Question 1

Which of the following choices is an acceptable and recommended method of noxious stimulation?

Accepted Answer

A)  Nipple pinch 
B)  Nail bed pressure 
C)  Supraorbital pressure 
D)  Sternal rub 
A)  Nipple pinch 
B)  Nail bed pressure 
C)  Supraorbital pressure 
D)  Sternal rub

Question 2

The most important aspect of the neurologic examination is

Accepted Answer

A)  medical history. 
B)  physical examination. 
C)  level of consciousness. 
D)  pupillary responses. 
A)  medical history. 
B)  physical examination. 
C)  level of consciousness. 
D)  pupillary responses.

Question 3

Symptoms of late stages of intracranial hypertension include

Accepted Answer

A)  decreased perfusion of cerebral tissue. 
B)  widening pulse pressure values. 
C)  increased perfusion pressure across the blood-brain barrier. 
D)  decreased intracranial pressure. 
A)  decreased perfusion of cerebral tissue. 
B)  widening pulse pressure values. 
C)  increased perfusion pressure across the blood-brain barrier. 
D)  decreased intracranial pressure.

Question 4

A patient is admitted to the critical care unit with a subdural hematoma.The GCS is used to assess his level of consciousness.In assessing the patient's best motor response,the movement that receives the lowest score is

Accepted Answer

A)  decerebrate posturing. 
B)  localizing pain. 
C)  withdrawing from pain. 
D)  decorticate posturing. 
A)  decerebrate posturing. 
B)  localizing pain. 
C)  withdrawing from pain. 
D)  decorticate posturing.

Question 5

Indications for the use of EEG include

Accepted Answer

A)  cerebral infarct. 
B)  metabolic encephalopathy. 
C)  confirmation of brain death. 
D)  altered consciousness. 
E)  all head injuries. 
A)  cerebral infarct. 
B)  metabolic encephalopathy. 
C)  confirmation of brain death. 
D)  altered consciousness. 
E)  all head injuries.

Question 6

While starting an intravenous line on the right hand of an unconscious patient,the patient reaches over with his left hand and tries to remove the noxious stimuli.This response is called

Accepted Answer

A)  decorticate posturing. 
B)  decerebrate posturing. 
C)  withdrawal. 
D)  localization. 
A)  decorticate posturing. 
B)  decerebrate posturing. 
C)  withdrawal. 
D)  localization.

Question 7

An oval pupil is indicative of

Accepted Answer

A)  cortical dysfunction. 
B)  intracranial hypertension. 
C)  hydrocephalus. 
D)  metabolic coma. 
A)  cortical dysfunction. 
B)  intracranial hypertension. 
C)  hydrocephalus. 
D)  metabolic coma.

Question 8

A patient is being prepared for a neurologic work-up.Examinations include a CT scan,cerebral angiography,and lumbar puncture.The best position to place the patient in for a lumbar puncture is

Accepted Answer

A)  supine. 
B)  reverse Trendelenburg. 
C)  high Fowler. 
D)  lateral recumbent position with her knees and head slightly tucked. 
A)  supine. 
B)  reverse Trendelenburg. 
C)  high Fowler. 
D)  lateral recumbent position with her knees and head slightly tucked.

Question 9

Results from which two procedures complement each other in the preoperative evaluation of the carotid arteries?

Accepted Answer

A)  Ultrasound and magnetic resonance angiography 
B)  Conventional angiography and evoked potential 
C)  CT and magnetic resonance angiography 
D)  Transcranial Doppler and extracranial Doppler 
A)  Ultrasound and magnetic resonance angiography 
B)  Conventional angiography and evoked potential 
C)  CT and magnetic resonance angiography 
D)  Transcranial Doppler and extracranial Doppler

Question 10

Which diagnostic study provides the best evaluation of the functional integrity of cerebral motor pathways?

Accepted Answer

A)  Electroencephalography 
B)  Xenon CT 
C)  Motor-evoked potentials 
D)  Emission tomography 
A)  Electroencephalography 
B)  Xenon CT 
C)  Motor-evoked potentials 
D)  Emission tomography

Exam 23: Neurologic Clinical Assessment and Diagnostic Procedures

Which of the following choices is an acceptable and recommended method of noxious stimulation?

The most important aspect of the neurologic examination is

Symptoms of late stages of intracranial hypertension include

A patient is admitted to the critical care unit with a subdural hematoma.The GCS is used to assess his level of consciousness.In assessing the patient's best motor response,the movement that receives the lowest score is

Indications for the use of EEG include

While starting an intravenous line on the right hand of an unconscious patient,the patient reaches over with his left hand and tries to remove the noxious stimuli.This response is called

An oval pupil is indicative of

A patient is being prepared for a neurologic work-up.Examinations include a CT scan,cerebral angiography,and lumbar puncture.The best position to place the patient in for a lumbar puncture is

Results from which two procedures complement each other in the preoperative evaluation of the carotid arteries?

Which diagnostic study provides the best evaluation of the functional integrity of cerebral motor pathways?

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

Trauma

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Burns

Organ Donation and Transplantation

Hematologic Disorders and Oncologic Emergencies

The Obstetric Patient

The Pediatric Patient

The Older Adult Patient

The Perianesthesia Patient

Filters