Question 1

Which statement is true regarding the occurrence of SAHs?

Accepted Answer

A)  Greater occurrence in men than women younger than the age of 40 years old 
B)  Greater occurrence in men than women older than the age of 40 years old 
C)  90% of SAHs are caused by traumatic injury 
D)  Hemorrhage from SAHs have a better survival rate than hemorrhage from AVM 
A)  Greater occurrence in men than women younger than the age of 40 years old 
B)  Greater occurrence in men than women older than the age of 40 years old 
C)  90% of SAHs are caused by traumatic injury 
D)  Hemorrhage from SAHs have a better survival rate than hemorrhage from AVM

Question 2

Thrombolytic therapy with recombinant tissue plasminogen activator (rtPA)is now recommended for the management of ischemic stroke if administration can be instituted within how many hours of onset of stroke symptoms?

Accepted Answer

A)  1 
B)  4 
C)  6 
D)  10 
A)  1 
B)  4 
C)  6 
D)  10

Question 3

The stroke patient who has difficulty with speech has

Accepted Answer

A)  expressive aphasia. 
B)  global aphasia 
C)  receptive aphasia. 
D)  apraxia. 
A)  expressive aphasia. 
B)  global aphasia 
C)  receptive aphasia. 
D)  apraxia.

Question 4

A 76-year-old right-handed patient has been admitted to the critical care unit with an intracerebral hemorrhage.A CT of her head reveals a large left parietal area bleed.While assisting the patient with her personal care,it is noted that she is unable to comb her hair with her left hand.The patient may have

Accepted Answer

A)  agnosia. 
B)  apraxia. 
C)  Broca aphasia. 
D)  Wernicke aphasia. 
A)  agnosia. 
B)  apraxia. 
C)  Broca aphasia. 
D)  Wernicke aphasia.

Question 5

Which of the following is the most common complication after high-dose barbiturate therapy?

Accepted Answer

A)  Hypothermia 
B)  Hypotension 
C)  Myocardial depression 
D)  Decreased CVP 
A)  Hypothermia 
B)  Hypotension 
C)  Myocardial depression 
D)  Decreased CVP

Question 6

Nursing management of a patient with a clipped cerebral aneurysm receiving hypertensive hypervolemic hemodilution therapy includes

Accepted Answer

A)  administering osmotic diuretics and vasodilator agents. 
B)  providing the patient with a quiet environment. 
C)  maintaining the patient's systolic blood pressure at 150 to 160 mm Hg. 
D)  keeping the patient's central venous pressure at 5 to 8 mm Hg. 
A)  administering osmotic diuretics and vasodilator agents. 
B)  providing the patient with a quiet environment. 
C)  maintaining the patient's systolic blood pressure at 150 to 160 mm Hg. 
D)  keeping the patient's central venous pressure at 5 to 8 mm Hg.

Question 7

The patient has sustained an ischemic stroke involving the left cerebral hemisphere.Which of the following neurologic abnormalities would you expect to see?

Accepted Answer

A)  Aphasia 
B)  Left visual field defect 
C)  Difficulty balancing his checkbook 
D)  Ataxic gait 
E)  Somnolence 
A)  Aphasia 
B)  Left visual field defect 
C)  Difficulty balancing his checkbook 
D)  Ataxic gait 
E)  Somnolence

Question 8

Which of the following statements regarding Guillain-Barré syndrome supports the admission to a critical care unit?

Accepted Answer

A)  The demyelination process of the peripheral nerves is irreversible. 
B)  The demyelination process is limited to the peripheral nervous system only. 
C)  The paralysis associated with the syndrome occurs in a descending pattern. 
D)  The most common cause of death is from respiratory arrest. 
A)  The demyelination process of the peripheral nerves is irreversible. 
B)  The demyelination process is limited to the peripheral nervous system only. 
C)  The paralysis associated with the syndrome occurs in a descending pattern. 
D)  The most common cause of death is from respiratory arrest.

Question 9

A patient who has experienced a right-sided stroke with hemiagnosia may experience

Accepted Answer

A)  reading the right side of the newspaper only. 
B)  denying ownership of the right side of the body. 
C)  being hyperresponsive when approached on the right side. 
D)  attempting to comb the hair with a toothbrush. 
A)  reading the right side of the newspaper only. 
B)  denying ownership of the right side of the body. 
C)  being hyperresponsive when approached on the right side. 
D)  attempting to comb the hair with a toothbrush.

Question 10

The extrusion of cerebral tissue through the cranium is what type of herniation?

Accepted Answer

A)  Transcalvarial 
B)  Uncal 
C)  Cingulate 
D)  Transtentorial 
A)  Transcalvarial 
B)  Uncal 
C)  Cingulate 
D)  Transtentorial

Question 11

Downward displacement of the hemispheres,basal ganglia,and diencephalon through the tentorial notch is indicative of

Accepted Answer

A)  central herniation. 
B)  uncal herniation. 
C)  cingulate herniation. 
D)  infratentorial herniation. 
A)  central herniation. 
B)  uncal herniation. 
C)  cingulate herniation. 
D)  infratentorial herniation.

Question 12

Complications associated with craniotomy include

Accepted Answer

A)  diabetes mellitus. 
B)  fluid retention. 
C)  intracranial hypotension. 
D)  surgical hemorrhage. 
A)  diabetes mellitus. 
B)  fluid retention. 
C)  intracranial hypotension. 
D)  surgical hemorrhage.

Question 13

Which nursing interventions will help prevent sharp spikes in ICP and surgical hemorrhage?

Accepted Answer

A)  Keep the head of the bed elevated 45 to 90 degrees. 
B)  Administer an antiemetic to prevent vomiting. 
C)  Provide fluid restriction. 
D)  Help with turn, cough, and deep breathe exercises. 
A)  Keep the head of the bed elevated 45 to 90 degrees. 
B)  Administer an antiemetic to prevent vomiting. 
C)  Provide fluid restriction. 
D)  Help with turn, cough, and deep breathe exercises.

Question 14

Surgical placement of a ventriculoperitoneal shunt is used to treat

Accepted Answer

A)  hyponatremia. 
B)  intracerebral hemorrhage. 
C)  spontaneous intracerebral hemorrhage. 
D)  hydrocephalus. 
A)  hyponatremia. 
B)  intracerebral hemorrhage. 
C)  spontaneous intracerebral hemorrhage. 
D)  hydrocephalus.

Question 15

Which assessment finding in a patient in coma 10 to 12 hours after cardiopulmonary arrest is indicative of unlikely survival?

Accepted Answer

A)  Decorticate posturing 
B)  Absent pupillary light reflexes 
C)  Decerebrate posturing 
D)  Central hyperventilation 
A)  Decorticate posturing 
B)  Absent pupillary light reflexes 
C)  Decerebrate posturing 
D)  Central hyperventilation

Question 16

Which intervention should be considered LAST in treating uncontrolled intracranial hypertension?

Accepted Answer

A)  Sedatives 
B)  Analgesics 
C)  Barbiturates 
D)  Hyperventilation 
A)  Sedatives 
B)  Analgesics 
C)  Barbiturates 
D)  Hyperventilation

Question 17

Nonencapsulated tumors tend to infiltrate brain tissue.These tumors can arise in any part of brain connective tissue and infiltrate primarily cerebral hemisphere tissue.These tumors grow rapidly and are difficult to excise completely.The tumors described are classified as

Accepted Answer

A)  angiomas. 
B)  pituitary adenomas. 
C)  meningiomas. 
D)  gliomas. 
A)  angiomas. 
B)  pituitary adenomas. 
C)  meningiomas. 
D)  gliomas.

Question 18

A patient presents with aphasia,decreased level of consciousness,and right-sided weakness.The patient has a history of heart disease,hyperlipidemia,and transient ischemic attacks.Based on the history,the nurse suspects that the patient has sustained which type of stroke?

Accepted Answer

A)  Hemorrhagic stroke 
B)  Intracerebral hemorrhages 
C)  Subarachnoid hemorrhages 
D)  Ischemic stroke 
A)  Hemorrhagic stroke 
B)  Intracerebral hemorrhages 
C)  Subarachnoid hemorrhages 
D)  Ischemic stroke

Question 19

Which of the nursing diagnoses and interventions has the highest priority while treating a patient with GBS?

Accepted Answer

A)  Imbalanced nutrition: less than body requirements related to lack of exogenous nutrients or increased metabolic demand 
B)  Acute pain related to transmission and perception of cutaneous, visceral, muscular, or ischemic impulses 
C)  Risk for aspiration 
D)  Ineffective breathing pattern related to musculoskeletal fatigue or neuromuscular impairment 
A)  Imbalanced nutrition: less than body requirements related to lack of exogenous nutrients or increased metabolic demand 
B)  Acute pain related to transmission and perception of cutaneous, visceral, muscular, or ischemic impulses 
C)  Risk for aspiration 
D)  Ineffective breathing pattern related to musculoskeletal fatigue or neuromuscular impairment

Question 20

Which of the following independent nursing measures can assist in reducing increased ICP?

Accepted Answer

A)  Decreasing the ventilator rate 
B)  Decreasing noxious stimuli 
C)  Frequent orientation checks 
D)  Administration of loop diuretics 
A)  Decreasing the ventilator rate 
B)  Decreasing noxious stimuli 
C)  Frequent orientation checks 
D)  Administration of loop diuretics

Exam 24: Neurologic Disorders and Therapeutic Management

Which statement is true regarding the occurrence of SAHs?

Thrombolytic therapy with recombinant tissue plasminogen activator (rtPA)is now recommended for the management of ischemic stroke if administration can be instituted within how many hours of onset of stroke symptoms?

The stroke patient who has difficulty with speech has

Which of the following is the most common complication after high-dose barbiturate therapy?

Nursing management of a patient with a clipped cerebral aneurysm receiving hypertensive hypervolemic hemodilution therapy includes

The patient has sustained an ischemic stroke involving the left cerebral hemisphere.Which of the following neurologic abnormalities would you expect to see?

Which of the following statements regarding Guillain-Barré syndrome supports the admission to a critical care unit?

A patient who has experienced a right-sided stroke with hemiagnosia may experience

The extrusion of cerebral tissue through the cranium is what type of herniation?

Downward displacement of the hemispheres,basal ganglia,and diencephalon through the tentorial notch is indicative of

Complications associated with craniotomy include

Which nursing interventions will help prevent sharp spikes in ICP and surgical hemorrhage?

Surgical placement of a ventriculoperitoneal shunt is used to treat

Which assessment finding in a patient in coma 10 to 12 hours after cardiopulmonary arrest is indicative of unlikely survival?

Which intervention should be considered LAST in treating uncontrolled intracranial hypertension?

Nonencapsulated tumors tend to infiltrate brain tissue.These tumors can arise in any part of brain connective tissue and infiltrate primarily cerebral hemisphere tissue.These tumors grow rapidly and are difficult to excise completely.The tumors described are classified as

A patient presents with aphasia,decreased level of consciousness,and right-sided weakness.The patient has a history of heart disease,hyperlipidemia,and transient ischemic attacks.Based on the history,the nurse suspects that the patient has sustained which type of stroke?

Which of the nursing diagnoses and interventions has the highest priority while treating a patient with GBS?

Which of the following independent nursing measures can assist in reducing increased ICP?

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 Clinical Assessment and Diagnostic Procedures

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

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