Critical Care Neuro- practice
questions 2 ( Final Exam WITH 100%
Solution )
3. A nurse is caring for a patient with autonomic
dysreflexia. What clinical manifestations would the nurse
expect in this patient?
A) Tachycardia and hypotension
B) Bradycardia and hypertension
C) Tachycardia and hypertension
D) Bradycardia and hypotension - CORRECT ANSWERS
✔✔Ans: B
Feedback: Autonomic dysreflexia is characterized by a
pounding headache, profuse sweating, nasal congestion,
piloerection ("goose bumps"), bradycardia, and
hypertension. It occurs in cord lesions above T6 after
spinal shock has resolved. This makes options A, C, and D
incorrect.
4. The nurse is caring for a patient with increased
intracranial pressure (IICP) caused by a traumatic brain
injury. Which of the following clinical manifestations
would indicate that the patient is experiencing increased
brain compression causing brainstem damage?
A) Hyperthermia
B) Tachycardia
C) Hypertension
,Critical Care Neuro- practice
questions 2 ( Final Exam WITH 100%
Solution )
D) Bradypnea - CORRECT ANSWERS ✔✔Ans: A
Feedback: Signs of increasing ICP include slowing of the
heart rate (bradycardia), increasing systolic blood
pressure, and widening pulse pressure. As brain
compression increases, respirations become rapid, blood
pressure may decrease, and the pulse slows further. A
rapid rise in body temperature is regarded as
unfavorable. Hyperthermia increases the metabolic
demands of the brain and may indicate brainstem
damage.
6. The staff educator is precepting a nurse new to the unit
when a patient with a T2 spinal cord injury is admitted.
The patient is soon exhibiting manifestations of
neurogenic shock. What would the staff educator and the
new nurse monitor this patient for?
A) Increased cardiac markers
B) Hypotension
C) Tachycardia
D) Excessive sweating - CORRECT ANSWERS ✔✔Ans:
B
Feedback: Manifestations of neurogenic shock include
decreased blood pressure and heart rate. Cardiac
markers would be expected to rise in cardiogenic shock.
, Critical Care Neuro- practice
questions 2 ( Final Exam WITH 100%
Solution )
Patients do not perspire on the paralyzed portions of their
body due to blockage of sympathetic activity.
7. An emergency department nurse has just received a
call from EMS that they are transporting a 17-year-old
male who has just sustained a spinal cord injury. The
nurse recognizes that the most common cause of this
type of injury is what?
A) Sports-related injuries
B) Acts of violence
C) Injuries due to a fall
D) Motor vehicle accidents - CORRECT ANSWERS
✔✔Ans: D
Feedback: Motor vehicle crashes account for 48% of
reported cases of SCI, with falls (23%), violence primarily
from gunshot wounds (14%), recreational sporting
activities (9%), and other events accounting for the
remaining injuries. Therefore options A, B, and C are
incorrect.
8. A patient with spinal cord injury has a nursing
diagnosis of altered mobility. This increases the risk of
deep vein thrombosis (DVT) in this patient. Which of the
questions 2 ( Final Exam WITH 100%
Solution )
3. A nurse is caring for a patient with autonomic
dysreflexia. What clinical manifestations would the nurse
expect in this patient?
A) Tachycardia and hypotension
B) Bradycardia and hypertension
C) Tachycardia and hypertension
D) Bradycardia and hypotension - CORRECT ANSWERS
✔✔Ans: B
Feedback: Autonomic dysreflexia is characterized by a
pounding headache, profuse sweating, nasal congestion,
piloerection ("goose bumps"), bradycardia, and
hypertension. It occurs in cord lesions above T6 after
spinal shock has resolved. This makes options A, C, and D
incorrect.
4. The nurse is caring for a patient with increased
intracranial pressure (IICP) caused by a traumatic brain
injury. Which of the following clinical manifestations
would indicate that the patient is experiencing increased
brain compression causing brainstem damage?
A) Hyperthermia
B) Tachycardia
C) Hypertension
,Critical Care Neuro- practice
questions 2 ( Final Exam WITH 100%
Solution )
D) Bradypnea - CORRECT ANSWERS ✔✔Ans: A
Feedback: Signs of increasing ICP include slowing of the
heart rate (bradycardia), increasing systolic blood
pressure, and widening pulse pressure. As brain
compression increases, respirations become rapid, blood
pressure may decrease, and the pulse slows further. A
rapid rise in body temperature is regarded as
unfavorable. Hyperthermia increases the metabolic
demands of the brain and may indicate brainstem
damage.
6. The staff educator is precepting a nurse new to the unit
when a patient with a T2 spinal cord injury is admitted.
The patient is soon exhibiting manifestations of
neurogenic shock. What would the staff educator and the
new nurse monitor this patient for?
A) Increased cardiac markers
B) Hypotension
C) Tachycardia
D) Excessive sweating - CORRECT ANSWERS ✔✔Ans:
B
Feedback: Manifestations of neurogenic shock include
decreased blood pressure and heart rate. Cardiac
markers would be expected to rise in cardiogenic shock.
, Critical Care Neuro- practice
questions 2 ( Final Exam WITH 100%
Solution )
Patients do not perspire on the paralyzed portions of their
body due to blockage of sympathetic activity.
7. An emergency department nurse has just received a
call from EMS that they are transporting a 17-year-old
male who has just sustained a spinal cord injury. The
nurse recognizes that the most common cause of this
type of injury is what?
A) Sports-related injuries
B) Acts of violence
C) Injuries due to a fall
D) Motor vehicle accidents - CORRECT ANSWERS
✔✔Ans: D
Feedback: Motor vehicle crashes account for 48% of
reported cases of SCI, with falls (23%), violence primarily
from gunshot wounds (14%), recreational sporting
activities (9%), and other events accounting for the
remaining injuries. Therefore options A, B, and C are
incorrect.
8. A patient with spinal cord injury has a nursing
diagnosis of altered mobility. This increases the risk of
deep vein thrombosis (DVT) in this patient. Which of the
