Question: Post-craniotomy patient has increased ICP from 13 mmHg to 28 mmHg. Nurse suspects:
Answer Choices:\n\nbrainstem herniation intracerebral edema improvement in condition patient is sleeping
Answer:\nintracerebral edema
Question: Identify the following rhythm (flat line on EKG):
Answer Choices:\n\nV-fib sinus arrest asystole complete heart block
Answer:\nasystole
Question: 17-year-old with head injury playing football. Complains of headache, ringing in ears, nausea. Nurse suspects:
Answer Choices:\n\ncontusion subdural hemorrhage concussion intracerebral hemorrhage
Answer:\nconcussion
Question: During a craniectomy:
Answer Choices:\n\nthe skull bone is replaced before surgery is complete the skull bone is not immediately replaced
Answer:\nthe skull bone is not immediately replaced
Question: Patient with blunt force trauma has nasal drainage that forms a halo sign on gauze. Nurse suspects:
Answer Choices:\n\nBattle sign
Answer:\nCerebrospinal fluid (CSF) leak
Question: Patient fell and hit back of head; nurse notes bruising behind the ear. This is known as:
Answer Choices:\n\nChovak’s sign Battle sign Murphy sign McBurney sign
Answer:\nBattle sign
Question: I have a laboratory assignment that is due soon. I have either handed it in already, or I plan to submit it soon.
Answer Choices:\n\nTrue False
Answer:\nTrue
Question: Priority test for ruling out pancreatic cancer:
Answer Choices:\n\nCT scan of abdomen CA 19-9 ERCP MRI
Answer:\nCT scan of abdomen
Question: Obstunded patient with brain hemorrhage seen on CT scan. Bleeding is in direct contact with brain tissue. Nurse suspects:
Answer Choices:\n\nsubdural hemorrhage concussion epidural hemorrhage intracerebral hemorrhage
Answer:\nintracerebral hemorrhage
Question: The Monro-Kellie Doctrine states that the overall volume of the cranial vault cannot change.
Answer Choices:\n\nTrue False
Answer:\nTrue
Question: Patient has cerebral perfusion pressure of 45 mmHg after cerebral bleed. First nursing action:
Answer Choices:\n\nplace patient in supine position contact the provider document findings obtain Glasgow Coma Scale score
Answer:\ncontact the provider
Question: Interpret the following EKG:
Answer Choices:\n\nComplete heart block Junctional Escape Rhythm Sinus Bradycardia Idioventricular rhythm
Answer:\nIdioventricular rhythm
Question: Which of the following apply to brain death? (SELECT ALL THAT APPLY)
Answer Choices:\n\nabsence of brain stem reflexes positive gag reflex apnea negative oculocephalic reflex (doll’s eyes reflex) decorticate posturing
Answer:\nabsence of brain stem reflexes, negative oculocephalic reflex
Question: Interpret the following ABG: pH 7.37, CO₂ 55 mmHg, HCO₃⁻ 31 mEq/L
Answer Choices:\n\nNormal ABG respiratory acidosis with partial compensation respiratory acidosis with no compensation respiratory acidosis with full compensation
Answer:\nrespiratory acidosis with full compensation
Question: Interpret the following ABG: pH 7.24, CO₂ 36 mmHg, HCO₃⁻ 10 mEq/L
Answer Choices:\n\nmetabolic acidosis without compensation respiratory acidosis with partial compensation metabolic alkalosis, partially compensated respiratory alkalosis, fully compensated
Answer:\nmetabolic acidosis without compensation
Question: Motorcycle accident patient with traumatic brain injury. Most concerning sign:
Answer Choices:\n\namnesia for events leading up head laceration with steady bleeding pupil changes in one eye restlessness and confusion
Answer:\npupil changes in one eye
Question: Interpret the following ABG: pH 7.51, CO₂ 16 mmHg, HCO₃⁻ 12 mEq/L
Answer Choices:\n\nrespiratory alkalosis with partial compensation metabolic alkalosis, partially compensated metabolic acidosis without compensation respiratory acidosis with no compensation
Answer:\nrespiratory alkalosis with partial compensation