MS2 QUIZ 8 NEUROLOGICAL DISORDERS EXAM 2025/2026 |NEW UPDATED
QUESTIONS & ANSWERS |GRADED A|100% CORRECT
1.Which type of cranial surgery is performed to provide an alternative pathway to redirect cerebrospinal
fluid (CSF)?
a. Burr hole
b. Craniotomy
c. Shunt placement
d. Stereotactic procedure - ANSWER c. Shunt placement
2. ______ side brain CVA is most likely to result in memory problems related to language - ANSWER left
3. _________ sde brain CVA is most likely to result in memory problems related to spatial-perception
orientation - ANSWER right
4. neglecting the affected side of the body - ANSWER anosognosia
5. pts receiving thrombolytics for ischemic stroke also receive _______ to prevent re-clotting - ANSWER
heparin
6. What type of blunt trauma can lead to spinal cord injury?
Stab wound
Diving accident
Gunshot wound
Torn spinal cord - ANSWER Diving accident
7. a client with MG is having ineffective airway clearance and difficulty with maintaining an effective
breathing pattern. the nurse should keep which most important items available at the client's bedside?
a. incentive spirometer and cough pillow
b. pulse oximeter and cardiac monitor
,c. oxygen and MDI
d. ambu bag and suction equipment - ANSWER d. ambu bag and suction equipment
8. the nurse is caring for a client who has just been admitted to the hospital with a diagnosis of a
hemorrhagic stroke. the nurse should place the client in which position?
a. prone
b. head of bed elevated 30 degrees with the head in midline position
c. semi-fowler's with the hip and neck being hyperflexed
d. supine - ANSWER b. head of bed elevated 30 degrees with the head in midline position
9.a client with a neurological impairment experiences urinary incontinence. which nursing action would
be most helpful in assisting the client to adapt to this alteration?
a. padding the bed with an absorbent cotton pad
b. inserting a foley catheter
c. establishing a toileting schedule
d. using adult diapers - ANSWER c. establishing a toileting schedule
10. client comes in with basilar skull fracture who is at risk for increased intracranial pressure. which of
the following should the nurse implement?
a. maintain the client's head midline
b. place the client's neck in neutral position
c. elevate the head of bed 30 to 45 degrees
d. hyperflex the client's neck and jaw forward when opening the mouth
e. monitor for rhinorrhea, otorrhea, and halo sign - ANSWER a. maintain the client's head midline
11. normal ICP - ANSWER 5 to 15 mmHG
12.Sustained ICP >20 mm Hg represents IICP seriously impairs cerebral perfusion
13. early S/S of IICP & late S/S - ANSWER early: change in LOC and confusion & altered mental status
,14.late: cushings sign, V/S changes, severe headache, papilledema, & projectile vomiting
cushing's triad - ANSWER 1) Hypertension (widening pulse pressure)
2) Bradycardia
3) Bradypnea/irregular breathing
4) irregular body temperature (increasing)
15. activities to avoid that could increase IICP? - ANSWER - isometric exercises
- Valsalva's maneuver
- coughing, sneezing, yelling, & blowing the nose
- prevent extreme neck flexion
- avoid hip flexion
16.Exhaling during activities such as repositioning or pulling up in bed opens the glottis, which prevents
intrathoracic pressure from rising, thus preventing IICP
17. IICP tx - ANSWER Mannitol (Osmitrol)
- crystallizes so make sure to use a filter needle
- Osmotic diuretic given to pull fluid from the tissues into the circulatory system, causing further fluid
volume overload
18. if pt has edema, should the nurse consider administering Mannitol (Osmitrol)? - ANSWER No, the
nurse should avoid giving mannitol bc it will pull fluid from tissues into the circulatory system, causing
further circulatory fluid overload & pitting edema!
19. The patient with increased ICP resulting from a brain tumor is being monitored with a
ventriculostomy. What nursing intervention is the priority in caring for this patient?
a. Administer IV mannitol
b. Use ventilator to hyperoxygenate the patient
c. Use strict aseptic technique with dressing changes
, d. Be aware of changes in ICP related to leaking cerebrospinal fluid - ANSWER c. Use strict aseptic
technique with dressing changes
20. A patient has been diagnosed with a right-sided brain tumor resulting in significant ICP. The nurse can
expect to document which assessment findings? Select all that apply.
a. Ipsilateral pupil dilation
b. Altered level of consciousness
c. Contralateral pupil dilation
d. Contralateral hemiparesis
e. Ispilateral hemiparesis - ANSWER a. Ipsilateral pupil dilation
21. if pt with IICP has pitting pedal edema, should you administer mannitol (osmitrol)? - ANSWER no! b/c
mannitol will pull fluid from the tissues into the circulatory system causing further fluid volume overload
22.(if pt did not have edema, you can administer mannitol)
use _______ when administering mannitol - ANSWER filter needle
23. GCS < _____ indicates coma is present - ANSWER 8
24. The nurse is caring for a patient with increased ICP. An order for a benzodiazepine is given. Why
should the benzodiazepine be excluded for treating increased ICP in a patient?
a. It may cause sedation
b. It may increase the pain
c. I increases anxiety levels
d. It causes a hypotensive effect - ANSWER d. It causes a hypotensive effect
25. A patient is admitted w/ elevated ICP. What factors may create further elevation in ICP?SATA
a. Pain and agitation
b. Extreme hip flexion
c. slow and gentle movts
QUESTIONS & ANSWERS |GRADED A|100% CORRECT
1.Which type of cranial surgery is performed to provide an alternative pathway to redirect cerebrospinal
fluid (CSF)?
a. Burr hole
b. Craniotomy
c. Shunt placement
d. Stereotactic procedure - ANSWER c. Shunt placement
2. ______ side brain CVA is most likely to result in memory problems related to language - ANSWER left
3. _________ sde brain CVA is most likely to result in memory problems related to spatial-perception
orientation - ANSWER right
4. neglecting the affected side of the body - ANSWER anosognosia
5. pts receiving thrombolytics for ischemic stroke also receive _______ to prevent re-clotting - ANSWER
heparin
6. What type of blunt trauma can lead to spinal cord injury?
Stab wound
Diving accident
Gunshot wound
Torn spinal cord - ANSWER Diving accident
7. a client with MG is having ineffective airway clearance and difficulty with maintaining an effective
breathing pattern. the nurse should keep which most important items available at the client's bedside?
a. incentive spirometer and cough pillow
b. pulse oximeter and cardiac monitor
,c. oxygen and MDI
d. ambu bag and suction equipment - ANSWER d. ambu bag and suction equipment
8. the nurse is caring for a client who has just been admitted to the hospital with a diagnosis of a
hemorrhagic stroke. the nurse should place the client in which position?
a. prone
b. head of bed elevated 30 degrees with the head in midline position
c. semi-fowler's with the hip and neck being hyperflexed
d. supine - ANSWER b. head of bed elevated 30 degrees with the head in midline position
9.a client with a neurological impairment experiences urinary incontinence. which nursing action would
be most helpful in assisting the client to adapt to this alteration?
a. padding the bed with an absorbent cotton pad
b. inserting a foley catheter
c. establishing a toileting schedule
d. using adult diapers - ANSWER c. establishing a toileting schedule
10. client comes in with basilar skull fracture who is at risk for increased intracranial pressure. which of
the following should the nurse implement?
a. maintain the client's head midline
b. place the client's neck in neutral position
c. elevate the head of bed 30 to 45 degrees
d. hyperflex the client's neck and jaw forward when opening the mouth
e. monitor for rhinorrhea, otorrhea, and halo sign - ANSWER a. maintain the client's head midline
11. normal ICP - ANSWER 5 to 15 mmHG
12.Sustained ICP >20 mm Hg represents IICP seriously impairs cerebral perfusion
13. early S/S of IICP & late S/S - ANSWER early: change in LOC and confusion & altered mental status
,14.late: cushings sign, V/S changes, severe headache, papilledema, & projectile vomiting
cushing's triad - ANSWER 1) Hypertension (widening pulse pressure)
2) Bradycardia
3) Bradypnea/irregular breathing
4) irregular body temperature (increasing)
15. activities to avoid that could increase IICP? - ANSWER - isometric exercises
- Valsalva's maneuver
- coughing, sneezing, yelling, & blowing the nose
- prevent extreme neck flexion
- avoid hip flexion
16.Exhaling during activities such as repositioning or pulling up in bed opens the glottis, which prevents
intrathoracic pressure from rising, thus preventing IICP
17. IICP tx - ANSWER Mannitol (Osmitrol)
- crystallizes so make sure to use a filter needle
- Osmotic diuretic given to pull fluid from the tissues into the circulatory system, causing further fluid
volume overload
18. if pt has edema, should the nurse consider administering Mannitol (Osmitrol)? - ANSWER No, the
nurse should avoid giving mannitol bc it will pull fluid from tissues into the circulatory system, causing
further circulatory fluid overload & pitting edema!
19. The patient with increased ICP resulting from a brain tumor is being monitored with a
ventriculostomy. What nursing intervention is the priority in caring for this patient?
a. Administer IV mannitol
b. Use ventilator to hyperoxygenate the patient
c. Use strict aseptic technique with dressing changes
, d. Be aware of changes in ICP related to leaking cerebrospinal fluid - ANSWER c. Use strict aseptic
technique with dressing changes
20. A patient has been diagnosed with a right-sided brain tumor resulting in significant ICP. The nurse can
expect to document which assessment findings? Select all that apply.
a. Ipsilateral pupil dilation
b. Altered level of consciousness
c. Contralateral pupil dilation
d. Contralateral hemiparesis
e. Ispilateral hemiparesis - ANSWER a. Ipsilateral pupil dilation
21. if pt with IICP has pitting pedal edema, should you administer mannitol (osmitrol)? - ANSWER no! b/c
mannitol will pull fluid from the tissues into the circulatory system causing further fluid volume overload
22.(if pt did not have edema, you can administer mannitol)
use _______ when administering mannitol - ANSWER filter needle
23. GCS < _____ indicates coma is present - ANSWER 8
24. The nurse is caring for a patient with increased ICP. An order for a benzodiazepine is given. Why
should the benzodiazepine be excluded for treating increased ICP in a patient?
a. It may cause sedation
b. It may increase the pain
c. I increases anxiety levels
d. It causes a hypotensive effect - ANSWER d. It causes a hypotensive effect
25. A patient is admitted w/ elevated ICP. What factors may create further elevation in ICP?SATA
a. Pain and agitation
b. Extreme hip flexion
c. slow and gentle movts
