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1. An infant is diagnosed with noncommunicating hydrocephalus. What is an immediate
priority concern for this patient?
A. Metabolic edema
B. Interstitial edema
C. Vasogenic edema
D. Ischemic edema - Correct Answer: An immediate concern for the infant with
noncommunicating hydrocephalus is interstitial edema. Neither metabolic,
vasogenic, nor ischemic edema is observed as a result of noncommunicating
hydrocephalus.
2. An infant is diagnosed with noncommunicating hydrocephalus. What is an immediate
priority concern for this patient?
Metabolic edema
Interstitial edema
Vasogenic edema
Ischemic edema - Correct Answer: An immediate concern for the infant with
noncommunicating hydrocephalus is interstitial edema. Neither metabolic, vasogenic,
nor ischemic edema is observed as a result of noncommunicating hydrocephalus.
3. What is the main source of bleeding in extradural (epidural) hematomas?
A. Arterial
B. Venous
C. Capillary
, Sinus - Correct Answer: An artery is the source of bleeding in 85% of extradural
hematomas. The bleeding associated with an extradural hematoma is not a result of
damage to a vein, a capillary, or a sinus.
4. A coup injury resulting from a blow to the frontal portion of the skull would occur in
which region of the brain?
A. Frontal
B. Temporal
C. Parietal
D. Occipital - Correct Answer: When there is force applied to the skull, an injury
may occur to the corresponding location on the brain. The injury may be coup
(injury at site of impact) or con recoup (injury from brain rebounding and hitting
opposite side of skull).
5. A 69-year-old patient with a history of alcohol abuse presents to the emergency room
(ER) after a month-long episode of headaches and confusion. The patient's history and
symptomology support which medical diagnosis?
A. Concussion
B. Chronic subdural hematoma
C. Epidural hematoma
D. Subacute subdural hematoma - Correct Answer: Chronic subdural
hematomas are commonly found in persons who abuse alcohol and develop over
weeks to months. A concussion is more acute in nature. Epidural hematomas are
not associated with the patient's history or symptoms. Subacute subdural
hematomas present with confusion but are more acute in nature.
6. An infant has an anterior midline defect of neural tube closure. What term will tire nurse
observe written on the chart?
A. Anencephaly
B. Myelodysplasia
C. Cyclopia
D. Hydrocephalus - Correct Answer: Cyclopia is an example of an anterior
midline defect that may cause brain and face abnormalities. In anencephaly, the
soft, bony component of the skull and part of the brain are missing.
, Myelodysplasia is a posterior neural tube disorder. Hydrocephalus is associated
with accelerated head growth.
7. A 10 year old presents with headache and seizures. CT scan reveals a tumor that is
located near the pituitary gland. Which of the following is the most likely tumor type?
A. Astrocytoma
B. Craniopharyngioma
C. Ependymoma
D. Medulloblastoma - Correct Answer: A craniopharyngioma originates from the
pituitary gland or hypothalamus. Symptoms include headache, seizures, diabetes
insipidus, early onset of puberty, and growth delay.
Astrocytomas are located on the surface of the right or left cerebellar hemisphere and
cause unilateral symptoms (occurring on the same side as the tumor), such as head tilt,
limb ataxia, and nystagmus. Ependymoma develops in the fourth ventricle and arises
from the ependymal cells that line the ventricular system. Medulloblastoma occurs as an
invasive malignant tumor that develops in the vermis of the cerebellum and may extend
into the fourth ventricle. Because both tumors are located in the posterior fossa region
along the midline, presenting signs and symptoms are similar and are usually related to
hydrocephalus and increased intracranial pressure.
8. What is the most common type of cerebral palsy?
A. Ataxic
B. Dystonic
C. Spastic
D. Mixed - Correct Answer: Spastic cerebral palsy accounts for approximately
70%- 80% of cerebral palsy cases.
Ataxic cerebral palsy accounts for 5%-10% of cerebral palsy cases. Dystonic cerebral
palsy accounts for 10%-20% of cerebral palsy cases. Mixed cases account for 13% of
cerebral palsy cases.
9. What term is used to describe a premature closure of one or more of the cranial sutures
during the first 18 months of life?
A. Craniosynostosis
B. Congential hydrocephalus
C. Microcephaly