A 22-year-old man is being closely monitored in the neurological ICU after suffering a basal skull ...

A 22-year-old man is being closely monitored in the neurological ICU after suffering a basal skull fracture during an assault.
 
  The nurse's hourly assessment reveals the presence of a new blood stain on the patient's pillow that is surrounded by a stain that is pale yellow in color. The nurse should follow up this finding promptly because it is suggestive of:
  A) Increasing intracranial pressure (ICP)
  B) An epidural hematoma
  C) Leakage of cerebrospinal fluid (CSF)
  D) Meningitis

Question 2

A nurse is presenting at a community health promotion fair that is focused on disease prevention and screening.
 
  A middle-aged participant has brought up an article that she recently read about bladder cancer and has asked the nurse about prevention measures. How should the nurse respond to this woman's inquiry?
  A) The majority of people who develop bladder cancer have a family history of the disease, so genetics play a large part.
  B) If you smoke cigarettes, quitting will greatly reduce your risk of bladder cancer.
  C) People who tend not to drink enough fluids put themselves at an increased risk of bladder cancer.
  D) An unhealthy diet is the most significant risk factor for the development of bladder cancer.

Question 3

A patient who has sustained a basal skull fracture is admitted to the neurological unit. The nurse should know that the patient should be observed for:
 
  A) An area of bruising over the mastoid bone
  B) Bleeding from the ears
  C) An increase in pulse
  D) Difficulty sleeping

Question 4

A 20-year-old male patient has been brought to the emergency department (ED) by ambulance with a gunshot wound that has resulted in urethral trauma. In light of this patient's injuries, the ED nurse should anticipate what intervention?
 
  A) Insertion of a urinary catheter
  B) Cystoscopy
  C) Insertion of a suprapubic catheter
  D) Lithotripsy

Question 5

Paramedics have brought an intubated patient to the emergency department following a head injury due to acceleration-deceleration motor vehicle accident. Increased intracranial pressure (ICP) is suspected.
 
  An appropriate nursing intervention would include what?
  A) Keep the head of bed (HOB) flat at all times
  B) Teach the patient to perform the Valsalva maneuver
  C) Administer antipyretics on a p.r.n. basis
  D) Perform endotracheal suctioning every hour