal for therapy?Increasing preload Increasing myocardial workload Increasing systemic vascular resistance (SVR) Decreasing afterload Decreasing afterload A nurse is working on a spinal cord injury unit and has just finished shift report. Which patient should be seen first?18-year-old woman whose dose of low-molecular-weight heparin is due 24-year-old man who has not had a bowel movement since yesterday 28-year-old woman who is complaining of being cold 32-year-old man whose blood pressure is 84/40 mm Hg and heart rate is 60 beats/min 32-year-old man whose blood pressure is 84/40 mm Hg and heart rate is 60 beats/min