NSG-3250 EXAM 3 with verified solutions
1. left hemisphere functions: -right hand
| | | |
-spoken language |
-number skills |
-scientific functions |
-written language |
-reasoning
2. Right hemisphere functions: -left hand
| | | |
-music
-spacial orientation |
-artistic function |
-insight
-creativity
3. The cerebrum makes up the:
| | | | | , | , | , and
| | lobes: -
|
Frontal, parietal, temporal, occipital
| | |
4. The brain stem makes up the:
| | | | | | , | , and the
| | | :Midbrain, pons,
| |
| and medulla
|
5. If there is a drop of 2 points or more in the GCS, this indicates a: significant clinical
| | | | | | | | | | | | | | | | |
| change and the MD should be notified
| | | | | |
6. Headaches (cephalgia) s/s include: significant discomfort that can interfere with lifestyle
| | | | | | | | | |
7. Headaches are caused by | | | | in cranium: blood vessel dilation
| | | |
8. Secondary headaches may indicate: tumors or aneurysm | | | | | |
9. Persistent headaches may require | | | | : intervention
|
10. What kind of medications would treat headaches?: Triptans: ****(IMPOR-
| | | | | | | |
| TANT)****** (Imitrex) |
-vasoconstrictor
,-reduce inflammation|
-reduce pain |
-first line treatment
| |
**Prophylactic meds prevent headaches** | | |
11. Non-pharmacologic interventions for headache treatments include:: Dark room
| | | | | | |
localheat
|
| massage
avoid foods with taramines
| | |
12. Ischemic strokes are caused by | | | | | : sudden occlusion of cerebral
| | | |
| artery due to thrombus or embolus
| | | | |
,due to arthersclerosis (THROMBOSIS) due to
| | | | |
cardiac dysrhythmias (EMBOLISM)
| | |
13. Some manifestations of ischemic stroke include:: Numbness or weakness of face,
| | | | | | | | | |
| arm, or legs | |
aphasia vision |
loss
|
mental status change change | | |
in communication
| |
14. Interventions for ischemic strokes:: Body positioning to prevent contractures and | | | | | | | | |
| compressive neuropathies |
ROM 4-5 times a day to prevent DVTs, or VTEs,
| | | | | | | | |
15. Hemorrhagic strokes are caused by: Bleeding in the brain secondary to chronic | | | | | | | | | | |
| HTN or an aneurysm
| | |
16. Some manifestations of hemorrhagic strokes include: having the "worst headache
| | | | | | | | |
| of my life"
| |
alteration of LOC | |
| seizures
sudden onset of agitation (priority) changes in
| | | | | |
| pupils
17. Being unarousable, unconsciousness, and unresponsiveness are indica- tors of:
| | | | | | | |
| Coma
18. Unresponsivenessto environment,makes no movement or sounds but can open eyes is | | | | | | | | | | | |
| called | : Akinetic mutism
| |
19. devoid of cognitive function but has sleep-wake cycles: persistent vegeta- tive state
| | | | | | | | | | |
20. •inability to move or respond except for eye movements due to a lesion affecting the
| | | | | | | | | | | | | |
| pons: Locked-in syndrome | |
, 21. Increased Intracranial Pressure (ICP): an increase in fluids around the brain which
| | | | | | | | | | |
| causes pressure due to nonexpendable skull, less arterial blood can enter the "high
| | | | | | | | | | | |
| pressure" area and tissue becomes compressed, decrease function of neurons, brain
| | | | | | | | | |
| tissue eventually dies, leads to widespread loss of function
| | | | | | | |
22. Brain tissues may shift through the dura and result in: herniation
| | | | | | | | | |
23. increased CO2 results in: vasodilation | | | |
24. Decreased CO2 results in: vasoconstriction | | | |
25. Episodes of abnormal motor, sensory, autonomic, or psychic activity that results from
| | | | | | | | | | |
| a sudden excessive discharge from cerebral neurons is called: - seizures
| | | | | | | | | |
26. Neuro overload, lack of sleep, brain tumor, electrolyte imbalance, alcohol withdrawal
| | | | | | | | | |
| are risk factors for: seizures
| | | |
1. left hemisphere functions: -right hand
| | | |
-spoken language |
-number skills |
-scientific functions |
-written language |
-reasoning
2. Right hemisphere functions: -left hand
| | | |
-music
-spacial orientation |
-artistic function |
-insight
-creativity
3. The cerebrum makes up the:
| | | | | , | , | , and
| | lobes: -
|
Frontal, parietal, temporal, occipital
| | |
4. The brain stem makes up the:
| | | | | | , | , and the
| | | :Midbrain, pons,
| |
| and medulla
|
5. If there is a drop of 2 points or more in the GCS, this indicates a: significant clinical
| | | | | | | | | | | | | | | | |
| change and the MD should be notified
| | | | | |
6. Headaches (cephalgia) s/s include: significant discomfort that can interfere with lifestyle
| | | | | | | | | |
7. Headaches are caused by | | | | in cranium: blood vessel dilation
| | | |
8. Secondary headaches may indicate: tumors or aneurysm | | | | | |
9. Persistent headaches may require | | | | : intervention
|
10. What kind of medications would treat headaches?: Triptans: ****(IMPOR-
| | | | | | | |
| TANT)****** (Imitrex) |
-vasoconstrictor
,-reduce inflammation|
-reduce pain |
-first line treatment
| |
**Prophylactic meds prevent headaches** | | |
11. Non-pharmacologic interventions for headache treatments include:: Dark room
| | | | | | |
localheat
|
| massage
avoid foods with taramines
| | |
12. Ischemic strokes are caused by | | | | | : sudden occlusion of cerebral
| | | |
| artery due to thrombus or embolus
| | | | |
,due to arthersclerosis (THROMBOSIS) due to
| | | | |
cardiac dysrhythmias (EMBOLISM)
| | |
13. Some manifestations of ischemic stroke include:: Numbness or weakness of face,
| | | | | | | | | |
| arm, or legs | |
aphasia vision |
loss
|
mental status change change | | |
in communication
| |
14. Interventions for ischemic strokes:: Body positioning to prevent contractures and | | | | | | | | |
| compressive neuropathies |
ROM 4-5 times a day to prevent DVTs, or VTEs,
| | | | | | | | |
15. Hemorrhagic strokes are caused by: Bleeding in the brain secondary to chronic | | | | | | | | | | |
| HTN or an aneurysm
| | |
16. Some manifestations of hemorrhagic strokes include: having the "worst headache
| | | | | | | | |
| of my life"
| |
alteration of LOC | |
| seizures
sudden onset of agitation (priority) changes in
| | | | | |
| pupils
17. Being unarousable, unconsciousness, and unresponsiveness are indica- tors of:
| | | | | | | |
| Coma
18. Unresponsivenessto environment,makes no movement or sounds but can open eyes is | | | | | | | | | | | |
| called | : Akinetic mutism
| |
19. devoid of cognitive function but has sleep-wake cycles: persistent vegeta- tive state
| | | | | | | | | | |
20. •inability to move or respond except for eye movements due to a lesion affecting the
| | | | | | | | | | | | | |
| pons: Locked-in syndrome | |
, 21. Increased Intracranial Pressure (ICP): an increase in fluids around the brain which
| | | | | | | | | | |
| causes pressure due to nonexpendable skull, less arterial blood can enter the "high
| | | | | | | | | | | |
| pressure" area and tissue becomes compressed, decrease function of neurons, brain
| | | | | | | | | |
| tissue eventually dies, leads to widespread loss of function
| | | | | | | |
22. Brain tissues may shift through the dura and result in: herniation
| | | | | | | | | |
23. increased CO2 results in: vasodilation | | | |
24. Decreased CO2 results in: vasoconstriction | | | |
25. Episodes of abnormal motor, sensory, autonomic, or psychic activity that results from
| | | | | | | | | | |
| a sudden excessive discharge from cerebral neurons is called: - seizures
| | | | | | | | | |
26. Neuro overload, lack of sleep, brain tumor, electrolyte imbalance, alcohol withdrawal
| | | | | | | | | |
| are risk factors for: seizures
| | | |
