Exam 3 Review

Question 1

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 1

Answer: C

Question 2

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 2

Answer: A

Question 3

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 3

Answer: A

Question 4

Severe anemia or respiratory failure might cause which type of brain injury?

A. Traumatic
B. Hypoxic
C. Ischemic
D. Cerebral Edema

Answer 4

Answer: B

Question 5

Unilateral pupil dilation is the earliest sign of which of the following?

A. Brain Stem Injury
B. ICP
C. Cerebral Herniation
D. TBI

Answer 5

Answer: C

Question 6

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 6

Answer: B

Question 7

An epidural hematoma is caused by bleeding in the

A. Arteries of the brain
B. Veins of the brain

Answer 7

Answer: A

Epidural
Artery
Tear

Subdural - Subdued

Question 8

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 8

Answer: C

Question 9

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 9

Answer: A, C, D

Question 10

Which of the following are CM of Meningitis? SATA

A. Pallor and diaphoresis
B. Nuchal Rigidity
C. Headache and Fever
D. Dry mouth

Answer 10

Answer: B, C

Question 11

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 11

Answer: C, D

Question 12

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 12

Answer: A

Question 13

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 13

Answer: C

Question 14

What muscles are commonly involved in with myasthenia gravis? SATA

A. Lower extremeties
B. Facial Muscles
C. Throat Muscles
D. Upper extremeties

Answer 14

Answer: B, C

What is our priority nursing consideration?

Question 15

A urinary obstruction increases risk for which of the following disorders? SATA

A. Cancer
B. Infections
C. Hydronephrosis
D. Polycystic Kidney Disease

Answer 15

Answer: B, C

Question 16

What is the most common inherited Kidney Disease?

A. Renal Cell Carcinoma
B. BPH
C. Polycystic Kidney Disease
D. Glomerularnephritis

Answer 16

Answer: C

Question 17

Glomerulonephritis is classified as which type of Acute Kidney Injury

A. Pre Renal
B. Intra Renal
C. Post Renal

Answer 17

Answer: B

What are some examples of pre and post?

Question 18

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 18

Answer: A, B

Question 19

Which of the following would be seen with CKD?

A. Hyperphosphatemia
B. Hypercalcemia
C. Increased Vitamin D
D. Hyperparathyroidism

Answer 19

Answer: A, D

Question 20

What labs will be seen in a CKD diagnosis?

A. Proteinuria
B. Decreased GFR
C. Decreased Serum Creatnine
D. Increased BUN

Answer 20

Answer: A, B, D

Question 21

How will an isotonic solution affect cell size?

A. Cell will swell
B. Cell will shrink
C. No change in cell size

Answer 21

Answer: C

Hypertonic?
Hypotonic?

Question 22

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 22

Answer: B

What will be seen with decreased Albumin?

Question 23

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 23

Answer: D

Question 24

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 24

Answer: B

Question 25

Which IV solution will remain in the vascular space?

A. Colloid
B. Crystalloid
C. Isotonic
D. Hypertonic

Answer 25

Answer: A

What does this solution contain that holds it in the vascular space?

Question 26

When aldosterone signals the Kidney to absorb Sodium, what happens to Potassium levels?

A. Increase
B. Decrease
C. Stay the same

Answer 26

Answer: B

Question 27

Which body system do we focus our assessment with alterations in Sodium levels?

Answer 27

Neurological Assessments

Question 28

What is your major concern with Potassium imbalances?

A. Neurological Deficits
B. Cardiac Dysrhythmias
C. Bone Pain
D. Dehydration

Answer 28

Answer: B

Question 29

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 29

Answer: A, B, D