Deck 13: Intracranial Regulation

Question 1

The nurse should teach a patient that which is a primary prevention strategy to reduce the occurrence of head injuries?

A) Blood pressure control
B) Smoking cessation
C) Maintaining a healthy weight
D) Violence prevention

Answer 1

Violence prevention

Question 2

Components of the Glasgow Coma Scale (GCS) the nurse would use to assess a patient after a head injury include which assessment?

A) Blood pressure
B) Cranial nerve function
C) Head circumference
D) Verbal responsiveness

Answer 2

Verbal responsiveness

Question 3

When caring for a patient after a head injury, the nurse would be most concerned with assessment findings which included respiratory changes along with what other findings?

A) Hypertension and bradycardia
B) Hypertension and tachycardia
C) Hypotension and bradycardia
D) Hypotension and tachycardia

Answer 3

Hypertension and bradycardia

Question 4

After shunt procedure, the nurse would monitor the patient's neurologic status by using which test?

A) Electroencephalogram
B) Glasgow Coma Scale
C) National Institutes of Health Stroke Scale
D) Monro-Kellie doctrine

Question 5

The nurse preparing to care for a patient after a suspected stroke would question which order?

A) Antihypertensive
B) Antipyretic
C) Osmotic diuretic
D) Sedative

Question 6

The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe?

A) Aligning the neck with the body
B) Clustering many nursing activities
C) Elevating the head of the bed 30 degrees
D) Providing stool softeners or laxatives as ordered

Question 7

Which assessment finding would be the earliest and most sensitive indicator that there is an alteration in intracranial regulation?

A) Change in level of consciousness
B) Inability to focus visually
C) Loss of primitive reflexes
D) Unequal pupil size