Sara, a 27-year-old woman with no significant past medical history, presents with confusion and a brief loss of consciousness following a minor car accident. What is the most definitive indication that Sara has suffered a concussion?

She experiences headaches that last for several weeks after the incident.

Sara remembers every detail of the accident.

A CT scan shows no cerebral edema.

Sara's Glasgow Coma Scale score is 15.

Answer and Explanation

The Correct Answer is C

A.   Headaches are a common symptom of concussion but are not the most definitive indication since it can occur due to other causes.
B.   Sara remembering every detail of the accident does not exclude the possibility of a concussion, as some people may have intact memory despite having a brain injury.
C.   This indicates that there is no swelling or bleeding in the brain, which is a hallmark of concussion.
D.   While a GCS score of 15 suggests normal neurological function, it is not as definitive as a CT scan in ruling out cerebral edema or other brain injuries.

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Correct Answer is ["B","D","E"]

Explanation

A. Radical neck dissection is a surgical procedure that removes the lymph nodes and other structures in the neck, and it is usually reserved for advanced cases or when radiation therapy fails.
B. Radiation therapy is often the main treatment for laryngeal cancer, as it can preserve the voice of the patient and avoid surgery.
C. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause a dry cough as a side effect, but it does not need to be discontinued unless there is another indication.
D. A PET scan can help determine the extent of cancer spread and guide treatment planning.

E. Dietary counseling is important to prevent malnutrition and dehydration, as dysphagia can impair oral intake.

A. Herpes Zoster B. Hepatitis C C. Influenza D. Pneumococcal

Correct Answer is C

Explanation

A. This vaccine is recommended for adults over 50 years old to prevent shingles, but it is not typically administered annually.
B. There is no routine annual immunization for Hepatitis C.
C. Annual influenza vaccination is strongly recommended for patients with COPD to reduce the risk of influenza-related complications.
D. While pneumococcal vaccination is important for patients with COPD, it is not administered annually in most cases.

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Sara, a 27-year-old woman with no significant past medical history, presents with confusion and a brief loss of consciousness following a minor car accident. What is the most definitive indication that Sara has suffered a concussion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","D","E"]

Explanation

Sophia, an outpatient clinic nurse, is assessing a 78-year-old patient, Robert, with chronic obstructive pulmonary disease (COPD). Which immunization should Sophia most strongly recommend that Robert receives annually?

Correct Answer is C

Explanation

Mike, a 27-year-old, reports difficulty in breathing and a "tight chest after being exposed to a strong odor. No wheezing is heard upon auscultation. Which mechanism is primarily responsible for Mike's symptoms?

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Nurse Lisa is reading the history of incoming patients. Match the causes or events leading to their injuries with the most likely thoracic conditions.

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Sara, a 27-year-old woman with no significant past medical history, presents with confusion and a brief loss of consciousness following a minor car accident. What is the most definitive indication that Sara has suffered a concussion?

Jack, a 60-year-old man with a history of smoking and alcohol consumption, has been diagnosed with squamous cell carcinoma of the larynx. He is scheduled for a partial laryngectomy. What are the preoperative nursing interventions? Select all that apply.