ANP-650 CERTIFICATION EVALUATION
2026 EXAM Q&A STUDY SHEET
◉10.Which of the following should be avoided when caring for a
client diagnosed with increased intracranial pressure?
1. Starting an intravenous access line
2. Administering oxygen
3. Placing the bed in Trendelenburg
4. Placing the client on bed rest. Answer: ANS: 3
Intravenous access and supplemental oxygen are common
interventions in the treatment of increased intracranial pressure.
Placing the client on bed rest is a proper safety measure. Placing the
bed in Trendelenburg position will increase blood flow to the brain
and increase ICP.
◉11.A client is being instructed on treatments available for a newly
diagnosed brain tumor. The nurse realizes that this clients treatment
could include all of the following EXCEPT:
1. photo DNA therapy.
2. radiation.
3. chemotherapy.
,4. surgery.. Answer: ANS: 1
Photo DNA therapy is not a therapy. The other answers are common
treatment modalities for patients with brain tumors in addition to
photodynamic and adjunctive medication therapy.
◉12.A client diagnosed with an embolic stroke is not a candidate for
tPA. The nurse realizes that the client might be eligible for which of
the following forms of treatment?
1. Carotid stenting
2. Antiarrhythmic medication
3. Intravenous fluid therapy
4. Carotid endarterectomy. Answer: ANS: 1
In clients who are ineligible for tPA therapy, catheter-based
treatment such as stenting may be an option. Carotid
endarterectomy is used to prevent a stroke. Antiarrhythmic
medication does not prevent a stroke. Intravenous fluid therapy
does not prevent a stroke.
◉13.A client diagnosed with a brain tumor is going to receive
chemotherapy. The nurse realizes that which of the following
medications would most likely be prescribed for this clients
treatment?
1. Carmustine
2. Digoxin
3. Aminophylline
,4. Acetaminophen. Answer: ANS: 1
One of the biggest obstacles for chemotherapeutic agents when
treating brain tumors is selecting a medication that will cross the
blood-brain barrier. Carmustine can cross the blood-brain barrier.
The other medications are not used as chemotherapy for brain
tumors.
◉1.A client, being tested for a stroke, is not a candidate for tPA.
Which of the following would be contraindicated for the use of tPA?
(Select all that apply.)
1. Minor ischemic stroke within 30 days
2. Glucose level 120 mg/dL
3. Blood pressure 190/120 mmHg
4. Lumbar puncture 2 days ago
5. Stroke onset 5 hours ago
6. INR 1.0. Answer: ANS: 1, 3, 4, 5
Contraindications of tPA to treat an embolic stroke include minor
ischemic stroke within the last 30 days, blood pressure greater an
185 mmHg systolic or greater than 110 mmHg diastolic, lumbar
puncture within the last 3 days, and onset of stroke greater than 3
hours. Glucose level of 120 mg/dL and INR of 1.0 would not be
contraindications for tPA therapy.
◉2.The nurse, planning care for a client recovering from a traumatic
brain injury, is including interventions to prevent sympathetic
, storming. Which of the following should be included in this clients
plan of care? (Select all that apply.)
1. Medicate for pain prior to conducting a painful procedure.
2. Elevated blood pressure indicates a sympathetic storm is ending.
3. Continue suctioning until the clients heart rate is greater than 100
beats per minute.
4. Cardiac arrhythmias indicate a drop in intracranial pressure.
5. Provide beta-blockers as prescribed with symptoms of
sympathetic storm.
6.
If symptoms of sympathetic storm do not appear within 24 hours,
the client will not develop this health problem.. Answer: ANS: 1, 5
The nurse should medicate the client for pain prior to conducting a
painful procedure and provide beta-blockers as prescribed with
symptoms of a sympathetic storm. An elevated blood pressure is a
symptom of sympathetic storm. An elevated heart rate is a symptom
of sympathetic storming. Cardiac arrhythmias are also a symptom of
a sympathetic storm and do not indicate a
drop in intracranial pressure. Symptoms of sympathetic storming
can occur within 24 hours after a traumatic brain injury and can
reoccur periodically during the recovery process.
◉3.The nurse is providing discharge instructions to a client
recovering from a traumatic brain injury. Which of the following
should be included in these instructions? (Select all that apply.)
2026 EXAM Q&A STUDY SHEET
◉10.Which of the following should be avoided when caring for a
client diagnosed with increased intracranial pressure?
1. Starting an intravenous access line
2. Administering oxygen
3. Placing the bed in Trendelenburg
4. Placing the client on bed rest. Answer: ANS: 3
Intravenous access and supplemental oxygen are common
interventions in the treatment of increased intracranial pressure.
Placing the client on bed rest is a proper safety measure. Placing the
bed in Trendelenburg position will increase blood flow to the brain
and increase ICP.
◉11.A client is being instructed on treatments available for a newly
diagnosed brain tumor. The nurse realizes that this clients treatment
could include all of the following EXCEPT:
1. photo DNA therapy.
2. radiation.
3. chemotherapy.
,4. surgery.. Answer: ANS: 1
Photo DNA therapy is not a therapy. The other answers are common
treatment modalities for patients with brain tumors in addition to
photodynamic and adjunctive medication therapy.
◉12.A client diagnosed with an embolic stroke is not a candidate for
tPA. The nurse realizes that the client might be eligible for which of
the following forms of treatment?
1. Carotid stenting
2. Antiarrhythmic medication
3. Intravenous fluid therapy
4. Carotid endarterectomy. Answer: ANS: 1
In clients who are ineligible for tPA therapy, catheter-based
treatment such as stenting may be an option. Carotid
endarterectomy is used to prevent a stroke. Antiarrhythmic
medication does not prevent a stroke. Intravenous fluid therapy
does not prevent a stroke.
◉13.A client diagnosed with a brain tumor is going to receive
chemotherapy. The nurse realizes that which of the following
medications would most likely be prescribed for this clients
treatment?
1. Carmustine
2. Digoxin
3. Aminophylline
,4. Acetaminophen. Answer: ANS: 1
One of the biggest obstacles for chemotherapeutic agents when
treating brain tumors is selecting a medication that will cross the
blood-brain barrier. Carmustine can cross the blood-brain barrier.
The other medications are not used as chemotherapy for brain
tumors.
◉1.A client, being tested for a stroke, is not a candidate for tPA.
Which of the following would be contraindicated for the use of tPA?
(Select all that apply.)
1. Minor ischemic stroke within 30 days
2. Glucose level 120 mg/dL
3. Blood pressure 190/120 mmHg
4. Lumbar puncture 2 days ago
5. Stroke onset 5 hours ago
6. INR 1.0. Answer: ANS: 1, 3, 4, 5
Contraindications of tPA to treat an embolic stroke include minor
ischemic stroke within the last 30 days, blood pressure greater an
185 mmHg systolic or greater than 110 mmHg diastolic, lumbar
puncture within the last 3 days, and onset of stroke greater than 3
hours. Glucose level of 120 mg/dL and INR of 1.0 would not be
contraindications for tPA therapy.
◉2.The nurse, planning care for a client recovering from a traumatic
brain injury, is including interventions to prevent sympathetic
, storming. Which of the following should be included in this clients
plan of care? (Select all that apply.)
1. Medicate for pain prior to conducting a painful procedure.
2. Elevated blood pressure indicates a sympathetic storm is ending.
3. Continue suctioning until the clients heart rate is greater than 100
beats per minute.
4. Cardiac arrhythmias indicate a drop in intracranial pressure.
5. Provide beta-blockers as prescribed with symptoms of
sympathetic storm.
6.
If symptoms of sympathetic storm do not appear within 24 hours,
the client will not develop this health problem.. Answer: ANS: 1, 5
The nurse should medicate the client for pain prior to conducting a
painful procedure and provide beta-blockers as prescribed with
symptoms of a sympathetic storm. An elevated blood pressure is a
symptom of sympathetic storm. An elevated heart rate is a symptom
of sympathetic storming. Cardiac arrhythmias are also a symptom of
a sympathetic storm and do not indicate a
drop in intracranial pressure. Symptoms of sympathetic storming
can occur within 24 hours after a traumatic brain injury and can
reoccur periodically during the recovery process.
◉3.The nurse is providing discharge instructions to a client
recovering from a traumatic brain injury. Which of the following
should be included in these instructions? (Select all that apply.)
