Critical Care Neuro- practice questions 2
Critical Care Neuro- practice questions 2
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1. 3. A nurse is car- Ans: B
ing for a patient with Feedback: Autonomic dysreflexia is characterized by a pounding headache,
autonomic dysreflex- profuse sweating, nasal congestion, piloerection ("goose bumps"), brady-
ia. What clinical man- cardia, and hypertension. It occurs in cord lesions above T6 after spinal
ifestations would the shock has resolved. This makes options A, C, and D incorrect.
nurse expect in this pa-
tient?
A) Tachycardia and hy-
potension
B) Bradycardia and hy-
pertension
C) Tachycardia and hy-
pertension
D) Bradycardia and hy-
potension
2. 4. The nurse is car- Ans: A
ing for a patient with Feedback: Signs of increasing ICP include slowing of the heart rate (brady-
increased intracranial cardia), increasing systolic blood pressure, and widening pulse pressure.
pressure (IICP) caused As brain compression increases, respirations become rapid, blood pres-
by a traumatic brain sure may decrease, and the pulse slows further. A rapid rise in body tem-
injury. Which of the perature is regarded as unfavorable. Hyperthermia increases the metabolic
following clinical man- demands of the brain and may indicate brainstem damage.
ifestations would in-
dicate that the pa-
tient is experienc-
ing increased brain
compression causing
brainstem damage?
A) Hyperthermia
B) Tachycardia
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C) Hypertension
D) Bradypnea
3. 6. The staff educa- Ans: B
tor is precepting a Feedback: Manifestations of neurogenic shock include decreased blood
nurse new to the unit pressure and heart rate. Cardiac markers would be expected to rise in
when a patient with a cardiogenic shock. Patients do not perspire on the paralyzed portions of
T2 spinal cord injury their body due to blockage of sympathetic activity.
is admitted. The pa-
tient is soon exhibiting
manifestations of neu-
rogenic shock. What
would the staff educa-
tor and the new nurse
monitor this patient
for?
A) Increased cardiac
markers
B) Hypotension
C) Tachycardia
D) Excessive sweating
4. 7. An emergency de- Ans: D
partment nurse has Feedback: Motor vehicle crashes account for 48% of reported cases of
just received a call SCI, with falls (23%), violence primarily from gunshot wounds (14%),
from EMS that they recreational sporting activities (9%), and other events accounting for the
are transporting a remaining injuries. Therefore options A, B, and C are incorrect.
17-year-old male who
has just sustained a
spinal cord injury. The
nurse recognizes that
the most common
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Critical Care Neuro- practice questions 2
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cause of this type of in-
jury is what?
A) Sports-related in-
juries
B) Acts of violence
C) Injuries due to a fall
D) Motor vehicle acci-
dents
5. 8. A patient with spinal Ans: B
cord injury has a nurs- Feedback: It is important to promote venous return to the heart and prevent
ing diagnosis of al- venous stasis in a patient with altered mobility. Applying elastic stockings
tered mobility. This in- will aid in the prevention of a DVT. The patient should not be placed on
creases the risk of fluid restriction because a dehydrated state will increase the risk of clotting
deep vein thrombo- throughout the body. Antifibrinolytic agents cause the blood to clot, which
sis (DVT) in this pa- is absolutely contraindicated in this situation.
tient. Which of the fol-
lowing would be in-
cluded as an appropri-
ate nursing interven-
tion to prevent a DVT
from occurring?
A) Placing the patient
on a fluid restriction
B) Applying thigh-high
elastic stockings
C) Administering an
antifibrinolyic agent
D) Assisting the pa-
tient with PROM exer-
cises
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Critical Care Neuro- practice questions 2
Study online at https://quizlet.com/_5skmcq
1. 3. A nurse is car- Ans: B
ing for a patient with Feedback: Autonomic dysreflexia is characterized by a pounding headache,
autonomic dysreflex- profuse sweating, nasal congestion, piloerection ("goose bumps"), brady-
ia. What clinical man- cardia, and hypertension. It occurs in cord lesions above T6 after spinal
ifestations would the shock has resolved. This makes options A, C, and D incorrect.
nurse expect in this pa-
tient?
A) Tachycardia and hy-
potension
B) Bradycardia and hy-
pertension
C) Tachycardia and hy-
pertension
D) Bradycardia and hy-
potension
2. 4. The nurse is car- Ans: A
ing for a patient with Feedback: Signs of increasing ICP include slowing of the heart rate (brady-
increased intracranial cardia), increasing systolic blood pressure, and widening pulse pressure.
pressure (IICP) caused As brain compression increases, respirations become rapid, blood pres-
by a traumatic brain sure may decrease, and the pulse slows further. A rapid rise in body tem-
injury. Which of the perature is regarded as unfavorable. Hyperthermia increases the metabolic
following clinical man- demands of the brain and may indicate brainstem damage.
ifestations would in-
dicate that the pa-
tient is experienc-
ing increased brain
compression causing
brainstem damage?
A) Hyperthermia
B) Tachycardia
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C) Hypertension
D) Bradypnea
3. 6. The staff educa- Ans: B
tor is precepting a Feedback: Manifestations of neurogenic shock include decreased blood
nurse new to the unit pressure and heart rate. Cardiac markers would be expected to rise in
when a patient with a cardiogenic shock. Patients do not perspire on the paralyzed portions of
T2 spinal cord injury their body due to blockage of sympathetic activity.
is admitted. The pa-
tient is soon exhibiting
manifestations of neu-
rogenic shock. What
would the staff educa-
tor and the new nurse
monitor this patient
for?
A) Increased cardiac
markers
B) Hypotension
C) Tachycardia
D) Excessive sweating
4. 7. An emergency de- Ans: D
partment nurse has Feedback: Motor vehicle crashes account for 48% of reported cases of
just received a call SCI, with falls (23%), violence primarily from gunshot wounds (14%),
from EMS that they recreational sporting activities (9%), and other events accounting for the
are transporting a remaining injuries. Therefore options A, B, and C are incorrect.
17-year-old male who
has just sustained a
spinal cord injury. The
nurse recognizes that
the most common
actualstudy 2
, Critical Care Neuro- practice questions 2
Critical Care Neuro- practice questions 2
Study online at https://quizlet.com/_5skmcq
cause of this type of in-
jury is what?
A) Sports-related in-
juries
B) Acts of violence
C) Injuries due to a fall
D) Motor vehicle acci-
dents
5. 8. A patient with spinal Ans: B
cord injury has a nurs- Feedback: It is important to promote venous return to the heart and prevent
ing diagnosis of al- venous stasis in a patient with altered mobility. Applying elastic stockings
tered mobility. This in- will aid in the prevention of a DVT. The patient should not be placed on
creases the risk of fluid restriction because a dehydrated state will increase the risk of clotting
deep vein thrombo- throughout the body. Antifibrinolytic agents cause the blood to clot, which
sis (DVT) in this pa- is absolutely contraindicated in this situation.
tient. Which of the fol-
lowing would be in-
cluded as an appropri-
ate nursing interven-
tion to prevent a DVT
from occurring?
A) Placing the patient
on a fluid restriction
B) Applying thigh-high
elastic stockings
C) Administering an
antifibrinolyic agent
D) Assisting the pa-
tient with PROM exer-
cises
actualstudy 3
