Question 1 of 29

1.0 Points

Question 1 of 29

1.0 Points

  A. Ottohrea

  B. Brudzinski's sign

  C. Negative CT scan

  D. Contralateral motor weakness

Secondary brain injury is most commonly a result of

The earliest symptom indicating an increase in intracranial pressure is

You are administering a Nicardipine drip for your patient. You have 25mg in 250ml of NS. Your pump is infusing at 50 ml/hr. How much Nicardipine is being delivered?

The normal value for ICP is considered to be:

Given an ICP of 28 mmHg and an blood pressure of 136/74, the calculated cerebral perfusion pressure (CPP) would be:

Which of the following is the MOST COMMON reason for a subarachnoid hemorrhage?

Your patient is 6 hours post admission following blunt head injury in which it was reported that he sustained a loss of consciousness for 10 minutes followed by a return of consciousness at which time he was oriented x3. When you assess him, he now arouses only to pain with groaning and grimacing. Which of the following injuries would you suspect?

Which of the following is an example of compensation for cerebral swelling according to the Monroe-Kellie Hypothesis

Hypotension will ultimately result in

The neurosurgeon is setting up to insert an intraventricular monitoring catheter. You know that he will need to access it through the

Which of the following findings on your neurological exam denotes the most serious prognosis?

Which of the following medications is prescribed to decrease cerebral vasospasm?

Your patient’s ICP is being monitored and you note that the pressure has been in excess of 20 for the last 20 minutes. As an independent nursing action you would immediately

On your 2 hourneuro check, you note that one of your patient’s pupils has dilated. You realize that this is an indication that

The most important consideration in reducing secondary brain injury is by preventing

You would most likely expect to provide seizure precautions for your patient with a(n)

Nuchal rigidity occurs as a result of

Bilaterally constricted pupils may be the result of (select all that apply):

Your patient has sustained a mild subdural hematoma and has been admitted to the Neuro ICU for observation. Neuro checks are ordered for every hour X 8. The rationale for this is to (pick all that apply):

When assessing your patient with traumatic brain injury, you would recognize Cushing’s Triad when (select all that apply)?

What are the 3 “H’s” of Triple H Therapy (check all that apply)?

Your patient is on a ventilator following acute head injury. The ICP is going above the physician’s desired range and hyperventilation is to be initiated. You know that hyperventilation is (select all that apply):

Question 25 of 29

2.0 Points

  A.extended loss of consciousness

  B.diffuse one-sided weakness

 C.photophobia

 D.abrupt onset of severe headache

 E.nausea and vomiting

Question 26 of 29

2.0 Points

  A.administer standing order for mannitol

  B.Start vasopressor therapy with low dose Dopamine

 C.drain CSF fluid per physician's orders

  D.lay the patient flat in bed

  E.Request ventilator settings to increase PEEP

Question 27 of 29

2.0 Points

 A.ability to drain CSF

  B.lower risk of infection

 C.accurate readings of intracranial pressures

  D.no penetration of the brain tissue is involved with placement

  E.easy to use with minimal training required

Question 28 of 29

2.0 Points

  A.there is no spontaneous breathing when taken off the ventilator

  B.cardiac monitor is only showing a paced rhythm

  C.a positive Babinski reflex

  D.clinical evaluation shows absence of cranial nerve response

  E.the EEG shows continuous seizure activity

Question 29 of 29

4.0 Points

A. Decrease intracerebral edema

B. Prevention of seizures

C. Increase water retention

D. Decrease cerebral vasospasm

1. Mannitoldecreasesintercerebral edema

2. lisinopril- none of the above

3. midazolam- none of above

4. levetiracetam- prevention of seizures

5. nimodipine- decreases cerebral vasospasm

6. vasopressin- increases water retention

  A. Ottohrea

  B. Brudzinski's sign

  C. Negative CT scan

  D. Contralateral motor weakness

Secondary brain injury is most commonly a result of

The earliest symptom indicating an increase in intracranial pressure is

You are administering a Nicardipine drip for your patient. You have 25mg in 250ml of NS. Your pump is infusing at 50 ml/hr. How much Nicardipine is being delivered?

The normal value for ICP is considered to be:

Given an ICP of 28 mmHg and an blood pressure of 136/74, the calculated cerebral perfusion pressure (CPP) would be:

Which of the following is the MOST COMMON reason for a subarachnoid hemorrhage?

Your patient is 6 hours post admission following blunt head injury in which it was reported that he sustained a loss of consciousness for 10 minutes followed by a return of consciousness at which time he was oriented x3. When you assess him, he now arouses only to pain with groaning and grimacing. Which of the following injuries would you suspect?

Which of the following is an example of compensation for cerebral swelling according to the Monroe-Kellie Hypothesis

Hypotension will ultimately result in

The neurosurgeon is setting up to insert an intraventricular monitoring catheter. You know that he will need to access it through the

Which of the following findings on your neurological exam denotes the most serious prognosis?

Which of the following medications is prescribed to decrease cerebral vasospasm?

Your patient’s ICP is being monitored and you note that the pressure has been in excess of 20 for the last 20 minutes. As an independent nursing action you would immediately

On your 2 hourneuro check, you note that one of your patient’s pupils has dilated. You realize that this is an indication that

The most important consideration in reducing secondary brain injury is by preventing

You would most likely expect to provide seizure precautions for your patient with a(n)

Nuchal rigidity occurs as a result of

Bilaterally constricted pupils may be the result of (select all that apply):

Your patient has sustained a mild subdural hematoma and has been admitted to the Neuro ICU for observation. Neuro checks are ordered for every hour X 8. The rationale for this is to (pick all that apply):

When assessing your patient with traumatic brain injury, you would recognize Cushing’s Triad when (select all that apply)?

What are the 3 “H’s” of Triple H Therapy (check all that apply)?

Your patient is on a ventilator following acute head injury. The ICP is going above the physician’s desired range and hyperventilation is to be initiated. You know that hyperventilation is (select all that apply):

Question 25 of 29

2.0 Points

  A.extended loss of consciousness

  B.diffuse one-sided weakness

 C.photophobia

 D.abrupt onset of severe headache

 E.nausea and vomiting

Question 26 of 29

2.0 Points

  A.administer standing order for mannitol

  B.Start vasopressor therapy with low dose Dopamine

 C.drain CSF fluid per physician's orders

  D.lay the patient flat in bed

  E.Request ventilator settings to increase PEEP

Question 27 of 29

2.0 Points

 A.ability to drain CSF

  B.lower risk of infection

 C.accurate readings of intracranial pressures

  D.no penetration of the brain tissue is involved with placement

  E.easy to use with minimal training required

Question 28 of 29

2.0 Points

  A.there is no spontaneous breathing when taken off the ventilator

  B.cardiac monitor is only showing a paced rhythm

  C.a positive Babinski reflex

  D.clinical evaluation shows absence of cranial nerve response

  E.the EEG shows continuous seizure activity

Question 29 of 29

4.0 Points

A. Decrease intracerebral edema

B. Prevention of seizures

C. Increase water retention

D. Decrease cerebral vasospasm

1. Mannitoldecreasesintercerebral edema

2. lisinopril- none of the above

3. midazolam- none of above

4. levetiracetam- prevention of seizures

5. nimodipine- decreases cerebral vasospasm

6. vasopressin- increases water retention