NURSING 211 Test Upload Final Exam Questions and Answers- Bryant and Stratton College
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Course
NURSING 211
Institution
NURSING 211
NURSING 211 Test Upload Final Exam Questions and Answers- Bryant and Stratton College/NURSING 211 Test Upload Final Exam Questions and Answers- Bryant and Stratton College/NURSING 211 Test Upload Final Exam Questions and Answers- Bryant and Stratton College/NURSING 211 Test Upload Final Exam Questi...
nursing 211 test upload final exam questions and answers bryant and stratton collegenursing 211 test upload final exam questions and answers bryant and stratton collegenursing 211 test upload fina
resident in a long-term care facility fell during the previous shift and has a laceration in the occipital area that has been closed with steri-strips. Which signs/symptoms warrant transferring the resident to the ED
Selected Answer:
B. A weak pulse, shallow respiration's, and cool pale skin
Answers:A. A 4 cm area of bright red drainage on the dressing
B. A weak pulse, shallow respiration's, and cool pale skin
C. Pupils that are equal, react to light, and accommodate
D. Complains of a headache that resolves with medication
Question 2
1 out of 1 points
The nurse is caring for several patients. Which patient would the nurse assess first after receiving the shift report
Selected Answer:
C. The 45 y/o patient admitted with blunt trauma to the head after a motorcycle accident who has a Glasgow Coma Scale of 6
Answers:A. The 22 y/o male patient diagnosed with a concussion who is complaining
someone woke him up every 2 hours
B. The 36 y/o female patient admitted with c/o left sided weakness and is scheduled for an MRI
C. The 45 y/o patient admitted with blunt trauma to the head after a motorcycle accident who has a Glasgow Coma Scale of 6
D. The 62 y/o patient diagnosed with a CVA who has expressive aphasia
Question 3
1 out of 1 points
The patient is admitted to the medical floor with a diagnosis of closed head injury. Which
nursing intervention has priority Selected Answer:
D. Maintain an adequate airway
Answers:A. Assess neurological status
B. Monitor vital signs
C. Initiate IV access
D. Maintain an adequate airway
Question 4
0 out of 1 points
The nurse is caring for a patient diagnosed with an epidural hematoma. Which nursing interventions should the nurse implement (select all tha apply)
Selected Answers:
A. Maintain the head of the bed at 60 degrees of
elevation
B. Administer stool softners
C. Ensure the pulse oximeter reading is higher than 93%
Answers:A. Maintain the head of the bed at 60 degrees of
elevation
B. Administer stool softners
C. Ensure the pulse oximeter reading is higher than 93%
D. Perform deep nasal suction every 2 hours
E. Administer mild sedatives
Question 5
1 out of 1 points
The patient with a closed head injury has clear fluid drainage from the nose. Which action should the nurse implement first?
Selected Answer:
C. T est the drainage for the presence of glucose
Answers:A. Notify the provider
B. Prepare to administer an antihistamine
C. T est the drainage for the presence of glucose
D. Place a 2x2 gauze under the nose to collect the drainage
Question 6
0 out of 1 points
The 28 y/o patient is on the rehab unit post spinal cord injury at T10. Which collaborative team members should participate with the nurse at the case conference (select all that apply )
Selected Answers:
A. Occupational Therapist
B. Physical Therapist
D. Rehabilitation physician
F . Patient care tech
Answers:
A. Occupational Therapist
B. Physical Therapist
C. Registered Dietician
D. Rehabilitation physician
E. Social worker
F . Patient care tech
Question 7
0 out of 1 points
The patient is prescribed a loading does of phenytoin 15 mg/kg IV for seizure activity, then 100 mg IV tid. The patient weighs 198 lb. How many milligrams should the nurse administer for the loading dose (record your answer as a whole number)
Selected Answer: 10
5
Correct Answer:
Evaluation Method Correct Answer
Exact Match 1350
Question 8
1 out of 1 points
The nurse is administering mannitol IV to decrease the patient's ICP following a craniotomy. Which lab test result should the nurse monitor
Selected Answer:
A. Serum osmolarity
Answers:
A. Serum osmolarity
B. White blood cell count
C. Serum cholesterol
D. ESR
Question 9
1 out of 1 points
The nurse is assessing the patient after sustaining a closed head injury. When applying nailbed pressure the patient's body stiffens, the eyes roll upward, and there is increased salivation and a loss of swallowing reflex. Which observation should the nurse document
Selected Answer:
D. T onic seizure activity
Answers:A. Decerebrate posturing
B. Decorticate posturing
C.
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