ECCO Caring for
Patients with
Neurologic Disorders:
Part 1 with correct
answers 2025
What vital sign assessments herald impending brainstem herniation? - correct answersIncreased
SBP w/widening pulse pressure, changes in respirations, and bradycardia
A patient is admitted after sustaining traumatic brain injury in a motorcycle crash. The patent's
GCS score on admission is E 2, M 3, V 1T = 6T. Which of the following should the nurse perform
to prepare the patient for ICP monitoring? - correct answersPrior to placement of an ICP
monitoring catheter, a neurologic assessment is performed in order to have a baseline
assessment to compare to the postinsertion assessment.
, A patient is admitted following a drug overdose. The patient does not open eyes upon verbal
request but localizes to a trapezius muscle squeeze without opening eyes. The nurse should
document the patient's mental status as: - correct answersResponsive to painful stimuli
You are caring for an unconscious patient with traumatic brain injury from a motor vehicle
crash. His alcohol and toxicology screen are negative, he has no facial fractures, and he's not
receiving pain or sedation medication. Vital signs: BP 100/70 (80), HR 86 sinus rhythm, SpO2
95% with endotracheal tube secured. Upon application of painful stimuli with supraorbital
notch pressure, the patient clenches fists, holds legs straight out, and bends arms inward
toward the body. Fingers are bent and held on the chest. The nurse should document this
response as: - correct answersAbnormal flexor posturing
In a patient with a subarachnoid hemorrhage, what is the purpose of a transcranial Doppler
(TCD) test? - correct answersMeasure blood flow velocity to assess for vasospasm.
Transcranial Doppler (TCD) uses ultrasound technology to evaluate cerebral blood flow and
arterial narrowing in the major cerebral vessels. If arterial passages have narrowed, as in
vasospasm, blood flow velocity is increased.
Which of the following patients should the nurse anticipate as most likely to develop
hyponatremia and hypo-osmolality? A patient: - correct answersTwo days post severe traumatic
brain injury
A nurse finds that a patient does not move spontaneously or follow commands. To assess the
patient's motor function, the nurse applies a central pain stimulus, without response. What is
the nurse's next step? - correct answersApply peripheral pain stimulus
In determining LOC, a nurse finds that a patient post multisystem trauma does not respond to
loud questions, statements, or a light shoulder touch. What should be the nurse's next step? -
correct answersAssess a central pain stimulus response
Which of the following may result in a decreased supply of oxygen to the brain? - correct
answersHypotension and hypoxia are the primary systemic causes of decreased oxygen supply.
Patients with
Neurologic Disorders:
Part 1 with correct
answers 2025
What vital sign assessments herald impending brainstem herniation? - correct answersIncreased
SBP w/widening pulse pressure, changes in respirations, and bradycardia
A patient is admitted after sustaining traumatic brain injury in a motorcycle crash. The patent's
GCS score on admission is E 2, M 3, V 1T = 6T. Which of the following should the nurse perform
to prepare the patient for ICP monitoring? - correct answersPrior to placement of an ICP
monitoring catheter, a neurologic assessment is performed in order to have a baseline
assessment to compare to the postinsertion assessment.
, A patient is admitted following a drug overdose. The patient does not open eyes upon verbal
request but localizes to a trapezius muscle squeeze without opening eyes. The nurse should
document the patient's mental status as: - correct answersResponsive to painful stimuli
You are caring for an unconscious patient with traumatic brain injury from a motor vehicle
crash. His alcohol and toxicology screen are negative, he has no facial fractures, and he's not
receiving pain or sedation medication. Vital signs: BP 100/70 (80), HR 86 sinus rhythm, SpO2
95% with endotracheal tube secured. Upon application of painful stimuli with supraorbital
notch pressure, the patient clenches fists, holds legs straight out, and bends arms inward
toward the body. Fingers are bent and held on the chest. The nurse should document this
response as: - correct answersAbnormal flexor posturing
In a patient with a subarachnoid hemorrhage, what is the purpose of a transcranial Doppler
(TCD) test? - correct answersMeasure blood flow velocity to assess for vasospasm.
Transcranial Doppler (TCD) uses ultrasound technology to evaluate cerebral blood flow and
arterial narrowing in the major cerebral vessels. If arterial passages have narrowed, as in
vasospasm, blood flow velocity is increased.
Which of the following patients should the nurse anticipate as most likely to develop
hyponatremia and hypo-osmolality? A patient: - correct answersTwo days post severe traumatic
brain injury
A nurse finds that a patient does not move spontaneously or follow commands. To assess the
patient's motor function, the nurse applies a central pain stimulus, without response. What is
the nurse's next step? - correct answersApply peripheral pain stimulus
In determining LOC, a nurse finds that a patient post multisystem trauma does not respond to
loud questions, statements, or a light shoulder touch. What should be the nurse's next step? -
correct answersAssess a central pain stimulus response
Which of the following may result in a decreased supply of oxygen to the brain? - correct
answersHypotension and hypoxia are the primary systemic causes of decreased oxygen supply.
