A 16-year-old patient sustained a head injury while playing soccer. When performing a neurologic check, the nurse looks at each pupil to determine

the state of consciousness.

if the shape is regular.

whether one pupil is larger than the other.

if they have become smaller.

Answer and Explanation

The Correct Answer is C

A.   While pupil response can be an indicator of consciousness, the primary concern when assessing pupils is to check for signs of increased intracranial pressure, such as unequal pupil size.
B.   The shape of the pupil is important to assess, but the concern here is typically more about the size and response to light, which can indicate a neurological issue.
C.   Unequal pupil sizes (anisocoria) can indicate neurological problems, such as increased intracranial pressure or brain injury, and requires further evaluation.
D.   Pupil size changes could indicate a variety of issues, but the focus should be on detecting unequal pupils, which can be a critical sign in head injury patients.

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Correct Answer is B

Explanation

A. A blood pressure of 124/84 mm Hg is slightly elevated and falls into the "elevated blood pressure" category.
B. Elevated blood pressure (120-129 systolic and less than 80 diastolic) is considered a risk factor for developing hypertension.
C. Hypertension stage 1 begins at 130/80 mm Hg, not at 124/84 mm Hg.
D. Hypertension stage 2 requires a reading of 140/90 mm Hg or higher.

A. lordosis B. osteoporosis C. kyphosis D. Scoliosis

Correct Answer is A

Explanation

A. Lordosis, or an exaggerated inward curve of the lumbar spine, is commonly seen in conditions such as obesity, pregnancy, or spinal abnormalities.
B. Osteoporosis typically leads to a more generalized loss of bone density, not a specific curvature.
C. Kyphosis involves an exaggerated outward curve of the upper back, not the lumbar spine.
D. Scoliosis is characterized by a lateral curvature of the spine, not an exaggerated lumbar curve.

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A 16-year-old patient sustained a head injury while playing soccer. When performing a neurologic check, the nurse looks at each pupil to determine

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/84 mm Hg places him in which of the following categories?

Correct Answer is B

Explanation

The nurse notes that a patient has an exaggerated lumbar curve. This is indicative of

Correct Answer is A

Explanation

If dehydration occurs, the blood pressure will

A patient is receiving an opiate-based medication to help mange pain. Which assessment has the highest priority when monitoring his condition?

The nurse would refrain from applying a blood pressure cuff on the affected arm of a patient who has a(n): (Select all that apply)

When performing an initial assessment on a patient, which piece of information is of highest priority?

A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?

The nurse anticipates that if the stroke volume of a patient is reduced, the pulse will be:

A patient who is terminally ill is described during shift report as having Cheyne-Stokes breathing. On assessment, the nurse anticipates finding:

The nurse documents vital signs on a newly admitted patient as: "blood pressure is 170/90 mm Hg, the pulse is 80 beats/min, and the respirations are 16 breaths/min." The nurse would record the pulse pressure as: