PN3 FINAL ACTUAL Exam Questions and
CORRECT Answers
Modifiable risk factors for stroke - CORRECT ANSWER - -Hypertension -
Hypocholesteremia
-Atherosclerosis -Obesity
-Smoking -Drugs & Alcohol
-DM -TIA
-Sedentary lifestyle -Atrial fibrillation
Most common tool for diagnosing Stroke - CORRECT ANSWER - CT scan without
contrast
Medications helpful in prevention of Stroke - CORRECT ANSWER - a. Anticoagulants
b. Antiplatelet
c. Neuroprotective agents
Clinical pathway for presentation of CVA in ER - CORRECT ANSWER - a. Determine
last time patient was last seen normal
b. Determine location, severity, & length of time symptoms have been present.
c. Conduct a neuro exam
d. Conduct a CT exam
e. If the patient is a candidate administer tPA within the 3 hour "golden window"
Treatment for hemorrhagic & embolic strokes - CORRECT ANSWER - Surgery:
Depending on the type of stroke, extent of the damage done, and location
Contraindications for tPA with stroke - CORRECT ANSWER - a. HTN
b. Minor ischemic stroke in last 30 days
,c. Recent lumbar puncture (increased chance of bleeding)
d. If stroke occurred more than 3 hours ago
What is the most common cause of traumatic brain injury? - CORRECT ANSWER - MVC
Types of brain injury - CORRECT ANSWER - 1. Coma
2. Vegetative
3. Persistent Vegetative
4.Minimally Responsive State
5. Locked-in Syndrome
6. Brain Death
Coma - CORRECT ANSWER - i. Little or no response to stimuli
ii. State of consciousness from which individual cannot be awakened
iii. Can last weeks, months, or years
Vegetative - CORRECT ANSWER - i. Can be awakened but not aware of surroundings
ii. Eyes can open
iii. Responds to pain
Persistent Vegetative - CORRECT ANSWER - Vegetative state that lasts longer than a
month
Minimally Responsive State - CORRECT ANSWER - i. Some basic reflexes
ii. No longer in coma or vegetative state
iii. Inconsistent in following directions
iv. Aware of surroundings
, Locked-in Syndrome - CORRECT ANSWER - Rare neurological state in which person is
conscious & able to think, but unable to move any part of their body except their eyes
Brain Death - CORRECT ANSWER - Brain shows no sign of function
Treatment for increased Intracranial Pressure - CORRECT ANSWER - a. Bedrest
b. Give oxygen
c. Establish IV access (To admin Mannitol)
d. Medications usually given are corticosteroids and osmotic diuretics (Mannitol)
"Law of Practice" - CORRECT ANSWER - -Known as the Traumatic Brain Injury Act of
2008
-Established to help patients & families that are dealing with TBI's.
-Keeping civilian & military patients aware of testing & results as a result of new possible tests
Positioning for patients with increased ICP - CORRECT ANSWER - a. Raise HOB
b. Keep body in alignment with neck straight not lying on side
c. Administer stool softeners to prevent straining
d. Reduce or decrease suctioning
Earliest sign of Intracranial Regulation - CORRECT ANSWER - Change in LOC
3 components of the Glascow Coma Scale - CORRECT ANSWER - a. Responsiveness
b. Eye opening
c. Motor movement
Methods to prevent Sympathetic Storming - CORRECT ANSWER - a. Pre-medicate with
pain meds prior to painful procedures
CORRECT Answers
Modifiable risk factors for stroke - CORRECT ANSWER - -Hypertension -
Hypocholesteremia
-Atherosclerosis -Obesity
-Smoking -Drugs & Alcohol
-DM -TIA
-Sedentary lifestyle -Atrial fibrillation
Most common tool for diagnosing Stroke - CORRECT ANSWER - CT scan without
contrast
Medications helpful in prevention of Stroke - CORRECT ANSWER - a. Anticoagulants
b. Antiplatelet
c. Neuroprotective agents
Clinical pathway for presentation of CVA in ER - CORRECT ANSWER - a. Determine
last time patient was last seen normal
b. Determine location, severity, & length of time symptoms have been present.
c. Conduct a neuro exam
d. Conduct a CT exam
e. If the patient is a candidate administer tPA within the 3 hour "golden window"
Treatment for hemorrhagic & embolic strokes - CORRECT ANSWER - Surgery:
Depending on the type of stroke, extent of the damage done, and location
Contraindications for tPA with stroke - CORRECT ANSWER - a. HTN
b. Minor ischemic stroke in last 30 days
,c. Recent lumbar puncture (increased chance of bleeding)
d. If stroke occurred more than 3 hours ago
What is the most common cause of traumatic brain injury? - CORRECT ANSWER - MVC
Types of brain injury - CORRECT ANSWER - 1. Coma
2. Vegetative
3. Persistent Vegetative
4.Minimally Responsive State
5. Locked-in Syndrome
6. Brain Death
Coma - CORRECT ANSWER - i. Little or no response to stimuli
ii. State of consciousness from which individual cannot be awakened
iii. Can last weeks, months, or years
Vegetative - CORRECT ANSWER - i. Can be awakened but not aware of surroundings
ii. Eyes can open
iii. Responds to pain
Persistent Vegetative - CORRECT ANSWER - Vegetative state that lasts longer than a
month
Minimally Responsive State - CORRECT ANSWER - i. Some basic reflexes
ii. No longer in coma or vegetative state
iii. Inconsistent in following directions
iv. Aware of surroundings
, Locked-in Syndrome - CORRECT ANSWER - Rare neurological state in which person is
conscious & able to think, but unable to move any part of their body except their eyes
Brain Death - CORRECT ANSWER - Brain shows no sign of function
Treatment for increased Intracranial Pressure - CORRECT ANSWER - a. Bedrest
b. Give oxygen
c. Establish IV access (To admin Mannitol)
d. Medications usually given are corticosteroids and osmotic diuretics (Mannitol)
"Law of Practice" - CORRECT ANSWER - -Known as the Traumatic Brain Injury Act of
2008
-Established to help patients & families that are dealing with TBI's.
-Keeping civilian & military patients aware of testing & results as a result of new possible tests
Positioning for patients with increased ICP - CORRECT ANSWER - a. Raise HOB
b. Keep body in alignment with neck straight not lying on side
c. Administer stool softeners to prevent straining
d. Reduce or decrease suctioning
Earliest sign of Intracranial Regulation - CORRECT ANSWER - Change in LOC
3 components of the Glascow Coma Scale - CORRECT ANSWER - a. Responsiveness
b. Eye opening
c. Motor movement
Methods to prevent Sympathetic Storming - CORRECT ANSWER - a. Pre-medicate with
pain meds prior to painful procedures
