PRN1725 CCC4 Exam 1
1. Sign and symptoms of a basilar skull fracture?
Ecchymosis behind the ear (Battle Sign),
Ecchymosis around the eyes (Raccoon Eyes),
Otorrhea (Fluid from the ears),
Rhinorrhea (Fluid from the nose)
2. Comatose
No observable response to stimulation.
3. Most important teaching about concussions.
The main treatment is rest and sleep to allow the brain to heal.
4. Signs and symptoms of a stroke?
• Sudden weakness, numbness, tingling, or loss of feeling in the face, arm, or leg
• Sudden trouble seeing in one or both eyes; double vision
• Sudden confusion, slurred speech, trouble talking, or difficulty understanding what
others are saying
• A sudden, severe headache for no known reason
• Sudden trouble walking, dizziness, or a feeling of spinning around
• Loss of balance or coordination
• Blackouts
acronym FAST—Facial drooping, Arm weakness, Speech difficulty, Time to call 911.
5. After someone has a stroke, how long before rehabilitation is started?
Immediately. Starts an acute care and goes on through rehab.
, 6. A patient who is paraplegic can't feel their legs and lays on their side. What skin
breakdown should be a concern for nurse?
Ankles, Boney Prominence,
7. Interventions for a patient who has autonomic dysreflexia who appears flushed and has
high blood pressure?
Sitting the patient in Semi- Fowler position
Elevate the head of the bed 20 to 30 degrees to facilitate return of blood from the
cerebral veins.
8. Patient with spinal cord injury has obsessively high blood pressure. What causes
obsessively high blood pressure?
Neurological Bladder
9. What of exercises are appropriate for a patient with MS (Multiple Sclerosis)?
Passive Range of Motion. Yoga, Swimming
10. First intervention for a patient who is having a seizure?
Safety Precautions for patient
11. For a patient who is hearing voices what is the appropriate response?
Ask what the voices are telling the patient
To prevent dangerous command hallucinations.
12. What should the nurse do if a patient is admitted for a head injury and one pupil is
bigger than the other?
Report to provide immediately as this is signs of brain injury
1. Sign and symptoms of a basilar skull fracture?
Ecchymosis behind the ear (Battle Sign),
Ecchymosis around the eyes (Raccoon Eyes),
Otorrhea (Fluid from the ears),
Rhinorrhea (Fluid from the nose)
2. Comatose
No observable response to stimulation.
3. Most important teaching about concussions.
The main treatment is rest and sleep to allow the brain to heal.
4. Signs and symptoms of a stroke?
• Sudden weakness, numbness, tingling, or loss of feeling in the face, arm, or leg
• Sudden trouble seeing in one or both eyes; double vision
• Sudden confusion, slurred speech, trouble talking, or difficulty understanding what
others are saying
• A sudden, severe headache for no known reason
• Sudden trouble walking, dizziness, or a feeling of spinning around
• Loss of balance or coordination
• Blackouts
acronym FAST—Facial drooping, Arm weakness, Speech difficulty, Time to call 911.
5. After someone has a stroke, how long before rehabilitation is started?
Immediately. Starts an acute care and goes on through rehab.
, 6. A patient who is paraplegic can't feel their legs and lays on their side. What skin
breakdown should be a concern for nurse?
Ankles, Boney Prominence,
7. Interventions for a patient who has autonomic dysreflexia who appears flushed and has
high blood pressure?
Sitting the patient in Semi- Fowler position
Elevate the head of the bed 20 to 30 degrees to facilitate return of blood from the
cerebral veins.
8. Patient with spinal cord injury has obsessively high blood pressure. What causes
obsessively high blood pressure?
Neurological Bladder
9. What of exercises are appropriate for a patient with MS (Multiple Sclerosis)?
Passive Range of Motion. Yoga, Swimming
10. First intervention for a patient who is having a seizure?
Safety Precautions for patient
11. For a patient who is hearing voices what is the appropriate response?
Ask what the voices are telling the patient
To prevent dangerous command hallucinations.
12. What should the nurse do if a patient is admitted for a head injury and one pupil is
bigger than the other?
Report to provide immediately as this is signs of brain injury
