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Critical Care Final Exam Practice Questions And Answers
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Critical Care Final Exam Practice Questions AndAnswers
a,d,e,f ✔️✔️ A client with a primary brain tumor has developed syndrome of
inappropriate secretion of antidiuretic hormone (SIADH). The nurse will
expect to see which clinical findings upon assessment? (Select all that apply).
a. Nausea and vomiting
b. Hyperthermia
c. Bradycardia
d. Increased weight
e. Decreased serum sodium
f. Decreased level of consciousness
a,b ✔️✔️ A nurse is caring for a child with a diagnosis of meningitis. What
clinical findings indicate an increase in intracranial pressure? (Select all that
apply).
a. Irritability
b. Bradycardia
c. Hyperalertness
d. Decreased pulse pressure
e. Decreased systolic blood pressure
a ✔️✔️ What action should the nurse take when caring for a client who has a
possible skull fracture as a result of trauma?
a. Monitor the client for signs of brain injury.
,b. Check for hemorrhaging from the oral and nasal cavities.
c. Elevate the foot of the bed if the client develops symptoms of shock.
d. Observe for clinical indicators of decreased intracranial pressure and
temperature.
a,b,e ✔️✔️ The nurse is caring for a client who was just admitted to the
hospital with the diagnosis of head trauma. Which clinical indicators should
the nurse consider as evidence of increasing intracranial pressure? (Select all
that apply).
a. Vomiting
b. Irritability
c. Hypotension
d. Increased respirations
e. Decreased level of consciousness
a ✔️✔️ The nurse uses the Glasgow Coma Scale to assess a client with a head
injury. Which Glasgow Coma Scale score indicates that the client is in a coma?
a. 6
b. 9
c. 12
d. 15
a ✔️✔️ A client is scheduled for a computed tomography (CT) of the brain
with contrast. When reviewing the client's medical record, what significant
finding should the nurse report to the primary healthcare provider before the
diagnostic procedure?
a. The client takes metformin daily.
,b. The client has not been nothing by mouth (NPO).
c. The client reports an allergy to gadolinium.
d. The client was not prescribed a bowel prep.
d ✔️✔️ After a head injury, a client develops a deficiency of antidiuretic
hormone (ADH). What should the nurse consider before assessing the patient
about the response to secretion of ADH?
a. Serum osmolarity increases
b. Urine concentration decreases
c. Glomerular filtration decreases
d. Tubular reabsorption of water increases
a,d,e ✔️✔️ What interventions should the nurse implement in caring for a
client with diabetes insipidus (DI) following a head injury? (Select all that
apply).
a. Providing adequate fluids within easy reach
b. Reporting an increasing urine specific gravity
c. Administering prescribed erythromycin
d. Assessing for and reporting changes in neurological status
e. Monitoring for constipation, weight loss, hypotension, and tachycardia
c ✔️✔️ A client is admitted with a head injury. The nurse identifies that the
client's urinary catheter is draining large amounts of clear, colorless urine.
What does the nurse identify as the most likely cause?
a. Increased serum glucose
, b. Deficient renal perfusion
c. Inadequate antidiuretic hormone (ADH) secretion
d. Excess amounts of intravenous (IV) fluid
c ✔️✔️ After surgical clipping of a ruptured cerebral aneurysm, a client
develops the syndrome of inappropriate secretion of antidiuretic hormone
(SIADH). What manifestations are exhibited with excessive levels of
antidiuretic hormone?
a. Increased blood urea nitrogen (BUN) and hypotension
b. Hyperkalemia and poor skin turgor
c. Hyponatremia and decreased urine output
d. Polyuria and increased specific gravity of urine
c ✔️✔️ A construction worker fell off the roof of a two-story building and was
taken to the hospital in an unconscious state. During the initial assessment,
what clinical finding should the nurse report immediately?
a. Reactive pupils
b. Depressed fontanel
c. Bleeding from the ears
d. Increased body temperature
d ✔️✔️ After an automobile collision, a client who sustained multiple injuries
is oriented to person and place but is confused to time. The client complains of
a headache and drowsiness, but assessment reveals that the pupils are equal
and reactive. Which nursing action takes priority?
a. Moving the client as little as possible
b. Preparing the client for mannitol administration
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