Question 1

Three criteria are used to determine brain death.These include absence of:

Accepted Answer

A) Deep tendon reflexes. 
B) Brainstem reflexes. 
C) Ventilator triggering. 
D) Pulse and blood pressure. 
A) Deep tendon reflexes. 
B) Brainstem reflexes. 
C) Ventilator triggering. 
D) Pulse and blood pressure. B

Question 2

The outstanding difference in presentation of metabolic and intracranial causes of coma is ____________________________________.

Accepted Answer

Metabolic causes are associated with diffuse dysfunction while intracranial causes present with focal neurologic signs related to the particular area of the brain involved.

Question 3

The Four Score Coma Scale differs from the Glasgow Coma Scale in that

Accepted Answer

A) It is based on serum analysis. 
B) It includes brainstem reflexes. 
C) It includes motor response. 
D) It does not require a verbal response. 
A) It is based on serum analysis. 
B) It includes brainstem reflexes. 
C) It includes motor response. 
D) It does not require a verbal response. D

Question 4

Match between columns
                        Premises: Frontal lobe
Occipital lobe
Temporal lobe
Parietal lobe

Accepted Answer

The Answer of Interpretation of visual stimuli. and Sense of is...

Question 5

Pressure on the thalamus results in _____________posturing.

Accepted Answer

Pressure on the thal

Question 6

Explain why the most sensitive indicator of increasing intracranial pressure is a change in "level of consciousness".

Accepted Answer

Increasing intracranial pressure affects

Question 7

Regular sedation interruption is recommended for mechanically ventilated neurologic clients in order to:

Accepted Answer

A) Assist with brain death determination. 
B) Allow neurologic status assessment. 
C) Determine need for continued ventilatory support. 
D) Assess client's pain level. 
A) Assist with brain death determination. 
B) Allow neurologic status assessment. 
C) Determine need for continued ventilatory support. 
D) Assess client's pain level.

Question 8

One of the earliest vital sign changes that occurs with increased intracranial pressure is

Accepted Answer

A) Cheyne-Stokes breathing. 
B) Bradycardia. 
C) Widened pulse pressure. 
D) Hyperthermia. 
A) Cheyne-Stokes breathing. 
B) Bradycardia. 
C) Widened pulse pressure. 
D) Hyperthermia.

Question 9

Craniotomy necessitates cutting of scalp hair.For which of the following clients should special consideration be explored preoperatively?

Accepted Answer

A) African American. 
B) Mexican American. 
C) American Indian. 
D) Eastern Indian. 
A) African American. 
B) Mexican American. 
C) American Indian. 
D) Eastern Indian.

Question 10

The "Doll's eye reflex" is performed to test interactive integrity of the

Accepted Answer

A) Pons and medulla. 
B) Cerebral cortex and brainstem. 
C) Midbrain and medulla. 
D) Pons and Midbrain. 
A) Pons and medulla. 
B) Cerebral cortex and brainstem. 
C) Midbrain and medulla. 
D) Pons and Midbrain.

Question 11

Which of the following is an indicator of possible hypothalamic dysfunction?

Accepted Answer

A) Decorticate posturing. 
B) Altered body temperature. 
C) Olfactory hallucinations. 
D) Apneustic breathing. 
A) Decorticate posturing. 
B) Altered body temperature. 
C) Olfactory hallucinations. 
D) Apneustic breathing.

Question 12

Describe the behaviors and significance of abnormal flexor and extensor posturing.

Accepted Answer

Flexor (decorticate)posturing

Question 13

A positive apnea test determining brain death is based on:

Accepted Answer

A) PO2 ?80% while receiving 100% oxygen per ventilator. 
B) PCO2 of 60 while receiving 100% oxygen per ventilator. 
C) Lack of effort to breath after discontinuation of mechanical ventilation 
D) Lack of cough reflex response to tracheal irritation. 
A) PO2 ?80% while receiving 100% oxygen per ventilator. 
B) PCO2 of 60 while receiving 100% oxygen per ventilator. 
C) Lack of effort to breath after discontinuation of mechanical ventilation 
D) Lack of cough reflex response to tracheal irritation.

Question 14

Identify two types of clients who may be misdiagnosed as comatose using the Glasgow Coma Scale.

Accepted Answer

Clients who may be misdiagnose

Question 15

The conscious state requires an interaction between ___________ and ___________ areas of the brain.

Accepted Answer

The conscious state

Question 16

Most cases of coma are due to what type of disorders?

Accepted Answer

Most cases of coma a

Question 17

Which of the following are intracranial pressure waveforms indicating loss of intracerebral compliance?

Accepted Answer

A) P1 greater than other waveforms. 
B) P2 greater than other waveforms . 
C) P1 equal to P2 waveforms. 
D) P3 greater than P1and P2 waveforms. 
A) P1 greater than other waveforms. 
B) P2 greater than other waveforms . 
C) P1 equal to P2 waveforms. 
D) P3 greater than P1and P2 waveforms.

Question 18

Explain why the use of labels such as "lethargic" or "confused" are insufficient when describing the neurologic client's status.

Accepted Answer

No precise terminology or agreement on b

Question 19

The reticular activating system controls

Accepted Answer

A) Orientation. 
B) Wakefulness. 
C) Balance. 
D) Motor function. 
A) Orientation. 
B) Wakefulness. 
C) Balance. 
D) Motor function.

Question 20

Cerebral perfusion pressure (CPP)is determined by the following calculation:____________.

Accepted Answer

CPP is calculated by

Exam 32: Neurological Management - New

Three criteria are used to determine brain death.These include absence of:

The outstanding difference in presentation of metabolic and intracranial causes of coma is ____________________________________.

The Four Score Coma Scale differs from the Glasgow Coma Scale in that

Pressure on the thalamus results in _____________posturing.

Explain why the most sensitive indicator of increasing intracranial pressure is a change in "level of consciousness".

Regular sedation interruption is recommended for mechanically ventilated neurologic clients in order to:

One of the earliest vital sign changes that occurs with increased intracranial pressure is

Craniotomy necessitates cutting of scalp hair.For which of the following clients should special consideration be explored preoperatively?

The "Doll's eye reflex" is performed to test interactive integrity of the

Which of the following is an indicator of possible hypothalamic dysfunction?

Describe the behaviors and significance of abnormal flexor and extensor posturing.

A positive apnea test determining brain death is based on:

Identify two types of clients who may be misdiagnosed as comatose using the Glasgow Coma Scale.

The conscious state requires an interaction between ___________ and ___________ areas of the brain.

Most cases of coma are due to what type of disorders?

Which of the following are intracranial pressure waveforms indicating loss of intracerebral compliance?

Explain why the use of labels such as "lethargic" or "confused" are insufficient when describing the neurologic client's status.

The reticular activating system controls

Cerebral perfusion pressure (CPP)is determined by the following calculation:____________.

Professional Nursing

Nursing Process and Critical Thinking

Managing Client Care: Documentation and Delegation

Communication and Nurse-Client Relationship

Admission, Transfer, and Discharge

Client Education and Discharge Planning

Safe Client Environment and Restraints

Bathing, Bedmaking, and Maintaining Skin Integrity

Personal Hygiene

Vital Signs

Physical Assessment

Body Mechanics and Positioning

Exercise and Ambulation

Infection Control

Disaster Preparedness Bioterrorism

Pain Management

Alternative Therapies and Stress Management

Medication Administration

Nutritional Management and Ng Intubation

Specimen Collection

Diagnostic Procedures

Urinary Elimination

Bowel Elimination

Heat and Cold Therapies

Wound Care and Dressings

Perioperative Care

Orthopedic Interventions

Intravenous Therapy

Central Vascular Access

Respiratory Care

Circulatory Maintenance

Advanced Nursing Skills

End of Life Care

Filters

The conscious state requires an interaction between _ and _ areas of the brain.