Prometric HAAD/DHA/MOH MOCK TEST - 1
1.
A patient with a head injury presents with altered consciousness and a Glasgow Coma Scale (GCS) score of 10. What is the priority nursing intervention?
2.
A patient develops increased ICP after a traumatic brain injury. Which position should the nurse place the patient to help reduce ICP?
3.
A nurse is caring for a patient who has undergone a craniotomy. Which assessment finding would be of greatest concern?
4.
An 18-year-old client is admitted with a closed head injury sustained in a MVA. His intracranial pressure (ICP) shows an upward trend. Which intervention should the nurse perform first?
5.
A nurse is caring for a patient with a diagnosis of increased ICP following a traumatic brain injury. The patient exhibits changes in consciousness, a widening pulse pressure, and periodic periods of hyperventilation. Which nursing intervention is the most appropriate to implement at this time?
6.
A nurse is educating the family of a patient with increased ICP about signs to monitor for at home after discharge. Which statement by a family member indicates a need for further education?
7.
During the care of a patient with increased ICP, the nurse notes a sudden increase in blood pressure, a decrease in heart rate, and irregular respirations. Which condition does this suggest?
8.
A 40-year-old male patient is admitted to the Intensive Care Unit following a craniotomy for the removal of a brain tumor. Upon assessment, the nurse finds the patient difficult to arouse, with pinpoint, non-reactive pupils. The vital signs are as follows: blood pressure 120/60 mmHg, heart rate 50 bpm, respiratory rate 10/min, and temperature 37.5°C. What medication should the nurse prepare to administer?
9.
A 55-year-old female patient is admitted to the ICU after a craniotomy. The patient is lethargic, with a respiratory rate of 8/min and pinpoint pupils. The nurse suspects an overdose of which substance?
10.
A 22-year-old male patient with a C6 spinal cord injury is admitted to the rehabilitation unit. He is experiencing tetraplegia and requires assistance with most activities of daily living. What is the most important nursing intervention to promote independence?
11.
A patient with a T-6 spinal cord injury reports a severe headache and shows signs of sweating above the level of injury. His blood pressure is recorded at 160/110 mmHg. What is the most appropriate action for the nurse to take next?
12.
A patient with a spinal cord injury at the C4 level is experiencing respiratory distress. What is the nurse's priority intervention?
13.
Which position is best for a patient with a spinal cord injury who is experiencing symptoms of autonomic dysreflexia?
14.
During a neurological assessment of a patient with a spinal cord injury, the nurse notes flaccid paralysis of the legs. What is the most likely level of injury?
15.
What is the most critical initial step in the management of a suspected spinal cord injury in the emergency setting?
16.
What neurological impairments are typically seen in anterior cord syndrome?
17.
Which clinical presentation is most characteristic of Brown-Séquard syndrome?
18.
How many healthcare personnel are generally required to perform a safe logroll on a patient with a suspected spinal injury?
19.
A nurse is assessing a client with suspected bacterial meningitis. Which of the following findings would be consistent with this diagnosis?
20.
Which of the following isolation precautions should a nurse implement for a patient diagnosed with bacterial meningitis?
21.
A patient with meningitis is receiving IV antibiotics. Which of the following statements by the patient indicates the need for further teaching?
22.
The nurse is caring for a patient receiving treatment for bacterial meningitis. During the assessment, the patient complains of a sudden, severe headache and begins vomiting. What is the nurse’s priority action?
23.
A 2-year-old child is admitted with symptoms of meningitis. Which assessment finding would support the diagnosis of meningitis in this child? A. Continuous crying that is relieved by being held B. Positive Brudzinski's sign C. Absence of nuchal rigidity D. High energy and active play
24.
A lumbar puncture is performed on a patient with suspected meningitis. Which of the following CSF findings is most consistent with bacterial meningitis?
25.
A patient reports a severe headache several hours after undergoing a lumbar puncture. The headache worsens when sitting up and improves when lying flat. What is the most likely cause of the headache?
