advanced med surg neuro practice exam, actual
questions and 100% verified answers with complete
solutions| latest version test q& a 2026.
A patient has a systemic blood pressure of 120/60 mm Hg and an
intracranial pressure of 24 mm Hg. The nurse determines that the
cerebral perfusion pressure (CPP) of this patient indicates
a. impaired brain flow
b. normal intracranial pressure (ICP)
c. high blood flow to the brain
d. adequate cerebral perfusion - ANSWER: a. impaired brain flow
A patient is scheduled for a lumbar puncture. The nurse will plan to do
one of the following
a. place the patient on NPO status for 4 hours before the procedure
b. help the patient lie on the side in the fetal position for the procedure
c. administer a hypnotic medication 30 minutes before the procedure
d. transfer the patient to radiology just before the procedure - ANSWER:
b. help the patient lie on the side in the fetal position for the procedure
When assessing a patient with a newly diagnosed trigeminal neuralgia,
the nurse will ask the patient about
a. visual problems caused by ptosis
b. poor appetite cause by loss of taste
,c. decreased sensation on the affected side
d. triggers that lead to facial pain - ANSWER: d. triggers that lead to facial
pain
A 26 y.o. patient with C8 spinal cord injury tells the nurse, "my wife and
I have always had a very active sex life, and I am worried that she may
leave me if I cannot function sexually." The most appropriate response
by the nurse to the patient's comment is to
a. suggest that the patient and his wife work with a nurse specially
trained in sexual counseling
b. tell the patient that sildenafil(Viagra) helps to decrease erectile
dysfunction in patients with spinal cord injury
c. inform the patient that most patient's with upper motor neuron
injuries have reflex erections
d. advise the patient to talk to his wife to determine how she feels about
his sexual function - ANSWER: a. suggest that the patient and his wife
work with a nurse specially trained in sexual counseling
A patient with a neck fracture at the C5 level is admitted to the ICU
following initial treatment in the emergency room. During initial
assessment of the patient, the nurse recognizes the presence of spinal
shock on finding
a. hypotension, bradycardia, and warm extremities
b. involuntary, spastic movements of the arms and legs
c.flaccid paralysis and lack of sensation below the level of the injury
d. the presence of hyper reflex activity below the level of the injury -
ANSWER: c. flaccid paralysis and lack of sensation below the level of the
injury
, A patient with massive trauma and possible spinal cord injury is
admitted to the ED. The nurse suspects the patient may be experiencing
neurogenic shock in addition to hypovolemic shock, based on the
finding of
a. BP of 82/40
b. shortness of breath
c. cool, clammy skin
d. heart rate of 48 beats/min - ANSWER: d. heart rate of 48 beats/min
When caring for a patient who experienced a T1 spinal cord transsection
2 days ago, which collaborative and nursing actions will the nurse
include in the plan of care? (Select all that apply)
a. Endotracheal suctionin
b. Avoidance of cool room temperature
c.Nasogastric tube feeding
d. Administration of H2 receptor blockers
e. continuous cardiac monitoring
f. retention catheter care - ANSWER: b. Avoidance of cool room
temperature,
d. Administration of H2 receptor blockers,
e. continuous cardiac monitoring,
&
f. retention catheter care
While admitting a patient with basal skull fracture, the nurse notes
clear drainage from the patients nose. Which of these admission orders
should the nurse question
questions and 100% verified answers with complete
solutions| latest version test q& a 2026.
A patient has a systemic blood pressure of 120/60 mm Hg and an
intracranial pressure of 24 mm Hg. The nurse determines that the
cerebral perfusion pressure (CPP) of this patient indicates
a. impaired brain flow
b. normal intracranial pressure (ICP)
c. high blood flow to the brain
d. adequate cerebral perfusion - ANSWER: a. impaired brain flow
A patient is scheduled for a lumbar puncture. The nurse will plan to do
one of the following
a. place the patient on NPO status for 4 hours before the procedure
b. help the patient lie on the side in the fetal position for the procedure
c. administer a hypnotic medication 30 minutes before the procedure
d. transfer the patient to radiology just before the procedure - ANSWER:
b. help the patient lie on the side in the fetal position for the procedure
When assessing a patient with a newly diagnosed trigeminal neuralgia,
the nurse will ask the patient about
a. visual problems caused by ptosis
b. poor appetite cause by loss of taste
,c. decreased sensation on the affected side
d. triggers that lead to facial pain - ANSWER: d. triggers that lead to facial
pain
A 26 y.o. patient with C8 spinal cord injury tells the nurse, "my wife and
I have always had a very active sex life, and I am worried that she may
leave me if I cannot function sexually." The most appropriate response
by the nurse to the patient's comment is to
a. suggest that the patient and his wife work with a nurse specially
trained in sexual counseling
b. tell the patient that sildenafil(Viagra) helps to decrease erectile
dysfunction in patients with spinal cord injury
c. inform the patient that most patient's with upper motor neuron
injuries have reflex erections
d. advise the patient to talk to his wife to determine how she feels about
his sexual function - ANSWER: a. suggest that the patient and his wife
work with a nurse specially trained in sexual counseling
A patient with a neck fracture at the C5 level is admitted to the ICU
following initial treatment in the emergency room. During initial
assessment of the patient, the nurse recognizes the presence of spinal
shock on finding
a. hypotension, bradycardia, and warm extremities
b. involuntary, spastic movements of the arms and legs
c.flaccid paralysis and lack of sensation below the level of the injury
d. the presence of hyper reflex activity below the level of the injury -
ANSWER: c. flaccid paralysis and lack of sensation below the level of the
injury
, A patient with massive trauma and possible spinal cord injury is
admitted to the ED. The nurse suspects the patient may be experiencing
neurogenic shock in addition to hypovolemic shock, based on the
finding of
a. BP of 82/40
b. shortness of breath
c. cool, clammy skin
d. heart rate of 48 beats/min - ANSWER: d. heart rate of 48 beats/min
When caring for a patient who experienced a T1 spinal cord transsection
2 days ago, which collaborative and nursing actions will the nurse
include in the plan of care? (Select all that apply)
a. Endotracheal suctionin
b. Avoidance of cool room temperature
c.Nasogastric tube feeding
d. Administration of H2 receptor blockers
e. continuous cardiac monitoring
f. retention catheter care - ANSWER: b. Avoidance of cool room
temperature,
d. Administration of H2 receptor blockers,
e. continuous cardiac monitoring,
&
f. retention catheter care
While admitting a patient with basal skull fracture, the nurse notes
clear drainage from the patients nose. Which of these admission orders
should the nurse question
