Ischemia & Hypoxia
1. A nurse is caring for a patient who suffered a massive myocardial infarction, leading to
global ischemia. The nurse understands that this type of cerebral edema is known as:
A. Interstitial edema
B. Vasogenic edema
C. Intracellular edema
D. Unilateral edema
2. Which of the following is the most sensitive and earliest clinical manifestation of
increased intracranial pressure (ICP)?
A. Cushing's Triad
B. Change in level of consciousness (LOC)
C. Headache
D. Nausea and vomiting
3. The Monroe-Kellie doctrine explains that an increase in one cranial component must be
compensated by a decrease in one or both of the other components. Which three
components are involved?
A. Brain tissue, blood, and dura mater
B. Brain tissue, cerebrospinal fluid (CSF), and blood
C. Cerebrospinal fluid (CSF), brain tissue, and spinal cord
D. Blood, cerebrospinal fluid (CSF), and skull
, 4. A nurse is performing a Doll's Eyes test on an unconscious patient. A normal response
would be if the patient's eyes:
A. Remain midline to the patient's head
B. Deviate toward the direction of head movement
C. Move in the opposite direction of head movement
D. Do not move at all
5. A patient experiences a sudden, rapid deterioration in neurological status after a head
injury. This is a classic sign of which type of intracranial bleed?
A. Subdural hematoma
B. Subarachnoid hemorrhage
C. Epidural hematoma
D. Intraparenchymal hemorrhage
6. Which type of cerebral edema is caused by increased vessel pressure forcing fluid,
electrolytes, and proteins into the intercellular space?
A. Interstitial edema
B. Cytotoxic edema
C. Intracellular edema
D. Global edema
7. A patient presents with a Glasgow Coma Scale (GCS) score of 12. The nurse knows the
maximum GCS score for Eye Opening is:
A. 3
B. 4
C. 5
D. 6
1. A nurse is caring for a patient who suffered a massive myocardial infarction, leading to
global ischemia. The nurse understands that this type of cerebral edema is known as:
A. Interstitial edema
B. Vasogenic edema
C. Intracellular edema
D. Unilateral edema
2. Which of the following is the most sensitive and earliest clinical manifestation of
increased intracranial pressure (ICP)?
A. Cushing's Triad
B. Change in level of consciousness (LOC)
C. Headache
D. Nausea and vomiting
3. The Monroe-Kellie doctrine explains that an increase in one cranial component must be
compensated by a decrease in one or both of the other components. Which three
components are involved?
A. Brain tissue, blood, and dura mater
B. Brain tissue, cerebrospinal fluid (CSF), and blood
C. Cerebrospinal fluid (CSF), brain tissue, and spinal cord
D. Blood, cerebrospinal fluid (CSF), and skull
, 4. A nurse is performing a Doll's Eyes test on an unconscious patient. A normal response
would be if the patient's eyes:
A. Remain midline to the patient's head
B. Deviate toward the direction of head movement
C. Move in the opposite direction of head movement
D. Do not move at all
5. A patient experiences a sudden, rapid deterioration in neurological status after a head
injury. This is a classic sign of which type of intracranial bleed?
A. Subdural hematoma
B. Subarachnoid hemorrhage
C. Epidural hematoma
D. Intraparenchymal hemorrhage
6. Which type of cerebral edema is caused by increased vessel pressure forcing fluid,
electrolytes, and proteins into the intercellular space?
A. Interstitial edema
B. Cytotoxic edema
C. Intracellular edema
D. Global edema
7. A patient presents with a Glasgow Coma Scale (GCS) score of 12. The nurse knows the
maximum GCS score for Eye Opening is:
A. 3
B. 4
C. 5
D. 6
