A client comes to the emergency department after hitting his head in a motor vehicle collision. He’s alert and oriented. Which nursing intervention should be done first?

Which sign or symptom of increased intracranial pressure (ICP) after head trauma would appear first?

A client admitted to the emergency department for head trauma is diagnosed with an epidural hematoma. Which of the following would most likely cause this condition?

A child is admitted to the emergency department with a recent head injury. In educating the client and family, the nurse discusses concerns regarding the lucid period. This is best described as:

Which condition is the leading risk factor for hemorrhagic stroke?

Which instruction given to a client after cataract surgery is incorrect?

A client with severe eye pain requests a prescription for the topical anesthetic the ophthalmologist instilled. The nurse explains that these drugs should not be used on an ongoing basis for which reason?

Nursing care of a client with damage to the hippocampus, amygdala, and fornix should focus on which of the following?

What is the most important intervention for an occupational nurse to implement when treating a client with a foreign body protruding from the eye?

The nurse is assessing a client with Ménière’s disease. The nurse anticipates the assessment will identify which symptom?

A client has just undergone a stapedectomy. How should the nurse position the client?

A client with a cervical spine injury is placed in a Minerva body vest. The client is uncomfortable and would like to try a different device. What is the best response by the nurse?

A client is diagnosed with Ménière’s disease. Which nursing diagnosis would take priority for this client?

A client with a halo vest is being discharged from the hospital. What is the most important information for the nurse to give the client and family?

A client was admitted to the hospital because of a transient ischemic attack secondary to atrial fibrillation. The nurse anticipates the physician will prescribe which medication?

A client is admitted with intervertebral disk prolapse and now shows new symptoms of loss of bladder control and paralysis of both legs. Which of the following nursing interventions should be the priority?

The nurse is providing teaching for a client being discharged with a prescription reading 1 gtt to both ears three times a day. Which of the following statements by the nurse would be most accurate?

Which intervention describes an appropriate bladder program for a client in rehabilitation for a recent spinal cord injury?

When teaching the family of a client with C4 quadriplegia how to suction his tracheostomy, the nurse includes which instruction?

A client is admitted with a C6 spinal injury. The nurse anticipates the client most likely has which condition?

While in the emergency department, a client with C8 quadriplegia develops a blood pressure of 80/44 mm Hg, pulse of 48 beats/minute, and respiratory rate of 18 breaths/minute. The nurse suspects which condition?

A client is scheduled for magnetic resonance imaging (MRI) of the head. Which area is essential to assess before the procedure?

A client with paraplegia from a T10 injury is getting ready to transfer to a rehabilitation hospital. When the nurse offers to assist him, the client throws his suitcase on the floor and says, “You don’t want to help me.” What is the most appropriate response by the nurse?

A client is admitted with a newly acquired spinal cord injury at the level of T12. He has limited movement of his upper extremities. The nurse anticipates the physician may prescribe which medication?

A 22-year-old client with quadriplegia is apprehensive and flushed, with a blood pressure of 210/100 mm Hg and heart rate of 50 beats/minute. Which nursing intervention should be done first?

A 23-year-old client has been hit on the head with a baseball bat. The nurse notes clear fluid draining from his ears and nose. Which nursing intervention should be done first?

To properly instill eardrops in a 28-year-old client with otitis externa, which method is correct?

A 30-year-old client is admitted to the progressive care unit with a C5 fracture from a motorcycle collision. Which assessment would take priority?

A 46-year-old client with breast cancer complains of back pain and difficulty moving her legs. Which nursing intervention is the most appropriate?

An 86-year-old client admitted to the hospital with chest pain is hearing impaired. Which method should be used when assessing the client?