A nurse assesses an alert adolescent who sustained a recent... | W6 NR302 Exam 2

Practice Question

A nurse assesses an alert adolescent who sustained a recent sports related head injury. The client reports feeling nauseated with head pain 8/10. Which additional finding(s) require Immediate intervention?

Answer Choices:

A. The client states, "My brain feels foggy."

B. The client reports feeling lightheaded.

C. The client experiences confusion and slurred speech. ✓ Correct Answer

D. The client protects their eyes from the room lighting.

Correct Answer:

The client experiences confusion and slurred speech.

Rationale:

⁕ Confusion and slurred speech following a head injury indicate possible increased intracranial pressure (ICP) or cerebral hemorrhage, both of which are medical emergencies.

⁕ These symptoms show that the brain is not receiving adequate perfusion or that there is neurological deterioration from swelling or bleeding.

⁕ Immediate intervention, including notifying the provider and preparing for possible neuroimaging, is crucial to prevent permanent brain injury or death.

⁕ Other symptoms such as “brain fog” or lightheadedness can occur with mild concussion, but changes in speech or level of consciousness require urgent assessment and stabilization.

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W6 NR302 Exam 2

55 Questions

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Question Details

Category: RN - Nursing Exam(s)
Subcategory: Examplify/Examsoft Exams
Domain: MED-SURG - EXAMSOFT
Answer Choices: 4

NursingSprint

Practice Question

A nurse assesses an alert adolescent who sustained a recent sports related head injury. The client reports feeling nauseated with head pain 8/10. Which additional finding(s) require Immediate intervention?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Practice Questions

The nurse is assessing the skin of a client with suspected varicella (chickenpox). The lesions appear like blisters, are elevated up to 1 cm, and contain free fluid. Which type of primary skin lesion should the nurse document to describe these findings?

A client asks the nurse to explain the benefits of weight management. How should the nurse respond?

The nurse assesses a client and finds that the client's skin is yellowish-brown. Which additional structure should the nurse check to confirm the presence of jaundice?

The nurse is caring for a group of clients. Which client should the nurse assess first?

The nurse plans to teach a group of clients on the recommended practices for monitoring and maintaining skin health. What should the nurse include in the teaching? Select all that apply.

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W6 NR302 Exam 2

Question Details

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Practice Question

A nurse assesses an alert adolescent who sustained a recent sports related head injury. The client reports feeling nauseated with head pain 8/10. Which additional finding(s) require Immediate intervention?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Practice Questions

The nurse is assessing the skin of a client with suspected varicella (chickenpox). The lesions appear like blisters, are elevated up to 1 cm, and contain free fluid. Which type of primary skin lesion should the nurse document to describe these findings?

A client asks the nurse to explain the benefits of weight management. How should the nurse respond?

The nurse assesses a client and finds that the client's skin is yellowish-brown. Which additional structure should the nurse check to confirm the presence of jaundice?

The nurse is caring for a group of clients. Which client should the nurse assess first?

The nurse plans to teach a group of clients on the recommended practices for monitoring and maintaining skin health. What should the nurse include in the teaching? Select all that apply.

From Exam

W6 NR302 Exam 2

Question Details

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