Question 1 point
A patient has arrived by ambulance at the emergency department after a cervical spinal cord
injury. Which assessment is a priority for the nurse to perform at this time?
Mental status
Heart rate and rhythm
Muscle strength and reflexes
Respiratory pattern and airway
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Question 2 point
A nurse in the emergency department is observing a 4-year-old child for signs of increased
intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following
signs or symptoms would be cause for concern?
Inability to read short words from a distance of 18 inches.
Signs of sleepiness at 10 PM.
Bulging anterior fontanel.
Repeated vomiting.
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Question 3 point
, The nurse correlates which process with the brain damage that results from increased
intracranial pressure secondary to cerebral edema?
Axonal shearing and tearing from displacement of the brain in the cranium
Myelin degeneration from circulating enzymes released in areas of tissue damage
Cerebral tissue hypoxia and ischemia from compression of blood vessels
Decreased cerebral perfusion from hypotension and blood loss
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Question 4 point
The nurse recognizes which pathophysiologic change in the patient diagnosed with myasthenia
gravis?
The myelin sheath is destroyed by the immune system, impairing nerve impulses.
Autoantibodies destroy dopamine receptors, impairing transmission of nerve impulses to the skeletal
muscles.
A prion destroys central nervous system tissue, causing a global degeneration.
Autoantibodies destroy acetycholine receptors, impairing transmission of nerve impulses to the skeletal
muscles.
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Question 5 point
The nurse assesses for which clinical manifestations in the patient with suspected meningitis?
A patient has arrived by ambulance at the emergency department after a cervical spinal cord
injury. Which assessment is a priority for the nurse to perform at this time?
Mental status
Heart rate and rhythm
Muscle strength and reflexes
Respiratory pattern and airway
Hide question 1 feedback
Feedback
Good work
Question 2 point
A nurse in the emergency department is observing a 4-year-old child for signs of increased
intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following
signs or symptoms would be cause for concern?
Inability to read short words from a distance of 18 inches.
Signs of sleepiness at 10 PM.
Bulging anterior fontanel.
Repeated vomiting.
Hide question 2 feedback
Feedback
Good work
Question 3 point
, The nurse correlates which process with the brain damage that results from increased
intracranial pressure secondary to cerebral edema?
Axonal shearing and tearing from displacement of the brain in the cranium
Myelin degeneration from circulating enzymes released in areas of tissue damage
Cerebral tissue hypoxia and ischemia from compression of blood vessels
Decreased cerebral perfusion from hypotension and blood loss
Hide question 3 feedback
Feedback
Good work
Question 4 point
The nurse recognizes which pathophysiologic change in the patient diagnosed with myasthenia
gravis?
The myelin sheath is destroyed by the immune system, impairing nerve impulses.
Autoantibodies destroy dopamine receptors, impairing transmission of nerve impulses to the skeletal
muscles.
A prion destroys central nervous system tissue, causing a global degeneration.
Autoantibodies destroy acetycholine receptors, impairing transmission of nerve impulses to the skeletal
muscles.
Hide question 4 feedback
Feedback
Good work
Question 5 point
The nurse assesses for which clinical manifestations in the patient with suspected meningitis?
