Page 1 of 42
Neurological Dysfunction & Traumatic Brain Injuries unit
within the Medical-Surgical Nursing and Critical Care / ICU
Nursing curricula
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 42
Management of Patients with Neurologic Dysfunction Chapter
Management of Patients with Neurologic Dysfunction Chapter
1.
A patient is being admitted to the neurologic ICU following an acute head
injury that has resulted in
cerebral edema. When planning this patients care, the nurse would expect to
administer what priority
medication?
A)
Hydrochlorothiazide (HydroDIURIL)
B)
Furosemide (Lasix)
C)
Mannitol (Osmitrol)
D)
Spirolactone (Aldactone)
C
Feedback:
The osmotic diuretic mannitol is given to dehydrate the brain tissue and reduce
cerebral edema. This
drug acts by reducing the volume of brain and extracellular fluid. Spirolactone,
furosemide, and
hydrochlorothiazide are diuretics that are not typically used in the treatment of
increased ICP resulting
from cerebral edema.
2.
The nurse is providing care for a patient who is unconscious. What nursing
intervention takes highest
priority?
A)
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Maintaining accurate records of intake and output
B)
Maintaining a patent airway
C)
Inserting a nasogastric (NG) tube as ordered
D)
Providing appropriate pain control
B
Feedback:
Maintaining a patent airway always takes top priority, even though each of the other
listed actions is
necessary and appropriate.
3.
The nurse is caring for a patient in the ICU who has a brain stem herniation
and who is exhibiting an
altered level of consciousness. Monitoring reveals that the patients mean
arterial pressure (MAP) is 60
mm Hg with an intracranial pressure (ICP) reading of 5 mm Hg. What is the
nurses most appropriate
action?
A)
Position the patient in the high Fowlers position as tolerated.
B)
Administer osmotic diuretics as ordered.
C)
Participate in interventions to increase cerebral perfusion pressure.
D)
Prepare the patient for craniotomy.
C
Feedback:
The cerebral perfusion pressure (CPP) is 55 mm Hg, which is considered low. The
normal CPP is 70 to
100 mm Hg. Patients with a CPP of less than 50 mm Hg experience irreversible
neurologic damage. As
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a result, interventions are necessary. A craniotomy is not directly indicated. Diuretics
and increased
height of bed would exacerbate the patients condition
4.
The nurse is caring for a patient who is postoperative following a craniotomy.
When writing the plan of
care, the nurse identifies a diagnosis of deficient fluid volume related to fluid
restriction and osmotic
diuretic use. What would be an appropriate intervention for this diagnosis?
A)
Change the patients position as indicated.
B)
Monitor serum electrolytes.
C)
Maintain NPO status.
D)
Monitor arterial blood gas (ABG) values
B
Feedback:
The postoperative fluid regimen depends on the type of neurosurgical procedure and
is determined on an
individual basis. The volume and composition of fluids are adjusted based on daily
serum electrolyte
values, along with fluid intake and output. Fluids may have to be restricted in patients
with cerebral
edema. Changing the patients position, maintaining an NPO status, and monitoring
ABG values do not
relate to the nursing diagnosis of deficient fluid volume.
5.
A patient with a documented history of seizure disorder experiences a
generalized seizure. What nursing
action is most appropriate?
A)
Restrain the patient to prevent injury.
Neurological Dysfunction & Traumatic Brain Injuries unit
within the Medical-Surgical Nursing and Critical Care / ICU
Nursing curricula
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 42
Management of Patients with Neurologic Dysfunction Chapter
Management of Patients with Neurologic Dysfunction Chapter
1.
A patient is being admitted to the neurologic ICU following an acute head
injury that has resulted in
cerebral edema. When planning this patients care, the nurse would expect to
administer what priority
medication?
A)
Hydrochlorothiazide (HydroDIURIL)
B)
Furosemide (Lasix)
C)
Mannitol (Osmitrol)
D)
Spirolactone (Aldactone)
C
Feedback:
The osmotic diuretic mannitol is given to dehydrate the brain tissue and reduce
cerebral edema. This
drug acts by reducing the volume of brain and extracellular fluid. Spirolactone,
furosemide, and
hydrochlorothiazide are diuretics that are not typically used in the treatment of
increased ICP resulting
from cerebral edema.
2.
The nurse is providing care for a patient who is unconscious. What nursing
intervention takes highest
priority?
A)
, Page 3 of 42
Maintaining accurate records of intake and output
B)
Maintaining a patent airway
C)
Inserting a nasogastric (NG) tube as ordered
D)
Providing appropriate pain control
B
Feedback:
Maintaining a patent airway always takes top priority, even though each of the other
listed actions is
necessary and appropriate.
3.
The nurse is caring for a patient in the ICU who has a brain stem herniation
and who is exhibiting an
altered level of consciousness. Monitoring reveals that the patients mean
arterial pressure (MAP) is 60
mm Hg with an intracranial pressure (ICP) reading of 5 mm Hg. What is the
nurses most appropriate
action?
A)
Position the patient in the high Fowlers position as tolerated.
B)
Administer osmotic diuretics as ordered.
C)
Participate in interventions to increase cerebral perfusion pressure.
D)
Prepare the patient for craniotomy.
C
Feedback:
The cerebral perfusion pressure (CPP) is 55 mm Hg, which is considered low. The
normal CPP is 70 to
100 mm Hg. Patients with a CPP of less than 50 mm Hg experience irreversible
neurologic damage. As
, Page 4 of 42
a result, interventions are necessary. A craniotomy is not directly indicated. Diuretics
and increased
height of bed would exacerbate the patients condition
4.
The nurse is caring for a patient who is postoperative following a craniotomy.
When writing the plan of
care, the nurse identifies a diagnosis of deficient fluid volume related to fluid
restriction and osmotic
diuretic use. What would be an appropriate intervention for this diagnosis?
A)
Change the patients position as indicated.
B)
Monitor serum electrolytes.
C)
Maintain NPO status.
D)
Monitor arterial blood gas (ABG) values
B
Feedback:
The postoperative fluid regimen depends on the type of neurosurgical procedure and
is determined on an
individual basis. The volume and composition of fluids are adjusted based on daily
serum electrolyte
values, along with fluid intake and output. Fluids may have to be restricted in patients
with cerebral
edema. Changing the patients position, maintaining an NPO status, and monitoring
ABG values do not
relate to the nursing diagnosis of deficient fluid volume.
5.
A patient with a documented history of seizure disorder experiences a
generalized seizure. What nursing
action is most appropriate?
A)
Restrain the patient to prevent injury.
