Intracranial Regulation

Question 1

When is the mental status portion of the neurologic system examination performed?

Accepted Answer

Constantly, throughout the entire interaction with a patient

Question 2

A client is diagnosed with Meningitis, the DR orders a corticosteroid. Adverse effects include:

Accepted Answer

Increase in blood glucose, depression

Question 3

A decline in mental status is a normal part of aging

Accepted Answer

False

Question 4

In suspected Meningitis, empirical therapy of Vacomycin and Cefotaxme (broad spectrum) ASAP

Accepted Answer

True

Question 5

Which statement is true regarding mental status changes in older adults?

Accepted Answer

Can be at an increased risk of delirium with acute illness.

Question 6

Triggers to seizure activity could include which of the following.

Accepted Answer

Hypoglycemia, alcohol, fatigue

Question 7

A widening pulse pressure and bradycardia are indicative of which medical emergency?

Accepted Answer

Cushings Triad

Question 8

Major s/s of acute Bacterial Meningitis include which of the following:

Accepted Answer

All of the above

Question 9

A patient taking Dilantin should be monitored for the following:

Accepted Answer

All of the above

Question 10

The best time to neurologically assess a patient is during the post-ictal phase.

Accepted Answer

False

Question 11

A Thrombolytic agent (tPA) is contraindicated in a patient with:

Accepted Answer

Intracranial Hemorrhage

Question 12

When monitoring a client with PD who is taking Parlodel the nurse should monitor for:

Accepted Answer

Hypotension and nausea

Question 13

Which of the following typically occur after traumatic head injury?

Accepted Answer

All of the above

Question 14

A generalized seizure only involves one hemisphere.

Accepted Answer

False

Question 15

The nurse knows status epilepticus is a medical emergency and the priority is to

Accepted Answer

Maintain an unobstructed airway

Question 16

Pt has lack of pupillary, corneal and cough/gag reflexes. The nurse should...

Accepted Answer

Call a rapid response

Question 17

Which statement indicates a more severe injury rather than a concussion?

Accepted Answer

“I did black out for a few seconds.”

Question 18

Diagnostic test for Bacterial Meningitis include which of the following:

Accepted Answer

Gram stain and Culture of CSF

Question 19

Empiric antibiotic therapy is started after the pathogen is identified in suspected meningitis.

Accepted Answer

False

Question 20

Identify 3 components of a neurological assessment.

Accepted Answer

Best Motor Response, Follows commands, Best verbal response

Question 21

The primary s/s of Parkinson's include:

Accepted Answer

Tremor, postural instability, Rigidity

Question 22

Pupil size may be affected by medications such as

Accepted Answer

benzodiazepines

Question 23

The frontal lobe of the brain affects the following:

Accepted Answer

Speech, emotion and voluntary movement

Question 24

Following a blow to the head 3 hours ago patient declines rapidly. This most likely due to a:

Accepted Answer

Epidural hematoma

Question 25

A chronic subdural hematoma takes place within 5-10 hours of injury.

Accepted Answer

False

Question 26

The patient is diagnosed with a primary brain tumor indicating that it originated where?

Accepted Answer

The brain tissue

Question 27

Status Epilepticus is a medical emergency. A primary medication given is:

Accepted Answer

Ativan 2-4 mg IV over 1 minute

Question 28

When the glossopharyngeal nerve is impaired the nurse should expect to:

Accepted Answer

Withhold oral fluid or food

Question 29

A patient in the deepest coma would be scored a _____ on the Glasgow Coma Scale.

Accepted Answer

3

Question 30

The image is an example of what type of postering related to intracranial injury?

Accepted Answer

Decorticate

Question 31

A patient who is diagnosed with bacterial meningitis cannot have visitors.

Accepted Answer

False

Question 32

Which symptoms are associated with Cushings Triad?

Accepted Answer

Widening pulse pressure and bradycardia

Question 33

The nurse must be aware of and provide immediate care for a client who

Accepted Answer

Has a change in level of consciousness

Question 34

Bruising of the brain in coup/contrecoup injuries may result in

Accepted Answer

All of the above

Question 35

A client with a CVA in the left hemisphere will present with which of the following deficits?

Accepted Answer

Impaired comprehension and depression and anxiety

Intracranial Regulation

Questions 35

Intracranial Regulation

Questions 35