2026 /2027 Med Surg Chapters 27,28. 40
Med Surg Chapters 27,28. 40
1. To minimize headache following a lumbar puncture, what should be increased?
a. Calcium
b. Fluid intake
c. Potassium
d. Ambulation
2.
3. The family should be advised that a craniotomy can take as long as:
a. 2 hours.
b. 6 hours.
c. 12 hours.
d. 25 hours.
4.
5. As ICP increases and perfusion is reduced, oxygen delivery to cerebral tissue is:
a. increased.
b. bypassed.
c. reduced.
d. stopped.
6.
7. A patient with increased ICP has a "blown pupil". Which of the following descirbes this
condition?
a. Dilated
b. Pinpoint
c. Reacts to light
d. Unequal to the other pupil
8.
9. The pupils may become dilated and fixed as ICP rises due to pressure on the:
a. oculomotor nerve.
b. cerebellum.
c. hypothalamus.
d. optic nerve.
10.
11. Which neurons transmit information toward the central nervous system (CNS)?
a. Sensory
b. Motor
c. Efferent
d. Axon
, 2026 /2027 Med Surg Chapters 27,28. 40
12.
13. A type of headache in which the pain is usually unilateral and has a warning is called:
a. cluster.
b. migraine.
c. tension.
d. sinus.
14.
15. What is used in the initial management of bacterial meningitis?
a. Corticosteroids
b. Antihistamines
c. Anticholinergics
d. Antimicrobials
16. What is the priority common source of anxiety for many patients with Guillain-Barre syndrome?
a. Communication
b. Self-esteem
c. Circulation
d. Elminiation
17.
18. In order to reduce the symptoms of Parkinson disease, what is L-dopa converted to as it crosses
the blood-brain barrier?
a. Epinephrine
b. Dopamine
c. Norepinephrine
d. Acetylcholine
19.
20. Which cranial nerve is tested by asking the patient to swallow on command?
a. Vagus (CN X)
b. Trigeminal (CN V)
c. Facial (CN VII)
d. Glossopharyngeal (CN IX)
21.
22. In a patient with myasthenia gravis, what does rapid improvement of muscle strength after
administration of edrophonium chloride (Tensilon) indicate?
a. Hypertensive crisis
b. Adrenergic crisis
c. Myasthenic crisis
d. Cholinergic crisis
, 2026 /2027 Med Surg Chapters 27,28. 40
23.
24. A nurse is caring for a patient with amyolateral sclerosis. What is the priority patient problem?
a. Impaired physical mobility
b. Ineffective airway clearance
c. Impaired verbal communication
d. Decreased cardiac output
25.
26. What is the priority cause of nutritional problems in patients with amyolateral sclerosis?
a. Oropharyngeal muscle weakness
b. Paralysis of respiratory muscles
c. Dysphagia
d. Progressive illnesss of patient
27.
28. A 27-year-old man was injured in a motorcycle accident 3 days ago. He is now alert and oriented
to person and place but not to time. What is the most reliable indicator of mental status in this
patient?
a. Blood pressure
b. Pulse
c. Level of consciousness
d. Pupil equality
29.
30. What is a late sign of increased ICP due to pressure on the third cranial nerve?
a. Jerky tracking of eyes
b. Altered motor function
c. Dilated pupils
d. Hemiparesis
31. How high should this patient's bed be raised to prevent increased ICP?
a. 15 degrees
b. 30 degrees
c. 45 degrees
d. 90 degrees
32.
33. Which part of the brain receives and interprets sensory information?
a. Frontal lobe
b. Parietal lobe
c. Occipital lobe
d. Temporal lobe
34.
Med Surg Chapters 27,28. 40
1. To minimize headache following a lumbar puncture, what should be increased?
a. Calcium
b. Fluid intake
c. Potassium
d. Ambulation
2.
3. The family should be advised that a craniotomy can take as long as:
a. 2 hours.
b. 6 hours.
c. 12 hours.
d. 25 hours.
4.
5. As ICP increases and perfusion is reduced, oxygen delivery to cerebral tissue is:
a. increased.
b. bypassed.
c. reduced.
d. stopped.
6.
7. A patient with increased ICP has a "blown pupil". Which of the following descirbes this
condition?
a. Dilated
b. Pinpoint
c. Reacts to light
d. Unequal to the other pupil
8.
9. The pupils may become dilated and fixed as ICP rises due to pressure on the:
a. oculomotor nerve.
b. cerebellum.
c. hypothalamus.
d. optic nerve.
10.
11. Which neurons transmit information toward the central nervous system (CNS)?
a. Sensory
b. Motor
c. Efferent
d. Axon
, 2026 /2027 Med Surg Chapters 27,28. 40
12.
13. A type of headache in which the pain is usually unilateral and has a warning is called:
a. cluster.
b. migraine.
c. tension.
d. sinus.
14.
15. What is used in the initial management of bacterial meningitis?
a. Corticosteroids
b. Antihistamines
c. Anticholinergics
d. Antimicrobials
16. What is the priority common source of anxiety for many patients with Guillain-Barre syndrome?
a. Communication
b. Self-esteem
c. Circulation
d. Elminiation
17.
18. In order to reduce the symptoms of Parkinson disease, what is L-dopa converted to as it crosses
the blood-brain barrier?
a. Epinephrine
b. Dopamine
c. Norepinephrine
d. Acetylcholine
19.
20. Which cranial nerve is tested by asking the patient to swallow on command?
a. Vagus (CN X)
b. Trigeminal (CN V)
c. Facial (CN VII)
d. Glossopharyngeal (CN IX)
21.
22. In a patient with myasthenia gravis, what does rapid improvement of muscle strength after
administration of edrophonium chloride (Tensilon) indicate?
a. Hypertensive crisis
b. Adrenergic crisis
c. Myasthenic crisis
d. Cholinergic crisis
, 2026 /2027 Med Surg Chapters 27,28. 40
23.
24. A nurse is caring for a patient with amyolateral sclerosis. What is the priority patient problem?
a. Impaired physical mobility
b. Ineffective airway clearance
c. Impaired verbal communication
d. Decreased cardiac output
25.
26. What is the priority cause of nutritional problems in patients with amyolateral sclerosis?
a. Oropharyngeal muscle weakness
b. Paralysis of respiratory muscles
c. Dysphagia
d. Progressive illnesss of patient
27.
28. A 27-year-old man was injured in a motorcycle accident 3 days ago. He is now alert and oriented
to person and place but not to time. What is the most reliable indicator of mental status in this
patient?
a. Blood pressure
b. Pulse
c. Level of consciousness
d. Pupil equality
29.
30. What is a late sign of increased ICP due to pressure on the third cranial nerve?
a. Jerky tracking of eyes
b. Altered motor function
c. Dilated pupils
d. Hemiparesis
31. How high should this patient's bed be raised to prevent increased ICP?
a. 15 degrees
b. 30 degrees
c. 45 degrees
d. 90 degrees
32.
33. Which part of the brain receives and interprets sensory information?
a. Frontal lobe
b. Parietal lobe
c. Occipital lobe
d. Temporal lobe
34.
