Ch 47,48,49,50 review questions and
answers 100% correct
What assessments are included in the FOUR Scour coma scale? - correct
answer Eye response, motor response, brainstem reflexes, respirations,
verbal response.
Which instruction would the nurse give the patient when testing the trigeminal
nerve? - correct answer Close your eyes and tell me where your feel the
cotton touching your face.
What is a symptom of increasing intracranial pressure that should be reported
to immediately to the primary care provider? - correct answer Decreasing
level of consciousness
What are the normal effects on aging on the CNS? - correct answer Reduced
blood flow to the brain, impaired short-term memory, sleep disturbances,
decrease in acetylcholine.
The nurse knows the patient understands the teaching about an angiogram
when the patient makes which statement? - correct answer A catheter will be
placed in an artery in my groin, and dye will be injected that will make my
vessels show up on x-ray.
A patient has returned from having a CT scan with contrast. What should the
priority be in the hours after the scan? - correct answer Drinking fluids
What is a nursing intervention that should be included in the plan of care for a
patient at risk for footdrop? - correct answer Apply high-top tennis shoes
, A college student is admitted to the hosp with a svere headache. which finding
in the student's history is consistent with the diagnosis of meningitits? - correct
answer A sore throat for 3 days
A patient with meningitits has photophobia and a severe headache. which
nursing interventions will be most helpful to relieve symptoms? - correct
answer Darken the room and administer analgesics
A patient makes a appointment to see the doctor for recurrent severe
headaches. Which instruction by the nurse will help gather the best additional
data before the appointment? - correct answer Keep a dairy of your
headaches, recording symptoms, timing, and headache triggers
A patient who has had a generalized tonic-clonic seizure is sound asleep for
30 mins after the seizure. Meals are about to be delivered. Which nursing
action is most appropriate? - correct answer Let the patient sleep during the
postictal state, and keep meal warm
A patient with a history of seizures reports experiencing an aura and is
concerned about an impending seizure. Place nursing interventions in order -
correct answer Help patient lie down in safe place, protect the patient from
injury during seizure, turn patient on his side to sleep, document the events of
the seizure.
Which of the following actions should the nurse take to help prevent ICP in a
patient following a traumatic brain injury? - correct answer Keep head of bed
elevated at 30 degrees
A patient is admitted following a T4 spinal injury. When taking morning VS ,
the nurse notes that the patient appears restless and the B/P is elevated.
Which of the following actions by the nurse is appropriate? - correct answer
Check for a full bladder or bowel
answers 100% correct
What assessments are included in the FOUR Scour coma scale? - correct
answer Eye response, motor response, brainstem reflexes, respirations,
verbal response.
Which instruction would the nurse give the patient when testing the trigeminal
nerve? - correct answer Close your eyes and tell me where your feel the
cotton touching your face.
What is a symptom of increasing intracranial pressure that should be reported
to immediately to the primary care provider? - correct answer Decreasing
level of consciousness
What are the normal effects on aging on the CNS? - correct answer Reduced
blood flow to the brain, impaired short-term memory, sleep disturbances,
decrease in acetylcholine.
The nurse knows the patient understands the teaching about an angiogram
when the patient makes which statement? - correct answer A catheter will be
placed in an artery in my groin, and dye will be injected that will make my
vessels show up on x-ray.
A patient has returned from having a CT scan with contrast. What should the
priority be in the hours after the scan? - correct answer Drinking fluids
What is a nursing intervention that should be included in the plan of care for a
patient at risk for footdrop? - correct answer Apply high-top tennis shoes
, A college student is admitted to the hosp with a svere headache. which finding
in the student's history is consistent with the diagnosis of meningitits? - correct
answer A sore throat for 3 days
A patient with meningitits has photophobia and a severe headache. which
nursing interventions will be most helpful to relieve symptoms? - correct
answer Darken the room and administer analgesics
A patient makes a appointment to see the doctor for recurrent severe
headaches. Which instruction by the nurse will help gather the best additional
data before the appointment? - correct answer Keep a dairy of your
headaches, recording symptoms, timing, and headache triggers
A patient who has had a generalized tonic-clonic seizure is sound asleep for
30 mins after the seizure. Meals are about to be delivered. Which nursing
action is most appropriate? - correct answer Let the patient sleep during the
postictal state, and keep meal warm
A patient with a history of seizures reports experiencing an aura and is
concerned about an impending seizure. Place nursing interventions in order -
correct answer Help patient lie down in safe place, protect the patient from
injury during seizure, turn patient on his side to sleep, document the events of
the seizure.
Which of the following actions should the nurse take to help prevent ICP in a
patient following a traumatic brain injury? - correct answer Keep head of bed
elevated at 30 degrees
A patient is admitted following a T4 spinal injury. When taking morning VS ,
the nurse notes that the patient appears restless and the B/P is elevated.
Which of the following actions by the nurse is appropriate? - correct answer
Check for a full bladder or bowel
