ANP-650 MIDTERM and guide EXAM 2024-2025 QUESTIONS AND
CORRECT VERIFIED ANSWERS /100% PASS SOLUTION / ALREADY
GRADED A+
1.A child is diagnosed with severe allergic rhinitis. Which of the following manifestations would
the nurse most likely assess in this client?
1. Edematous neck glands
2. Reduced hearing
3. Pruritis
4. Frequent wiping of the nose with the palm of the hand - ANSWER--ANS: 4
Frequent wiping of the nose with the palm of the hand is one symptom seen in the client
diagnosed with severe allergic rhinitis. Edematous neck glands, reduced hearing, and pruritis
are not manifestations of severe allergic rhinitis.
1.For the client who is at risk for stroke, the most important guideline the nurse should teach is
to:
1. increase drinks with caffeine.
2. monitor blood pressure.
3. increase amounts of sodium in the diet.
4. monitor weight and activity. - ANSWER--ANS: 2
Monitoring weight and activity is important, but the highest priority is monitoring the blood
pressure. This is a modifiable risk factor that, when controlled, will decrease the risk of stroke.
2.The family of a client diagnosed with a stroke asks the nurse if this health problem is very
common. The nurse should respond that in the United States a person has a stroke every:
1. 40 seconds.
2. 1 minutes.
3. 2 minutes.
4. 5 minutes. - ANSWER--ANS: 1
In the United States, a person has a stroke every 40 seconds, and 700,000 new or recurrent
strokes each year. Strokes are the third leading cause of death in the United States behind
heart disease and cancer and are the leading cause of long-term disability.
,3.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:
1. computed tomography (CT).
2. magnetic resonance imaging (MRI).
3. electrocardiography (EEG).
4. positron emission tomography (PET). - ANSWER--ANS: 1
The CT scan is widely available in most hospitals and is an important tool to differentiate
between ischemic strokes and hemorrhagic stroke. It is the most common tool used to
diagnose a stroke. An MRI is contraindicated in clients with metal implants or pacemakers,
and it can exacerbate claustrophobia. An EEG will determine the presence of brain waves, and
it is not a diagnostic test for a stroke. A PET scan determines brain tissue functioning but, it
will not be able to differentiate between the types of strokes.
4.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:
1. anticoagulants.
2. antiplatelets.
3. anticholinergics.
4. neuroprotective agents. - ANSWER--ANS: 3
Although anticholinergic drugs have a variety of uses, stroke prevention is not one of them.
All the other medications are used in a variety of ways to help with stroke prevention.
5.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?
1. 30 minutes
2. 60 minutes
3. 90 minutes
4. 120 minutes - ANSWER--ANS: 2
,Medications like tPA should be given within 60 minutes of the clients arrival to the emergency
department. This is why health care teams must have a plan to deal with stroke clients
quickly and efficiently.
6.The nurse, caring for a client with a traumatic brain injury, realizes that the major cause of
these types of injuries is:
1. guns.
2. sports.
3. falls.
4. motor vehicle crashes. - ANSWER--ANS: 4
Although all are major causes of traumatic brain injury, motor vehicle crashes account for 20%
of all traumatic brain injuries. Reasons for motor vehicle accidents causing the most traumatic
brain injuries include not wearing seat belts and driving while intoxicated.
7.A client is diagnosed with a mild brain injury. Which of the following is an example of a mild
injury?
1. Coma
2. Locked-in syndrome
3. Vegetative state
4. Concussion - ANSWER--ANS: 4
A concussion is a mild form of brain trauma, and it accounts for 75% of all brain injuries. A
moderate brain injury would result in the loss of consciousness ranging from a few minutes to
hours and days or weeks of confusion. Coma, locked-in syndrome, and a vegetative state are all
examples of severe brain injury.
8.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:
1. Health Brain Act.
2. Associated Brain Act.
3. Traumatic Brain Injury Act of 2008.
, 4. Brain Protection Act. - ANSWER--ANS: 3
The Traumatic Brain Injury Act of 2008 is legislation that provides a framework for prevention
of, education about, and research on traumatic brain injuries. The act also supports community
living for
people who have sustained a traumatic brain injury and their families. The other choices are
not programs to assist clients who have sustained a traumatic brain injury or their families.
9.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?
1. Administer antibiotics as prescribed.
2. Keep the head of the bed in the flat position.
3. Administer corticosteroids and osmotic diuretics as prescribed.
4. Perform range-of-motion exercises every hour. - ANSWER--ANS: 3
The administration of corticosteroids will decrease the swelling of the brain, and osmotic
diuretics will decrease the fluid that is building up. This intervention will decrease the
intracranial pressure.
Antibiotics do not reduce intracranial pressure. Keeping the head of the bed in the flat position
can increase intracranial pressure and not decrease it. Performing range-ofmotion exercises
every hour will not reduce intracranial pressure.
10.Which of the following should be avoided when caring for a client diagnosed with increased
intracranial pressure?
1. Starting an intravenous access line
2. Administering oxygen
3. Placing the bed in Trendelenburg
4. Placing the client on bed rest - ANSWER--ANS: 3
Intravenous access and supplemental oxygen are common interventions in the treatment of
increased intracranial pressure. Placing the client on bed rest is a proper safety measure.
Placing the bed in Trendelenburg position will increase blood flow to the brain and increase ICP.
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