NEURO PHARMA EXAM QUESTIONS
WITH ANSWERS WEEK 2 SUMMER
A 58-year-old female patient presents to the ED with a sudden, explosive
headache, stiff neck, and sensitivity to light. A CT of the head is performed and
shows fluid at the circle of Willis. Lab data shows the following:
ICP = 22 mmHg
Na = 125
BP = 185/110
Which of the following medications will the nurse anticipate being ordered for this
patient? (SELECT ALL THAT APPLY)
A. Nimodipine
B. Esmolol
C. Dilantin
D. Ranitidine
E. Hydrocodone
F. Colace
, C, D, F
For a subarachnoid hemorrhage/aneurysm, the patient will receive:
*Calcium channel blockers (nimodipine)
*Anticonvulsants (Dilantin)
,*Antacids/H2 antagonists (ranitidine)
*Stool softeners (Colace)
A 17-year-old male patient presents to the ED after a motorcycle accident in
which he was not wearing a helmet. The doctor determines that the patient has
suffered a basilar skull fracture. What signs and symptoms will the nurse know
to assess for with this diagnosis? (SELECT ALL THAT APPLY)
A. Butterfly rash
B. Battle sign
C. Otorrhea
D. Rhinorrhea
E. Raccoon eyes
F. Seizures
, C, D, E, F
The patient with a basilar skull fracture complains of "feeling something
dripping out of my ear". The nurse notices drainage coming from the right ear.
The nurse then performs a halo test, which is positive for CSF. What is the next
priority action by the nurse?
A. Contact the healthcare provider
B. Apply a sterile dressing over the ear
C. Send specimen to the lab
D. Administer acetaminophen for the
patient's headache
, A patient on the neuro unit is set to undergo a CT scan of the head. It is
currently 0800, and the scan is scheduled for 1700. Which of the following
nursing interventions should the nurse perform before the test? (SELECT ALL
THAT APPLY)
A. NPO 8 hours before the test
B. Stop all medications at 1500
C. Ask the patient if they are claustrophobic
D. Assess for iodine allergy
E. Remove all hairpins, clips, and earrings before the test
, B, D, E
A 40-year-old male patient presents to the ED with a traumatic primary brain
injury related to an MVA. Upon assessment, the nurse finds the GCS to be a 6.
Which of the following assessment data did the nurse use to come to this
conclusion?
A. Eyes open to speech; localizes pain; confused.
B. Eyes open spontaneously; abnormal flexion; inappropriate words.
C. No eye response; flexion-
withdrawal; no verbal response.
D. No eye response; abnormal
flexion; incomprehensible
sounds.
WITH ANSWERS WEEK 2 SUMMER
A 58-year-old female patient presents to the ED with a sudden, explosive
headache, stiff neck, and sensitivity to light. A CT of the head is performed and
shows fluid at the circle of Willis. Lab data shows the following:
ICP = 22 mmHg
Na = 125
BP = 185/110
Which of the following medications will the nurse anticipate being ordered for this
patient? (SELECT ALL THAT APPLY)
A. Nimodipine
B. Esmolol
C. Dilantin
D. Ranitidine
E. Hydrocodone
F. Colace
, C, D, F
For a subarachnoid hemorrhage/aneurysm, the patient will receive:
*Calcium channel blockers (nimodipine)
*Anticonvulsants (Dilantin)
,*Antacids/H2 antagonists (ranitidine)
*Stool softeners (Colace)
A 17-year-old male patient presents to the ED after a motorcycle accident in
which he was not wearing a helmet. The doctor determines that the patient has
suffered a basilar skull fracture. What signs and symptoms will the nurse know
to assess for with this diagnosis? (SELECT ALL THAT APPLY)
A. Butterfly rash
B. Battle sign
C. Otorrhea
D. Rhinorrhea
E. Raccoon eyes
F. Seizures
, C, D, E, F
The patient with a basilar skull fracture complains of "feeling something
dripping out of my ear". The nurse notices drainage coming from the right ear.
The nurse then performs a halo test, which is positive for CSF. What is the next
priority action by the nurse?
A. Contact the healthcare provider
B. Apply a sterile dressing over the ear
C. Send specimen to the lab
D. Administer acetaminophen for the
patient's headache
, A patient on the neuro unit is set to undergo a CT scan of the head. It is
currently 0800, and the scan is scheduled for 1700. Which of the following
nursing interventions should the nurse perform before the test? (SELECT ALL
THAT APPLY)
A. NPO 8 hours before the test
B. Stop all medications at 1500
C. Ask the patient if they are claustrophobic
D. Assess for iodine allergy
E. Remove all hairpins, clips, and earrings before the test
, B, D, E
A 40-year-old male patient presents to the ED with a traumatic primary brain
injury related to an MVA. Upon assessment, the nurse finds the GCS to be a 6.
Which of the following assessment data did the nurse use to come to this
conclusion?
A. Eyes open to speech; localizes pain; confused.
B. Eyes open spontaneously; abnormal flexion; inappropriate words.
C. No eye response; flexion-
withdrawal; no verbal response.
D. No eye response; abnormal
flexion; incomprehensible
sounds.
