Exam 3 Review Flashcards
A pt comes in post MVC and presents unconsious with bilateral pupil dilation, where would you expect to see injury?
A. Frontal Lobe
B. Occipital Lobe
C. Brain Stem
D. Parietal Lobe
Answer: C
What is your major concern with a brain stem injury?
A. Loss of respiratory and cardiac function
B. Loss of muscle control
C. Loss of coordination and balance
D. Loss of memory
Answer: A
Which of the following is the earliest indicator of increased IOP?
A. Change in LOC
B. Unilateral pupil dilation
C. Bradycardia
D. Abnormal respiratory pattern
Answer: A
Severe anemia or respiratory failure might cause which type of brain injury?
A. Traumatic
B. Hypoxic
C. Ischemic
D. Cerebral Edema
Answer: B
Unilateral pupil dilation is the earliest sign of which of the following?
A. Brain Stem Injury
B. ICP
C. Cerebral Herniation
D. TBI
Answer: C
How does a brain tumor lead to hydrocephalus?
A. Fluid leaks from the tumor and invades the brain cavity
B. Blocks the normal flow of CSF causing a build up of fluid in the brain
C. Reduces the ICP
D. Casues microaneurysms in the brain cavity
Answer: B
An epidural hematoma is caused by bleeding in the
A. Arteries of the brain
B. Veins of the brain
Answer: A
Epidural
Artery
Tear
Subdural - Subdued
What would you suspect in a pt presenting to the ER with periorbital ecchymosis, Battle’s Sign, and CSF otorrhea?
A. Assault
B. Domestic Violence
C. Basilar Skull Fracture
D. Concussion
Answer: C
Which of the following people are at an increased risk of developing Bacterial Meningitis. SATA
A. College student who lives in the dorms
B. Single mom who lives at home with her infant
C. Pt who is immediately post op neurosurgery
D. Military personnel who live in the barracks
E. Newlyweds back from their honeymoon
Answer: A, C, D
Which of the following are CM of Meningitis? SATA
A. Pallor and diaphoresis
B. Nuchal Rigidity
C. Headache and Fever
D. Dry mouth
Answer: B, C
Which of the following would be considered status epilepticus? SATA
A. More than 3 seizures in a year
B. Seizure precipitated by an acute increase in fever
C. A seizure lasting more than 5-10 minutes
D. 3 or more recurrent seizures without gaining consciousness in between
Answer: C, D
A pt who presents with a blank stare, clonic movements of their eyelids, and unresponsive is experiencing what?
A. Absence Seizure
B. Tonic Clonic Seizure
C. Febrile Seizure
D. Clonic Seizure
Answer: A
At which point of SCI would you need complete mechanical ventilation?
A. C3-C5
B. C6-T8
C. C3 and above
D. T1-T12
Answer: C
What muscles are commonly involved in with myasthenia gravis? SATA
A. Lower extremeties
B. Facial Muscles
C. Throat Muscles
D. Upper extremeties
Answer: B, C
What is our priority nursing consideration?
A urinary obstruction increases risk for which of the following disorders? SATA
A. Cancer
B. Infections
C. Hydronephrosis
D. Polycystic Kidney Disease
Answer: B, C
What is the most common inherited Kidney Disease?
A. Renal Cell Carcinoma
B. BPH
C. Polycystic Kidney Disease
D. Glomerularnephritis
Answer: C
Glomerulonephritis is classified as which type of Acute Kidney Injury
A. Pre Renal
B. Intra Renal
C. Post Renal
Answer: B
What are some examples of pre and post?
What manifestations of CKD lead to HTN? SATA
A. Hypervolemia
B. Increased RAAS system activation
C. Decreased PVR
D. Increased prostaglandins that promoted vasodilation
Answer: A, B
Which of the following would be seen with CKD?
A. Hyperphosphatemia
B. Hypercalcemia
C. Increased Vitamin D
D. Hyperparathyroidism
Answer: A, D
What labs will be seen in a CKD diagnosis?
A. Proteinuria
B. Decreased GFR
C. Decreased Serum Creatnine
D. Increased BUN
Answer: A, B, D
How will an isotonic solution affect cell size?
A. Cell will swell
B. Cell will shrink
C. No change in cell size
Answer: C
Hypertonic?
Hypotonic?
What is the function of albumin in the blood?
A. Releases fluid from vasculature
B. Keeps fluid in vascular space
C. Allows free movement of fluid between body spaces
D. Forms charged particles in the body fluids
Answer: B
What will be seen with decreased Albumin?
What is the function of baroreceptors?
A. Stimulates thirst response
B. Adjust plasma osmolality
C. Releases ADH
D. Sense a change in circulating blood volume
Answer: D
If you notice a distended neck vein in a pt receiving IV fluids what would be your concern?
A. Hypovolemia
B. Hypervolemia
C. Dehydration
D. Hyponatremia
Answer: B
Which IV solution will remain in the vascular space?
A. Colloid
B. Crystalloid
C. Isotonic
D. Hypertonic
Answer: A
What does this solution contain that holds it in the vascular space?
When aldosterone signals the Kidney to absorb Sodium, what happens to Potassium levels?
A. Increase
B. Decrease
C. Stay the same
Answer: B
Which body system do we focus our assessment with alterations in Sodium levels?
Neurological Assessments
What is your major concern with Potassium imbalances?
A. Neurological Deficits
B. Cardiac Dysrhythmias
C. Bone Pain
D. Dehydration
Answer: B
What are the Nursing Responsibilities in regards to electrolyte and Fluid Imbalances? SATA
A. Monitor Intake and Output B. Daily Weights C. Determine Best Treatment Method D. Constant Observation and Monitoring E. Prescribing proper medications
Answer: A, B, D
