601 - 700 Solved Medical Nursing MCQ Test Questions Bank

601. Lucy Abekah is a patient diagnosed of pneumonia. The major goals of the nurse in managing a patient with pneumonia include: I. Improve airway patency II. Institute suctioning therapy III. Maintain proper fluid volume IV. Provide enough rest to conserve energy
Select One:
A. I, II and IV
B. I, II and III
C. I, III and IV
D. None of the above

602. As a result of fractured ribs, the client may develop:
Select One:
A. Paradoxical respiration
B. Herniation of the diaphragm
C. Obstructive lung-disease
D. None of the above

603. Miss Berchie is an admitted client following an acute glomerulonephritis. One of the primary objectives of treating acute glomerulonephritis would be to:
Select One:
A. Give high protein diet to restore nutritional state
B. Encourage patient to do moderate active exercise
C. Restore fluid and electrolyte balance
D. None of the above

604. A client with an inflamed sciatic nerve is to have a conventional transcutaneous electrical nerve stimulation (TENS) device applied to the painful nerve pathway. When operating the TENS unit the nurse should:
Select One:
A. Apply the color-coded electrodes anywhere it is comfortable for the client
B. Maintain the same dial setting everyday
C. Adjust the TENS dial until the client perceives pain relief and comfort
D. None of the above

605. The nurse’s teaching of Madam Dede Armah diagnosed of hyperparathyroidism will includeː
Select One:
A. Encouraging intake of high sodium diet
B. Avoidance of excessive intake of calcium
C. Encouraging intake of high protein diet
D. None of the above

606. During a class room teaching on cardiac conditions, the tutor made mention of pericarditis as one of the conditions of the heart. The lesson was understood that pericarditis can be caused by: I. Aneurysm II. Brain injury III. Infections IV. Renal failure
Select One:
A. II and III
B. I, III and IV
C. I, II and IV
D. None of the above

607. A patient with gastric ulcer is put on antibacterial agents. The nurse should explain to the patient that these are ordered to: I. Augment the immune response II. Potentiate the effect of antacids III. Reduce hydrochloric acid secretion IV. Treat Helicobacter pylori infection
Select One:
A. II, III and IV
B. I, II and IV
C. I, II, III and IV
D. None of the above

608. Mr. Fordjour a 65 year old patient on admission at your ward report of having urgency and frequency of micturition and dysuria. Patient may possibly have:
Select One:
A. Urethra stricture, benign prostatic hyperplasia
B. Glomerulonephritis, renal stones
C. Renal neuropathy, urinary tract infection
D. None of the above

609. To effectively teach men the importance of testicular self-examination, the nurse should know that testicular carcinoma:
Select One:
A. Rarely metastasizes
B. Has a high incidence of early metastasis
C. Must first be biopsied to confirm the diagnosis
D. None of the above

610. Phantom pain:
Select one:
A. Refers to the registering of pain in some place rather than the site of actual tissue damage
B. Is associated with hypochondriacs
C. Is due to generation nerve impulses in severed neurons after amputation of a limb
D. None of the above

611. When a nurse is caring for an emergent unconscious patient, the nurse should:
Select one:
A. Turn patient head to one side
B. Elevate the foot of bed
C. Open the airway using the jaw thrust method
D. None of the above

612. The doctor stated that Aboadi, a patient admitted has non-small lung carcinoma.
The type of non -small lung carcinoma that develop from mucus producing (glandular cell) is?
Select one:
A. Adenocarcinoma
B. Squamous cell carcinoma
C. Large cell carcinoma
D. None of the above

613. The initial intervention in the emergency management of a burn of any type is to?
Select one:
A. Assess for other associated injuries
B. Remove the patient from the burn source, and stop the burning process
C. Establish an IV line with a large-gauge needle
D. None of the above

614. A preoperative instruction that is appropriate for all patients include:
Select one:
A. The withholding of all oral fluids or food after midnight on the day of surgery
B. Descriptions of the planned surgical procedure
C. Physical procedures or preparation required before surgery
D. None of the above

615. A priority post-operative nursing diagnose for a patient immediately after appendectomy will be?
Select one:
A. Deficient knowledge about the care and diseases related to lack of information
B. Acute pain related to the presence of postoperative wound
C. Risk for infection related to surgical incision
D. None of the above

616. Which of the following is not a contributing factor for diverticular diseases?
Select one:
A. Lack of dietary fibre
B. Decrease intracolonic pressure
C. Increase intracolonic pressure
D. None of the above

617. The predominant symptom of ulcerative colitis is:
Select one:
A. Passage of mucous stools
B. Passage of stools containing pus
C. Passage of bloody stools
D. None of the above

618. The sequential order involved in the development of pyothorax is? I. Exudates formation II. Fibrinopurulent formation III. Organisation formation
Select one:
A. I, II, III
B. I, III, II
C. II, III, I
D. None of the above

619. What is acute abdomen?
Select one:
A. Intestinal obstruction
B. Generalized abdominal pain
C. All of the above
D. None of the above

620. The client with open burn wounds begins to have diarrhea.
The client is found to have a below-normal temperature, with a white blood cell count of 4000/mm3.
Which is the nurse’s best action?
Select One:
A. Continuing to monitor the client
B. Preparing to do a workup for sepsis
C. Increasing the rate of the intravenous fluids
D. None of the above

621. A male adult patient hospitalized for treatment of a pulmonary embolism develops respiratory alkalosis.
Which clinical findings commonly accompany respiratory alkalosis?
Select One:
A. Lightheadedness or paresthesia
B. Hallucinations or tinnitus
C. Nausea or vomiting
D. None of the above

622. The catheter introduced into the chest during under water seal drainage is to:
I. Drain blood and serum from the pleural cavity
II. Facilitate gradual re-expansion of the lung
III. Liquefy bronchial secretions and stimulate coughing
IV. Prevent drying and irritation of bronchial mucosa
Select one:
A. II, III and IV
B. I, II and III only
C. I and II only
D. None of the above

623. Esi Gomado, a woman with 5months gestation reported to the ward with difficulties whiles walking.
A diagnosis of deep vein thrombosis was made.
Which of the following medications would not be recommended in managing deep vein thrombosis in a pregnant woman?
Select one:
A. Standard heparin
B. Warfarin
C. Low molecular weight heparin
D. None of the above

624. The client with a new burn injury asks the nurse why he is receiving intravenous cimetidine (Tagamet).
What is the nurse’s best response?
Select One:
A. “Tagamet will stimulate intestinal movement.”
B. “Tagamet can help prevent hypovolemic shock.”
C. “This will help prevent stomach ulcers.”
D. None of the above

625. Alberta Mintah, is a patient diagnosed of peptic ulcer.
In assessing a peptic ulcer patient understanding to education on diet, which of these saying is appropriate?
I will eat?
Select one:
A. Diet that can be tolerated
B. Three regular meals
C. Balance diet
D. None of the above

626. The family of a client who has been burned asks at what point the client will no longer be at greater risk for infection.
What is the nurse’s best response?
Select One:
A. “When the burn wounds are closed”
B. “As soon as his albumin level returns to normal”
C. “When fluid remobilization has started”
D. None of the above

627. During postoperative care, part of the nursing assessment includes the dressing.
What characteristics will the nurse be noting?
Select one:
A. Amount, color, odor, consistency of drainage on dressing
B. How much adhesive is in place upon admission into the ward?
C. The reaction of the patient when the dressing is assessed
D. None of the above

628. A patient is admitted to the emergency department with a possible cervical spinal cord injury following an automobile accident.
During the admission of the patient, the nurse places the highest priority on?
Select one:
A. Assessing the patient’s motor and sensory function
B. Maintaining immobilization of the cervical spine
C. Maintaining patent airway
D. None of the above

629. Extrinsic factors for causing cancer can be all of the following EXCEPT?
Select one:
A. Emotional
B. Physical
C. Viral agents
D. None of the above

630. The deficiency of alpa-1-antitrypsin is associated with which of the underling pulmonary conditions?
Select one:
A. Emphysema
B. Pulmonary embolism
C. Tension pneumothorax
D. None of the above

631. The client has burns on both legs. These areas appear white and leather-like.
No blisters or bleeding are present, and there is just a “small amount of pain.”
How will the nurse categorize this injury?
Select One:
A. Partial-thickness superficial
B. Full-thickness
C. Partial-thickness deep
D. None of the above

632. Jayson has undergone cleft palate repair.
Following repair of cleft palate, the child needs to adhere to which of the following diet?
Select one:
A. Soft diet
B. Smooth diet
C. Liquid diet
D. None of the above

633. Intraocular pressure is primarily due to the:
Select one:
A. Vitreous body
B. Aqueous humor
C. Lens
D. None of the above

634. Jayson has undergone cleft palate repair.
The most critical factor in the immediate care of an infant after repair of cleft lip is?
Select one:
A. Administration of drug to reduce secretion
B. Maintenance of patent air way
C. Administration of IV infusion
D. None of the above

635. A client with an inguinal hernia asks the nurse why he should have surgery when he has had a hernia for years.
The nurse understands that surgery is recommended to?
Select one:
A. Decrease secretion of bile salts
B. Prevent strangulation of the bowel
C. Increase intestinal motility
D. None of the above

636. A nurse develops a plan for patient with hyperthyroidism and includes which of the following in the plan?
Select one:
A. Provide small meals
B. Provide a restful environment
C. Provide extra blankets
D. None of the above

637. On assessment, the nurse notes that the client has burns inside the mouth and is wheezing.
Several hours later, the wheezing is no longer heard.
What is the nurse’s next action?
Select One:
A. Loosening any dressings on the chest
B. Preparing for intubation
C. Raising the head of the bed
D. None of the above

638. In constrictive pericarditis, the inflammation of the pericardium is characterized by all the following except?
Select one:
A. Kussmaul's sign
B. Contracture
C. Scarring
D. None of the above

639. Nurse Precious is assigned to care for a patient who had subtotal thyroidectomy.
The nurse reviews the plan of care and determines that the priority nursing diagnosis for this patient in the immediate postoperative period is which of the following:
Select one:
A. Risk for infection related to high glucose levels following removal of thyroid
B. Deficient fluid volume related to t3 and t4 deficits promoting sodium and water loss
C. Decreased cardiac output related to hemorrhage
D. None of the above

640. The client has severe burns around the right hip.
Which position is most important to use to maintain maximum function of this joint?
Select One:
A. Hip maintained in 30-degree flexion
B. Hip at zero flexion with leg flat
C. Knee flexed at 30-degree angle
D. None of the above

641. The nurse is caring for a patient who has undergone craniotomy and has a supratentoral incision.
The nurse would place the patient in which of the following positions
Select one:
A. Head of bed elevated 30-45degrees, head turned to the operative side
B. Head of bed flat, head and neck midline
C. Head of bed elevated to 30-45 degrees, head and neck midline
D. None of the above

642. A patient is complaining of pain underneath a cast in the area of a bony prominence.
The nurse interprets that this patient may need to have:
Select one:
A. Extra padding put over this area of the cast
B. A window cut in the cast
C. The cast replaced with an air splint
D. None of the above

643. Nurse Ruth assessing a patient for tracheal displacement should know that the trachea will deviate toward the:
Select One:
A. Affected side in a tension pneumothorax
B. Contralateral side in hemothorax
C. Affected side in a hemothorax
D. None of the above

644. The client with facial burns asks the nurse if he will ever look the same.
Which response is best for the nurse to provide?
Select One:
A. “You will not look exactly the same.”
B. “We can remove the scars with the use of a pressure dressing.”
C. “With reconstructive surgery, you can look the same.”
D. None of the above

645. If a victim of spinal cord injury exhibited signs of respiratory arrest, you might suspect damage to which region of the spinal cord?
Select one:
A. Cervical
B. Lumbar
C. Sacral
D. None of the above

646. A priority nursing diagnosis for a client with prostate cancer is:
Select one:
A. Anxiety related to inability to void
B. High risk for infection related to bacteria invasion of the incision
C. Knowledge deficit related to postoperative management
D. None of the above

647. In total gastrectomy with Billroth I, the esophagus is anastomosed to the?
Select one:
A. Stomach
B. Duodenum
C. Jejunum
D. None of the above

648. The nurse suspects the possibility of sepsis in the patient based on changes in the:
Select one:
A. Vital signs
B. Urinary output
C. Gastrointestinal function
D. None of the above

649. Alberta Mintah, a first year nursing student was rushed to the ward and she has been diagnosed of peptic ulcer.
The organism commonly identified and implicated in the peptic ulcer disease is?
Select one:
A. Rotavirus
B. coli
C. Helicobacter pylori
D. None of the above

650. Miriam, a college student with acute rhinitis sees the campus nurse because of excessive nasal drainage.
The nurse asks the patient about the color of the drainage. In acute rhinitis, nasal drainage normally is:
Select One:
A. Clear
B. Gray
C. Yellow
D. None of the above

651. A patient who has had a laparotomy has just returned from theatre.
The nurse should assess for bleeding by?
Select one:
A. Examining dressing
B. Checking the blood pressure
C. Assessing her level of consciousness
D. None of the above

652. A nurse is caring for a patient with circumferential burns on both legs.
Which of the following leg position is most appropriate for this type of a burn?
Select one:
A. Elevation above the level of the heart
B. Flat without elevation
C. In a dependent position
D. None of the above

653. Which of the following statements about consent for surgery is INCORRECT?
Select one:
A. Consent gives detailed information and explanation on the right of surgeon to refuse surgery
B. Consent gives detailed information and explanation on the nature and intention of the surgery
C. Consent gives detailed information and explanation on the risks and benefits of the surgery
D. None of the above

654. Autonomic dysreflexia may be avoided by:
Select one:
A. Using an elastic corset to raise blood pressure
B. Careful attention to urinary output
C. Frequent ambulation
D. None of the above

655. When there is a burst abdomen post operatively the nurse should:
I. Cover the abdominal content with towel soaked in saline
II. Dress the wound as usual
III. Inform the surgeon at once
IV. Push the abdominal content back gently
Select one:
A. II and III only
B. I and III only
C. I, II, III and IV
D. None of the above

656. In an attempt to assess Mr. Yamoah 44 year old cancer patient for pain, the nurse explained to the patient the meaning of numbers assigned to grades of pain (with 0 representing no pain and 10 representing the worst pain imaginable) and ask Mr. Yamoah to identify how much pain he is having by choosing a number from 0 to 10.
What pain assessment tool is being used by the nurse?
Select one:
A. Visual Analogue Scales
B. Pain Faces Scale
C. Numerical Rating scale
D. None of the above

657. It is most important that the nurse positions the patient who has had a craniotomy with an anterior fossae incision at what position?
Select one:
A. On either side with the head elevated 30 degrees
B. Flat with the head slightly hyperextended
C. With the head of the bed elevated 15 degrees
D. None of the above

658. A client who is admitted after a thermal burn injury has the following vital signs: blood pressure, 70/40; heart rate, 140 beats/min; respiratory rate, 25/min.
He is pale in color and it is difficult to find pedal pulses.
Which action will the nurse take first?
Select One:
A. Check the pulses with a Doppler device.
B. Begin intravenous fluids.
C. Obtain an electrocardiogram (ECG).
D. None of the above

659. The nurse assesses a patient for a possible pulmonary embolism.
The nurse looks for the most frequent sign of?
Select one:
A. Haemoptysis
B. Cough
C. Syncope
D. None of the above

660. The nurse assesses absent bowel sounds and abdominal distention in a patient 12 hours post burn.
The nurse notifies the physician and prepares to:
Select one:
A. Inserts a nasogastric tube for decompression
B. Withhold all oral intakes except water
C. Administer nutritional supplements through a feeding tube placed in the duodenum
D. None of the above

661. Rhoda, confused and short breath, is brought to the emergency department by a family member.
The medical history reveals chronic bronchitis and hypertension.
To learn more about the current respiratory problem, the doctor orders a chest x-ray and arterial blood gas (ABG) analysis.
When reviewing the ABG report, the nurses sees many abbreviations. What does a lowercase “a” in ABG value present?
Select One:
A. Acid-base balance
B. Arterial oxygen saturation
C. Arterial Blood
D. None of the above

662. Kwarko has been suspected of inguinal hernia.
Nurses have knowledge that when assessing a patient suspected of right indirect inguinal hernia, they are expected to find?
Select one:
A. A lump in the right scrotum
B. An irreducible bulge at the right femoral region
C. Bulge from the posterior wall of the inguinal canal
D. None of the above

663. A patient has fallen in the bathroom of the hospital room and complains of pain in the right upper arm and elbow.
Before splinting the injury, the nurse knows that emergency management of a possible fracture should include:
Select one:
A. Notification of the surgeon
B. Neurovascular checks below the site of the injury
C. Elevation of the arm
D. None of the above

664. When a thrombus develops initially in the veins as a result of stasis or hypercoagulability but without inflammation, the process is referred to as:
Select one:
A. Venous thrombosis
B. Phlebothrombosis
C. Deep vein thrombosis
D. None of the above

665. Ten hours after the client with 50% burns is admitted, her blood glucose level is 140mg/dL.
What is the nurse’s best action?
Select One:
A. Stops IV fluids containing dextrose
B. Repeats the glucose measurement
C. Documents the finding
D. None of the above

666. Telescoping of a loop of a bowel usually results in which of the following types of intestinal obstruction?
Select one:
A. Functional
B. Closed loop
C. Ileus
D. None of the above

667. Patient who went for gastric surgery (Antrectomy) involving the antrum is likely to suffer from?
Select one:
A. Vitamin B6 deficiency
B. Vitamin C deficiency
C. Vitamin B12 deficiency
D. None of the above

668. Predisposing factors of appendicitis include?
I. Inadequate food intake
II. Kinking of the appendix
III. Presence of faecalith
IV. Repeated throat infection
Select one:
A. II, III and IV only
B. II and III only
C. I, II and IV only
D. None of the above

669. A patient has a 20% total body surface area deep partial –thickness burn to the right anterior chest and entire right arm.
It is most important that the nurse assess the patient for:
Select one:
A. Formation of eschar
B. Presence of pulses in the arms
C. Presence of pain
D. None of the above

670. The nurse is assessing a trauma client in the emergency room when she notes a penetrating abdominal wound with exposed viscera.
The nurse should?
Select one:
A. Apply a clean dressing to protect the wound
B. Cover the area with petroleum gauze
C. Cover the exposed viscera with sterile saline gauze
D. None of the above

671. Which of the special senses has little effect in activating the reticular activating system during arousal from sleep?
Select one:
A. Olfactory impulses
B. Touch pressure impulses
C. Auditory impulses
D. None of the above

672. As a result of a fractured rib the patient may develop?
Select one:
A. Pneumothorax
B. Herniation of the diaphragm
C. Obstructive lung disease
D. None of the above

673. Ajara got burnt at the neck and she was rushed to the emergency ward.
How will the nurse position Ajara with a burn wound to the posterior neck to prevent contractures?
Select One:
A. Keep the client in a supine position without the use of pillows.
B. Keep the client in a semi-Fowler’s position with her or his arms elevated.
C. Have the client turn the head from side to side.
D. None of the above

674. The most common symptom of esophageal disease is?
Select one:
A. Odynophagia
B. Nausea
C. Dysphagia
D. None of the above

675. Unless contraindicated, patient with cardiothoracic problems are placed in which position post operatively after recovery from anesthesia?
Select one:
A. Trendelenburg
B. High fowlers
C. Sim’s lateral
D. None of the above

676. A nurse is assisting in developing a teaching plan for the patient with glaucoma.
Which of the following instructions would the nurse suggest to include in the plan of care?
Select one:
A. Eye medications will need to be administered for the rest of your life
B. Avoid reading the newspaper and watching the TV
C. Decrease the amount of salt in the diet
D. None of the above

677. What is the most common cause of intestinal obstructions?
Select one:
A. Neoplasms
B. Adhesions
C. Volvulus
D. None of the above

678. A nurse reviews a plan of care for a postoperative patient following thyroidectomy and notes a nursing diagnosis Ineffective Breathing Pattern.
Which of the following nursing intervention will the nurse suggest to include in the plan of care?
Select one:
A. Monitor neck circumference every 4 hours
B. Encourage deep breathing exercise
C. Maintain a pressure dressing on the operative side
D. None of the above

679. Which of the following is the early sign of compartment syndrome of cast on the arm?
Select one:
A. Cold, bluish colored fingers
B. Numbness and tingling in the fingers
C. Pain that increases when the arm is dependent
D. None of the above

680. Which of the following pulmonary condition creates its own cavitation?
Select one:
A. Lung abscess
B. Emphysema
C. Bronchogenic carcinoma
D. None of the above

681. A patient with a spinal cord lesion at C8 tells the nurse that he has a headache and feels flushed and warm.
The first action by nurse is to:
Select one:
A. Elevate the head of the patient‘s bed
B. Takes the patient blood pressure
C. Check the patient’s temperature
D. None of the above

682. When assessing the traction of a patient with fracture femur, the nurse recognizes that a correction should be made if:
Select one:
A. The patient exercises the unaffected limb
B. The weights are touching the floor
C. The ropes are in the centre of the bed
D. None of the above

683. After Mr. Ampofo has undergone bronchoscopy and biopsy, he returns to the ward fully awake.
The nurse should?
Select one:
A. Advise the patient to lie flat for 2 hours
B. Advise the patient to cough frequently
C. Evaluate the presence of gag reflex
D. None of the above

684. Evidence of fluid imbalance in post-operative patient includes the following:
I. Patient complains of thirst
II. Patient’s lips are cracked
III. There is a presence of moisture in the axillae
IV. There is a reduction in urinary output
Select one:
A. I, II and III only
B. II, III and IV only
C. I, II and IV only
D. None of the above

685. Intramedullary nailing is used in the treatment of:
Select one:
A. Fracture of the neck of femur
B. Fracture of tibia and fibula
C. Fracture of the shaft of femur
D. None of the above

686. A patient with an intracranial problem does not open his eyes to any stimulus, has no verbal response except muttering when stimulated, and flexes his arm in response to painful stimuli.
The nurse records the patient’s Glasgow Coma Scale score as:
Select one:
A. 8
B. 11
C. 9
D. None of the above

687. A nurse is caring for a patient who sustained 2nd and 3rd degree burns on the anterior lower leg and anterior thorax.
Using the rule of nines the extent of the burn injury is which of the following?
Select one:
A. 42%
B. 31.5%
C. 36%
D. None of the above

688. The client pulls out the chest tube and fails to report the occurrence to the nurse.
When the nurse discovers the incidence, he should take which initial action?
Select one:
A. Cover the insertion site with Vaseline gauze
B. Reinsert the tube
C. Call the doctor
D. None of the above

689. Routing milking and or stripping of chest tube to maintain patency is no more recommended for the following reasons EXCEPT:
Select one:
A. Decrease fluid and blood drained from the pleural
B. Can cause damage to the pleural tissue
C. Dangerously increase intra-pleural pressure
D. None of the above

690. The client with a full-thickness burn is being discharged to home after a month in the hospital.
His wounds are minimally opened and he will be receiving home care.
Which nursing diagnosis has the highest priority?
Select One:
A. Acute Pain
B. Imbalanced Nutrition: Less than Body Requirements
C. Impaired Adjustment
D. None of the above

691. A nurse is caring for a patient after enucleation.
The nurse notes the presence of bright red drainage on the dressing.
Which of the following actions is most appropriate?
Select one:
A. Report the findings
B. Document the finding
C. Mark the drainage on the dressing and monitor for any increase in bleeding
D. None of the above

692. Constriction of the pupils is brought about by contraction of the:
Select one:
A. Extrinsic muscles of the eye.
B. Circular muscle of the iris
C. Ciliary muscle
D. None of the above

693. Parts of the abdominal hernia may include the following EXCEPT?
Select one:
A. Neck
B. Body
C. Omphalocele
D. None of the above

694. A nurse is assessing the casted extremity of a patient.
The nurse would check for which of the following signs and symptoms indicative of infection:
Select one:
A. Presence of a “hot spot” on the cast
B. Coolness and pallor of the extremity
C. Dependent edema
D. None of the above

695. In appendicitis, pain is felt in the right lower quadrant of the patient’s abdomen when the left lower quadrant is palpated.
This is known as?
Select one:
A. Rovsing’s sign
B. rebound tenderness
C. Brudzinskins’s sign
D. None of the above

696. Palpable sausage mass is characteristically identified in which of the under listed condition?
Select one:
A. Intussusception
B. Volvulus
C. Pyloric stenosis
D. None of the above

697. The most identified feature of a patient diagnosed with emphysema thoracic is?
Select one:
A. Bloody sputum
B. Tenacious sputum
C. Barrel chest
D. None of the above

698. The cause of intestinal obstruction can be:
Select one:
A. All of the above
B. Acquired
C. Mechanical
D. None of the above

699. Which of this will the nurse prepare the patient for first ‘If barium enema and upper GI series are both ordered’?
Select one:
A. Both at the same time is accepted
B. Barium enema
C. Upper GI series
D. None of the above

700. When assessing the body functions of a patient with increased intracranial pressure, the nurse should initially assess:
Select one:
A. Corneal reflex testing
B. Papillary reaction to light
C. Circulatory and respiratory status
D. None of the above