NR 325-EXAM 2 QUESTIONS WITH ALL
CORRECT & VERIFIED ANSWERS
Normal intracranial pressurev (ICP) Correct answer-5-15 mm Hg, if it's greater than 20 it's elevated.
Normal Cerebral Perfusion pressure (CPP) Correct answer-60-100 mm Hg
Decerebrate Correct answer-"e"; arms and legs held straight out, toes pointed downward, head
and neck being arched backward, muscles tightened and held rigidly.
Decorticate Correct answer-"c"; stiff with bent arms, clenched fists, legs held out straight, arms
bent in toward the body, wrists and fingers are bent and held on the chest.
CM of increased intracranial pressure Correct answer-Change in LOC, lethargy, headache, aphasia,
seizures, Cushing's triage, ocular signs, unilateral pupil dilation, projectile vomiting without nausea,
decerebrate posturing.
Cushing's triage Correct answer-Increased BP, Decreased HR, Decreased respirations
Encephalitis Correct answer-Acute inflammation of the brain and spinal coed; caused by a virus
and can be FATAL
CM: fever, headache, seizures, rigidity, altered LOC, agitation, lethargy, photosensitivity, N/V
Brain abscess Correct answer-Pus in the brain tissue
CM: headache, lethargy, drowsiness, confusion, depressed, infection
ALS (Lou Gehrig's Disease) Correct answer-Progressive degenerative neurological disease with
muscle weakness and there is no cure.
Respiratory insufficiency (airway is a priority), safety, diversional activities, death from pneumonia,
suction at bedside, upright to eat and 30 min. after, semisolid foods or NG tube feedings.
Bell's palsy Correct answer-Acute peripheral facial paralysis central or peripheral in origin;
inflammation of the CN VII on one side of the face in absence of another disease; accompanied by
herpes vesicles in/around the ears.
CM: drooping of the mouth, inability to close eye, loss of extensive tearing due to lacrimal muscle
weakness.
Surgery may be needed
Meningitis Correct answer-Inflammation of the brain covering.
Check the CSF, positive Kernig's and Brudzinski signs, put patient in a dark room, get a family member
to stay at the bedside since the patient is confused, bedrest.
Hepatitis A Correct answer-Vaccine, will resolve itself, incidence decreased with vaccine, fecal oral
route through contaminated food or drinking water.
CORRECT & VERIFIED ANSWERS
Normal intracranial pressurev (ICP) Correct answer-5-15 mm Hg, if it's greater than 20 it's elevated.
Normal Cerebral Perfusion pressure (CPP) Correct answer-60-100 mm Hg
Decerebrate Correct answer-"e"; arms and legs held straight out, toes pointed downward, head
and neck being arched backward, muscles tightened and held rigidly.
Decorticate Correct answer-"c"; stiff with bent arms, clenched fists, legs held out straight, arms
bent in toward the body, wrists and fingers are bent and held on the chest.
CM of increased intracranial pressure Correct answer-Change in LOC, lethargy, headache, aphasia,
seizures, Cushing's triage, ocular signs, unilateral pupil dilation, projectile vomiting without nausea,
decerebrate posturing.
Cushing's triage Correct answer-Increased BP, Decreased HR, Decreased respirations
Encephalitis Correct answer-Acute inflammation of the brain and spinal coed; caused by a virus
and can be FATAL
CM: fever, headache, seizures, rigidity, altered LOC, agitation, lethargy, photosensitivity, N/V
Brain abscess Correct answer-Pus in the brain tissue
CM: headache, lethargy, drowsiness, confusion, depressed, infection
ALS (Lou Gehrig's Disease) Correct answer-Progressive degenerative neurological disease with
muscle weakness and there is no cure.
Respiratory insufficiency (airway is a priority), safety, diversional activities, death from pneumonia,
suction at bedside, upright to eat and 30 min. after, semisolid foods or NG tube feedings.
Bell's palsy Correct answer-Acute peripheral facial paralysis central or peripheral in origin;
inflammation of the CN VII on one side of the face in absence of another disease; accompanied by
herpes vesicles in/around the ears.
CM: drooping of the mouth, inability to close eye, loss of extensive tearing due to lacrimal muscle
weakness.
Surgery may be needed
Meningitis Correct answer-Inflammation of the brain covering.
Check the CSF, positive Kernig's and Brudzinski signs, put patient in a dark room, get a family member
to stay at the bedside since the patient is confused, bedrest.
Hepatitis A Correct answer-Vaccine, will resolve itself, incidence decreased with vaccine, fecal oral
route through contaminated food or drinking water.
