Question 1

An important intervention before and after a cerebral angiogram is

Accepted Answer

A)  ensuring that the patient is adequately hydrated. 
B)  maintaining the patient on an NPO status. 
C)  administering antibiotics to the patient. 
D)  keeping the patient flat in bed for 24 hours. 
A)  ensuring that the patient is adequately hydrated. 
B)  maintaining the patient on an NPO status. 
C)  administering antibiotics to the patient. 
D)  keeping the patient flat in bed for 24 hours. A

Question 2

Identify the sites for monitoring ICP.

Accepted Answer

A)  Intraventricular space 
B)  Epidural space 
C)  Jugular veins 
D)  Subdural space 
E)  Parenchyma 
A)  Intraventricular space 
B)  Epidural space 
C)  Jugular veins 
D)  Subdural space 
E)  Parenchyma A,B,D,E

Question 3

Which of the following patients may need sedation before having an MRI scan?

Accepted Answer

A)  Claustrophobic patient 
B)  Comatose patient 
C)  Elderly patient 
D)  Patient with a spinal cord injury 
A)  Claustrophobic patient 
B)  Comatose patient 
C)  Elderly patient 
D)  Patient with a spinal cord injury A

Question 4

The difference between cerebral angiography and digital subtraction angiography is that digital subtraction angiography

Accepted Answer

A)  has more complications. 
B)  uses arterial injection of dye. 
C)  uses significantly less dye. 
D)  allows the patient more mobility during the procedure. 
A)  has more complications. 
B)  uses arterial injection of dye. 
C)  uses significantly less dye. 
D)  allows the patient more mobility during the procedure.

Question 5

A patient is admitted to the critical care unit with a subdural hematoma.The GCS is used to assess his level of consciousness.Which statement is true concerning the GCS?

Accepted Answer

A)  It provides data about level of consciousness only. 
B)  It is considered equivalent to a complete neurologic examination. 
C)  It is a sensitive tool for evaluation of an altered sensorium. 
D)  It is the most critical assessment parameter to account for possible aphasia. 
A)  It provides data about level of consciousness only. 
B)  It is considered equivalent to a complete neurologic examination. 
C)  It is a sensitive tool for evaluation of an altered sensorium. 
D)  It is the most critical assessment parameter to account for possible aphasia.

Question 6

The respiratory pattern with rhythmic increase and decrease of rate and depth of respiration,then brief periods of apnea,is known as

Accepted Answer

A)  central neurogenic hyperventilation. 
B)  apneustic breathing. 
C)  ataxic respirations. 
D)  Cheyne-Stokes respirations. 
A)  central neurogenic hyperventilation. 
B)  apneustic breathing. 
C)  ataxic respirations. 
D)  Cheyne-Stokes respirations.

Question 7

MRI is superior to CT for which of the following?

Accepted Answer

A)  Brain death determination 
B)  Detection of central nervous system infection 
C)  Estimation of intracranial pressure 
D)  Identification of subarachnoid hemorrhage 
A)  Brain death determination 
B)  Detection of central nervous system infection 
C)  Estimation of intracranial pressure 
D)  Identification of subarachnoid hemorrhage

Question 8

Which type of ICP monitoring device has the most accurate ICP measurement and provides access to CSF for sampling?

Accepted Answer

A)  Subarachnoid bolt or screw 
B)  Subdural or epidural catheter 
C)  Intraventricular catheter 
D)  Fiberoptic transducer tipped catheter 
A)  Subarachnoid bolt or screw 
B)  Subdural or epidural catheter 
C)  Intraventricular catheter 
D)  Fiberoptic transducer tipped catheter

Question 9

A critical care patient is diagnosed with massive head trauma.The patient is receiving brain tissue oxygen pressure (PbtO2)monitoring.The nurse recognized that the goal of this treatment is to maintain PbtO2

Accepted Answer

A)  greater than 20 mm Hg. 
B)  less than 15 mm Hg. 
C)  between 15 and 20 mm Hg. 
D)  between 10 and 20 mm Hg. 
A)  greater than 20 mm Hg. 
B)  less than 15 mm Hg. 
C)  between 15 and 20 mm Hg. 
D)  between 10 and 20 mm Hg.

Question 10

Cerebral infarction is a serious complication of which procedure?

Accepted Answer

A)  Extracranial Doppler 
B)  Evoked potential testing 
C)  Myelography 
D)  Conventional angiography 
A)  Extracranial Doppler 
B)  Evoked potential testing 
C)  Myelography 
D)  Conventional angiography

Question 11

The difference between electroencephalography and evoked potentials is that evoked potentials

Accepted Answer

A)  record electrical and muscle activity. 
B)  monitor cerebral blood flow velocity. 
C)  record impulses generated by sensory stimuli. 
D)  cannot be used in the assessment of spinal cord injury. 
A)  record electrical and muscle activity. 
B)  monitor cerebral blood flow velocity. 
C)  record impulses generated by sensory stimuli. 
D)  cannot be used in the assessment of spinal cord injury.

Question 12

Successful completion of digital subtraction angiography requires what participation on the part of the patient?

Accepted Answer

A)  Responding appropriately to various commands 
B)  Repositioning at appropriate intervals 
C)  Remaining motionless 
D)  Holding inspiration during imaging 
A)  Responding appropriately to various commands 
B)  Repositioning at appropriate intervals 
C)  Remaining motionless 
D)  Holding inspiration during imaging

Question 13

The clinical manifestations of the Cushing reflex are

Accepted Answer

A)  bradycardia, systolic hypertension, and widening pulse pressure. 
B)  tachycardia, systolic hypotension, and tachypnea. 
C)  headache, nuchal rigidity, and hyperthermia. 
D)  bradycardia, aphasia, and visual field disturbances. 
A)  bradycardia, systolic hypertension, and widening pulse pressure. 
B)  tachycardia, systolic hypotension, and tachypnea. 
C)  headache, nuchal rigidity, and hyperthermia. 
D)  bradycardia, aphasia, and visual field disturbances.

Question 14

Testing of extraocular eye movements assesses

Accepted Answer

A)  pupillary response to light. 
B)  function of the three cranial nerves of the eye. 
C)  the ability of the eyes to accommodate to a closer moving object. 
D)  the oculocephalic reflex. 
A)  pupillary response to light. 
B)  function of the three cranial nerves of the eye. 
C)  the ability of the eyes to accommodate to a closer moving object. 
D)  the oculocephalic reflex.

Question 15

The oculovestibular reflex,or cold caloric test,

Accepted Answer

A)  should not be performed on an unconscious patient because of the risk of aspiration. 
B)  has an abnormal response of rapid nystagmus-like deviation to the side of the body that is tested. 
C)  is a routine test of the nursing neurologic examination. 
D)  is one of the final clinical assessments of brainstem function. 
A)  should not be performed on an unconscious patient because of the risk of aspiration. 
B)  has an abnormal response of rapid nystagmus-like deviation to the side of the body that is tested. 
C)  is a routine test of the nursing neurologic examination. 
D)  is one of the final clinical assessments of brainstem function.

Question 16

The most serious complication of lumbar puncture in a critically ill patient is

Accepted Answer

A)  bacterial meningitis. 
B)  dural tear. 
C)  brainstem herniation. 
D)  spinal cord trauma. 
A)  bacterial meningitis. 
B)  dural tear. 
C)  brainstem herniation. 
D)  spinal cord trauma.

Question 17

Considering anatomic location,which cranial nerve will be affected first by downward pressure onto the infratentorial structures?

Accepted Answer

A)  III 
B)  VI 
C)  IX 
D)  X 
A)  III 
B)  VI 
C)  IX 
D)  X

Question 18

Presence of the grasp reflex in an adult indicates what type of damage?

Accepted Answer

A)  Brainstem 
B)  Spinal cord 
C)  CN III 
D)  Cortical 
A)  Brainstem 
B)  Spinal cord 
C)  CN III 
D)  Cortical

Question 19

Which of the following denotes the most serious prognosis?

Accepted Answer

A)  Decorticate posturing 
B)  Decerebrate posturing 
C)  Absence of Babinski reflex 
D)  GCS score of 14 
A)  Decorticate posturing 
B)  Decerebrate posturing 
C)  Absence of Babinski reflex 
D)  GCS score of 14

Question 20

The GCS is an invalid measure for the patient with

Accepted Answer

A)  hemiplegia. 
B)  Parkinson disease. 
C)  mental retardation. 
D)  intoxication. 
A)  hemiplegia. 
B)  Parkinson disease. 
C)  mental retardation. 
D)  intoxication.

Exam 23: Neurologic Clinical Assessment and Diagnostic Procedures

An important intervention before and after a cerebral angiogram is

Identify the sites for monitoring ICP.

Which of the following patients may need sedation before having an MRI scan?

The difference between cerebral angiography and digital subtraction angiography is that digital subtraction angiography

A patient is admitted to the critical care unit with a subdural hematoma.The GCS is used to assess his level of consciousness.Which statement is true concerning the GCS?

The respiratory pattern with rhythmic increase and decrease of rate and depth of respiration,then brief periods of apnea,is known as

MRI is superior to CT for which of the following?

Which type of ICP monitoring device has the most accurate ICP measurement and provides access to CSF for sampling?

A critical care patient is diagnosed with massive head trauma.The patient is receiving brain tissue oxygen pressure (PbtO2)monitoring.The nurse recognized that the goal of this treatment is to maintain PbtO2

Cerebral infarction is a serious complication of which procedure?

The difference between electroencephalography and evoked potentials is that evoked potentials

Successful completion of digital subtraction angiography requires what participation on the part of the patient?

The clinical manifestations of the Cushing reflex are

Testing of extraocular eye movements assesses

The oculovestibular reflex,or cold caloric test,

The most serious complication of lumbar puncture in a critically ill patient is

Considering anatomic location,which cranial nerve will be affected first by downward pressure onto the infratentorial structures?

Presence of the grasp reflex in an adult indicates what type of damage?

Which of the following denotes the most serious prognosis?

The GCS is an invalid measure for the patient with

Critical Care Nursing Practice

Ethical Issues

Legal Issues

Genetics and Genomics in Critical Care

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations and Management

Nutrition Alterations and Management

Pain and Pain Management

Sedation,Agitation,Delirium: Assessment and Management

End-Of-Life Issues

Cardiovascular Anatomy and Physiology

Cardiovascular Clinical Assessment

Cardiovascular Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Anatomy and Physiology

Pulmonary Clinical Assessment

Pulmonary Diagnostic Procedures

Pulmonary Disorders

Pulmonary Therapeutic Management

Neurologic Anatomy and Physiology

Neurologic Disorders and Therapeutic Management

Kidney Anatomy and Physiology

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Anatomy and Physiology

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Anatomy and Physiology

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

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Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Burns

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A critical care patient is diagnosed with massive head trauma.The patient is receiving brain tissue oxygen pressure (PbtO₂)monitoring.The nurse recognized that the goal of this treatment is to maintain PbtO₂