Questions & Answers | Exam Prep | Graded A+
1. Which patient requires immediate assessment due to recent medical
intervention related to a brain condition?
Patient with a brain tumor who has just arrived on the unit after a
cerebral angiogram.
Patient prepared for a lumbar puncture whose health care provider is
waiting for assistance.
Patient with a seizure disorder who has just completed an
electroencephalogram (EEG).
Patient with a transient ischemic attack (TIA) returning from carotid
duplex studies.
2. When bringing in the meal tray for a patient with damage to the
glossopharyngeal (CN IX), which action by the nurse is most appropriate?
Speak loudly and make eye contact with the patient
Place the tray on the patient's right side
Assess the patient's ability to swallow
Assist the patient in identifying where items are on the tray.
3. What vital signs should be monitored frequently after a patient undergoes
cerebral angiography?
Heart rate and capillary refill
Oxygen saturation and blood glucose
Temperature and respiratory rate
, Pulse and blood pressure
4. The nurse is performing the finger to nose test. What is the nurse assessing?
Coordination only
Coordination of movement and position sense
Cerebellar function, coordination, and point-to-point movements
Proprioception only
5. If a patient who has just undergone cerebral angiography begins to exhibit
hypotension and tachycardia, what should the nurse's immediate priority be?
Check the patient's pulse and blood pressure.
Notify the physician of the changes.
Administer IV fluids as ordered.
Reassess the patient's neurological status.
6. In a scenario where a patient exhibits the inability to speak but can follow
simple commands, what additional assessment should the nurse perform to
further evaluate potential frontal lobe damage?
Monitor the patient's heart rate.
Check the patient's reflexes.
Evaluate the patient's sensory responses.
Assess the patient's ability to perform tasks that require executive
function.
7. The priority nursing assessment for a patient being admitted with a brainstem
infarction is
reflex reaction time.
, level of consciousness.
pupil reaction.
respiratory rate.
8. What is a common side effect of Propranolol (Inderal) that a nurse should
monitor for in patients?
bradycardia
dry mouth
constipation
urinary retention
9. A nurse is caring for a child with suspected meningitis. Which of the following
actions should the nurse take?
Prepare the patient for a lumbar puncture test
Prepare the patient for a liver biopsy procedure
Position the patient in a dorsal recumbent position
Place the patient in a room near the unit entrance
10. At 0730, vital signs for a brain-injured patient are Bp= 124/78, HR= 115, and
RR= 24. Which set of vital signs taken at 0900 will be of most concern to the
nurse?
Blood pressure 134/89, pulse 90, respirations 28
Blood pressure 130/86, pulse 110, respirations 26
Blood pressure 110/70, pulse 114, respirations 20
Blood pressure 150/63, pulse 56, respirations 12
11. Why is it important for the nurse to allow the family to stay with the patient
during the initial assessment?
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It provides emotional support for the family and helps them
understand the patient's condition.
It gives the family a chance to ask questions about hospital policies.
It allows the nurse to focus solely on the patient without distractions.
It ensures that the family does not interfere with medical procedures.
12. A 72-year-old male presents with a massive SAH after a closed head injury.
He slips into a coma and upon a sudden startling painful stimulus exhibits
decorticate posturing. Which of the following characterizes decorticate
posturing?
The upper limbs flex and the lower limbs extend
The upper and lower limbs extend
The upper limbs extend and the lower limbs flex
The lower limbs extend only
The upper limbs flex only
13. What is the most significant indicator of potential health issues in the 76-
year-old patient according to the provided scenario?
10 mm Hg orthostatic drop in systolic blood pressure
Patient complaint of chronic difficulty in falling asleep
Triceps reflex response graded at 1/5
Unintended weight loss of 20 pounds
14. A patient is admitted with an acute head injury after a motor vehicle
accident. The patient is intubated and ventilated, and a ventriculostomy is
placed. In addition to monitoring of intracranial pressure, what treatment can
be provided with the ventriculostomy?
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