10 free SPEX practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
SPEX Practice Test 11Tutor mode
Question 1 of 10
Patient Care: Diagnosis
A 46-year-old woman comes to the emergency department because of a severe headache that began suddenly 14 hours ago while she was lifting weights. The pain reached maximal intensity within 1 minute; she describes it as the worst headache of her life, and she vomited twice. The pain has eased to a moderate level. She has no history of migraine. Temperature is 37.2°C (99.0°F), pulse is 84/min, respirations are 16/min, and blood pressure is 152/90 mm Hg. She is alert. There is mild discomfort on neck flexion. Neurologic examination shows no focal findings. Noncontrast CT of the head shows no abnormalities. Which of the following is the most appropriate next step?