ENA Neurological Emergencies 3.0 Study Guide 2026 | Emergency Nursing Neuro Review &
Exam Prep
D
For a patient with meningitis, provide comfort measures such as minimizing noise, light, and
other environmental stimuli. These stimuli can be extremely noxious because of meningeal
inflammation and irritation from infected cerebrospinal fluid. The other interventions are not
appropriate for a patient with meningitis. Use continuous positive airway pressure (CPAP)
ventilation for a patient with Guillain-Barr syndrome. Elevate the head of the bed to 30 for a
patient with a stroke or subarachnoid hemorrhage. Discuss stress management techniques for a
patient with tension headaches. - ANS ✔✔When caring for a patient with meningitis, you
should perform which nursing intervention?
A. Discuss stress management techniques.
B. Initiate continuous positive airway pressure (CPAP) ventilation.
C. Elevate the head of the bed to 30.
D. Provide a quiet, darkened room.
D
The definitive diagnosis of temporal arteritis requires a biopsy of the temporal artery. The
diagnosis of myasthenia gravis is based on symptoms, antibody testing, electrophysiology
testing, and the patient's response to the edrophonium (Tensilon). The diagnosis of meningitis is
confirmed by a lumbar puncture and cerebrospinal fluid examination and culture and sensitivity
testing. The diagnosis of Guillain-Barr&#-61;&#-87; syndrome is made through history, physical
examination, and cerebrospinal fluid examination. - ANS ✔✔Which disorder requires a biopsy
for a definitive diagnosis?
A. Myasthenia gravis
B. Meningitis
, C. Guillain-Barr syndrome
D. Temporal arteritis
B
Carotid stenosis is a common cause of transient ischemic attacks and stroke due to thrombus. A
patient with a recent fracture of a long bone (such as the femur) or surgery (such as abdominal
surgery) is at risk for a stroke caused by an embolic occlusion. A patient with atrial fibrillation,
which can cause clot formation in the left atrium, also is at risk for a stroke caused by an
embolic occlusion. - ANS ✔✔Which condition poses the greatest risk for a stroke caused by a
thrombus?
A. Recent femur fracture
B. Carotid stenosis
C. Recent abdominal surgery
D. Atrial fibrillation
B
Bacterial meningitis can be spread through airborne droplets or contact with oral secretions
from infected individuals. Therefore, you should place all patients with suspected bacterial
meningitis in droplet isolation for the first 24 hours of antibiotic therapy. Patients with temporal
arteritis, febrile seizures, and Guillain-Barr syndrome require only standard precautions. - ANS
✔✔In which condition is placing the patient in droplet isolation a priority?
A. Temporal arteritis
B. Bacterial meningitis
C. Febrile seizures
Exam Prep
D
For a patient with meningitis, provide comfort measures such as minimizing noise, light, and
other environmental stimuli. These stimuli can be extremely noxious because of meningeal
inflammation and irritation from infected cerebrospinal fluid. The other interventions are not
appropriate for a patient with meningitis. Use continuous positive airway pressure (CPAP)
ventilation for a patient with Guillain-Barr syndrome. Elevate the head of the bed to 30 for a
patient with a stroke or subarachnoid hemorrhage. Discuss stress management techniques for a
patient with tension headaches. - ANS ✔✔When caring for a patient with meningitis, you
should perform which nursing intervention?
A. Discuss stress management techniques.
B. Initiate continuous positive airway pressure (CPAP) ventilation.
C. Elevate the head of the bed to 30.
D. Provide a quiet, darkened room.
D
The definitive diagnosis of temporal arteritis requires a biopsy of the temporal artery. The
diagnosis of myasthenia gravis is based on symptoms, antibody testing, electrophysiology
testing, and the patient's response to the edrophonium (Tensilon). The diagnosis of meningitis is
confirmed by a lumbar puncture and cerebrospinal fluid examination and culture and sensitivity
testing. The diagnosis of Guillain-Barr&#-61;&#-87; syndrome is made through history, physical
examination, and cerebrospinal fluid examination. - ANS ✔✔Which disorder requires a biopsy
for a definitive diagnosis?
A. Myasthenia gravis
B. Meningitis
, C. Guillain-Barr syndrome
D. Temporal arteritis
B
Carotid stenosis is a common cause of transient ischemic attacks and stroke due to thrombus. A
patient with a recent fracture of a long bone (such as the femur) or surgery (such as abdominal
surgery) is at risk for a stroke caused by an embolic occlusion. A patient with atrial fibrillation,
which can cause clot formation in the left atrium, also is at risk for a stroke caused by an
embolic occlusion. - ANS ✔✔Which condition poses the greatest risk for a stroke caused by a
thrombus?
A. Recent femur fracture
B. Carotid stenosis
C. Recent abdominal surgery
D. Atrial fibrillation
B
Bacterial meningitis can be spread through airborne droplets or contact with oral secretions
from infected individuals. Therefore, you should place all patients with suspected bacterial
meningitis in droplet isolation for the first 24 hours of antibiotic therapy. Patients with temporal
arteritis, febrile seizures, and Guillain-Barr syndrome require only standard precautions. - ANS
✔✔In which condition is placing the patient in droplet isolation a priority?
A. Temporal arteritis
B. Bacterial meningitis
C. Febrile seizures
