NR 341 COMPLEX ADULT HEALTH PRACTICE EXAM 2025/2026
EVALUATION QUESTIONS WITH ANSWERS GRADED A+
What are causes of CVA? - *Atherosclerosis
*Thrombosis
*Embolism
*Cerebral hemorrhage (trauma/tissue damage).
What are symptoms of Right Hemisphere CVA? - *Left sided
weakness/Paralyzed left side hemiplegia
*Perceptual Defects (Vulnerable to Accidents)
*Spatial-Perceptual Deficits
*Tends to minimize problems
*Short attention span
*Visual field deficits
*Impaired judgment
*Impulsive
*Impaired time concept
What are symptoms of Left Hemisphere CVA? - *Right sided
weakness/Paralyzed right side Hemiplegia
*Aphasia
*Slow performance
*Visual field deficits
*Depression/Anxiety
*Impaired comprehension
What are diagnostics for CVA? - *Neuro Exam
*Lumbar Puncture
*CT of the brain
*MRI
What are pupillary abnormalities associated with CVA? - *Pupil on opposite
side of lesion usually larger
,*Conjugate Deviation (looks toward lesion)
*Homonymous Hemianopsia
What are reversible risk factors for CVA? - *Smoking
*Obesity
*Increased salt intake
*Sedentary life
*Increased stress
*Oral Birth Control
What are partially reversible risk factors of CVA? - *Increased BP
*Cardiac Valve Disease
*Dysrhythmias
*Diabetic Mellitus
*Increased Cholesteral
What are the non-reversible risk factors for CVA? - *Sex
*Age
*Race
*Heredity
What are the nursing goals related to CVA care? - 1) Airway and
oxygenation
2) Decreased ICP
3) Nutrition
4) Preserve function
5) Safety
6) Rehabilitation
7) Education
What are causes of cerebral edema? - *Cerebral Hemorrhage
*Cellular Toxins
*Ischemic Cells
What are causes of dilated cerebral arteries? - *Increased PCO2
*Acidotic State
What are risk factors/Etiology of increased ICP? - *Secondary to initial
damage
,*Brain tumor
*Closed head injury
*Ruptured blood vessels
*Embolism
*Thrombosis
*Ischemia
*Hydrocephalus
What are manifestations of increased ICP? - *Change in LOC *Vomiting
*Pupillary changes *Seizures
*Papilledema (DOLL'S EYES)
*HA
*Decreased Sensory and motor function
*Posturing changes (Decerebrate, Decorticate, Flaccid)
*Changes in vitals (Cushing's Triad, late sign)
*Changes in speech
*Severe HTN
*Bradycardia
*Irregular respiration
*Restlessness/confusion
What are nursing interventions for increased ICP? - *Neuro evals
*Airway Patency
*Semi-Fowlers position *GCS exams
*Change positions slowly *Suction
*Maintain hydration
*SZ precautions
*Monitor I&O's
*Avoid coughing, sneezing, and valsalva maneuver
*Prevent Aspiration
*Calm/Quite environment
*Early mobility
*Change positions Q2 hours
, What are complications of increased ICP? - *Herniation
*Inadequate Cerebral Perfusion
*SIADH
*Diabetes Insipidus
*Infection
What are treatments for increased ICP? - *ICP Monitoring
(Ventriculostomy, GCS)
*Cerebral oxygenation Monitoring (LICOX)
*Hypertonic Saline IVs
*Medications
-Osmotic Diuretics
-Corticosteriods
-Anti-seizure Drugs
What are diagnostics for increased ICP? - *CT Scan
*MRI
*PET
*EEG
*Angiography
*Brain tissue oxygenation Catheter- LICOX
*Transcranial Doppler Studies
*Evoked Potential Studies
Management of increased ICP includes? - *Identification of patients risks
*Initiation of ICP monitoring if indicated
*Airway maintenance and ventilation
*Oxygenation and low normal PaCO2
EVALUATION QUESTIONS WITH ANSWERS GRADED A+
What are causes of CVA? - *Atherosclerosis
*Thrombosis
*Embolism
*Cerebral hemorrhage (trauma/tissue damage).
What are symptoms of Right Hemisphere CVA? - *Left sided
weakness/Paralyzed left side hemiplegia
*Perceptual Defects (Vulnerable to Accidents)
*Spatial-Perceptual Deficits
*Tends to minimize problems
*Short attention span
*Visual field deficits
*Impaired judgment
*Impulsive
*Impaired time concept
What are symptoms of Left Hemisphere CVA? - *Right sided
weakness/Paralyzed right side Hemiplegia
*Aphasia
*Slow performance
*Visual field deficits
*Depression/Anxiety
*Impaired comprehension
What are diagnostics for CVA? - *Neuro Exam
*Lumbar Puncture
*CT of the brain
*MRI
What are pupillary abnormalities associated with CVA? - *Pupil on opposite
side of lesion usually larger
,*Conjugate Deviation (looks toward lesion)
*Homonymous Hemianopsia
What are reversible risk factors for CVA? - *Smoking
*Obesity
*Increased salt intake
*Sedentary life
*Increased stress
*Oral Birth Control
What are partially reversible risk factors of CVA? - *Increased BP
*Cardiac Valve Disease
*Dysrhythmias
*Diabetic Mellitus
*Increased Cholesteral
What are the non-reversible risk factors for CVA? - *Sex
*Age
*Race
*Heredity
What are the nursing goals related to CVA care? - 1) Airway and
oxygenation
2) Decreased ICP
3) Nutrition
4) Preserve function
5) Safety
6) Rehabilitation
7) Education
What are causes of cerebral edema? - *Cerebral Hemorrhage
*Cellular Toxins
*Ischemic Cells
What are causes of dilated cerebral arteries? - *Increased PCO2
*Acidotic State
What are risk factors/Etiology of increased ICP? - *Secondary to initial
damage
,*Brain tumor
*Closed head injury
*Ruptured blood vessels
*Embolism
*Thrombosis
*Ischemia
*Hydrocephalus
What are manifestations of increased ICP? - *Change in LOC *Vomiting
*Pupillary changes *Seizures
*Papilledema (DOLL'S EYES)
*HA
*Decreased Sensory and motor function
*Posturing changes (Decerebrate, Decorticate, Flaccid)
*Changes in vitals (Cushing's Triad, late sign)
*Changes in speech
*Severe HTN
*Bradycardia
*Irregular respiration
*Restlessness/confusion
What are nursing interventions for increased ICP? - *Neuro evals
*Airway Patency
*Semi-Fowlers position *GCS exams
*Change positions slowly *Suction
*Maintain hydration
*SZ precautions
*Monitor I&O's
*Avoid coughing, sneezing, and valsalva maneuver
*Prevent Aspiration
*Calm/Quite environment
*Early mobility
*Change positions Q2 hours
, What are complications of increased ICP? - *Herniation
*Inadequate Cerebral Perfusion
*SIADH
*Diabetes Insipidus
*Infection
What are treatments for increased ICP? - *ICP Monitoring
(Ventriculostomy, GCS)
*Cerebral oxygenation Monitoring (LICOX)
*Hypertonic Saline IVs
*Medications
-Osmotic Diuretics
-Corticosteriods
-Anti-seizure Drugs
What are diagnostics for increased ICP? - *CT Scan
*MRI
*PET
*EEG
*Angiography
*Brain tissue oxygenation Catheter- LICOX
*Transcranial Doppler Studies
*Evoked Potential Studies
Management of increased ICP includes? - *Identification of patients risks
*Initiation of ICP monitoring if indicated
*Airway maintenance and ventilation
*Oxygenation and low normal PaCO2
