Exam Mode Assessment

1 : A nurse is caring for a client 4 hours following surgical repair of a penetrating brain injury. Which of the following assessments should be the nurse's priority?

Pain level assessment.

Wound site assessment.

Neurological assessment.

Respiratory status assessment.

Hint : Airway first.

Correct Answers:

Respiratory status assessment.

Rationale :

Brain surgery risks respiratory depression (ABCs).

Distractor Analysis :

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2 : A nurse is reviewing the medical record of a client who has been prescribed levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

Feeling fatigued

Decreased thyroxine

Decreased thyroid-stimulating hormone.

Bradycardia and hypotension

Hint : TSH↓ = Working.

Correct Answers:

Decreased thyroid-stimulating hormone.

Rationale :

Levothyroxine replaces T4, reducing TSH via feedback.

Distractor Analysis :

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3 : A nurse is preparing to administer an IV osmotic diuretic to a client with increased intracranial pressure (ICP). Which of the following should the nurse identify as the purpose of the medication?

To lower intracranial pressure by increasing urinary output.

To reduce cerebral blood flow.

To prevent the formation of cerebral edema.

To decrease brain oxygen consumption.

Hint : Diuresis → ↓ICP.

Correct Answers:

To lower intracranial pressure by increasing urinary output.

Rationale :

Osmotic diuretics (e.g., mannitol) reduce ICP by pulling fluid.

Distractor Analysis :

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4 : A nurse is caring for a client that has been diagnosed with external otitis. Which of the following clinical symptoms should the nurse be monitoring?

Edema of the ear canal.

Purulent drainage from the ear canal.

Burning in the ear canal.

Pain when moving the auricle.

External ear tender to touch.

Hint : Infection signs.

Correct Answers:

Edema of the ear canal.
Purulent drainage from the ear canal.
Pain when moving the auricle.
External ear tender to touch.

Rationale :

External otitis causes inflammation/infection signs.

Distractor Analysis :

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RN MedSurg~234 Neurology Exam

No.

1 : A nurse is caring for a client 4 hours following surgical repair of a penetrating brain injury. Which of the following assessments should be the nurse's priority?

2 : A nurse is reviewing the medical record of a client who has been prescribed levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

3 : A nurse is preparing to administer an IV osmotic diuretic to a client with increased intracranial pressure (ICP). Which of the following should the nurse identify as the purpose of the medication?

4 : A nurse is caring for a client that has been diagnosed with external otitis. Which of the following clinical symptoms should the nurse be monitoring?

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