Neuro Activity
Quiz by Kristine Biggers
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- Q1
A health care provider is conducting a community education class on stroke prevention. The teaching plan for this class will include which of these instructions?
"Foods high in saturated fats can be consumed in moderate amounts.”
“It is important to maintain a healthy weight and to control your blood pressure.”
“There is no known link between risk of stroke and regular exercise."
"There is no correlation between diabetes and risk of stroke.”
60s - Q2
A patient arrives at the emergency department with slurred speech, right facial droop, and right arm weakness. Which of these actions by the healthcare provider is the priority?
Call the neurologist on call
Prepare to administer a thrombolytic medication
Prepare the patient for a computerized tomography (CT) scan of the head
Complete a beside swallow evaluation
60s - Q3
The healthcare provider is assessing a patient admitted with a diagnosis of hemorrhagic stroke affecting the right cranial hemisphere. Which assessment finding is consistent with this diagnosis?
Right-sided spasticity
Kernig’s sign
Left-sided flaccidity
Positive Babinski
60s - Q4
A patient has been admitted to the medical unit following a stroke. The healthcare provider observes the following: Eyes open to speech Correctly states name, location, and time Able to move unaffected extremity when asked The healthcare provider correctly documents this patient’s Glasgow Coma Scale (GCS) score as which of the following?
10
15
12
14
60s - Q5
Which of these assessment findings should the healthcare provider expect to identify as an early clinical characteristic of multiple sclerosis (MS)?
Muscle atrophy
Dementia
Clonus
Vision loss
60s - Q6
Subjective data from a patient diagnosed with multiple sclerosis (MS) includes facial muscle spasms accompanied by stabbing pain. The patient states, “It gets worse during meals when I’m chewing food.” The healthcare provider determines that these symptoms are most likely due to a lesion on which cranial nerve? State the number only (ie: 2, 4, 6).
5
7
8
2
60s - Q7
When assessing a patient diagnosed with multiple sclerosis (MS), which of the following would require immediate action by the healthcare provider?
Dysphagia and congested cough
Nystagmus and diplopia
Paresthesia and tremor
Fatigue and depression
60s - Q8
The nurse is performing a rapid neuro assessment on a trauma patient. Which assessment finding is normal?
Decerbrate posturing
Minimal response to stimulation
Increased lethargy
Constriction of pupils
60s - Q9
Which patient does the neuro unit charge nurse assign to a RN who has floated from the labor/delivery unit for the shift?
Adult patient who has just returned from having a cerebral arteriogram and needs vital signs checked every 15 minutes
Young adult patient who has had a LP and reports, "Light hurts my eyes."
Older adult patient who was just admitted witha CVA and needs an admission assessment
Middle-aged patient who has a possiblel brain tumor and has questions about the scheduled MRI
60s - Q10
Which task does the RN plan to delegate to the nursing assistant caring for a group of patients in the neurosurgical unit?
Assist the physician in performing a LP on a confused patient
Educate the patient about what to expect during an EEG
Prepare a patient who is going to radiology for a cerbral arteriogram
Attend to the care needs of a patient who has had a transcranial Doppler study
60s - Q11
You have just received report on your patients in the neuro unit. Which patient requires your imminent attention?
58 y/o male status post a left craniotomy whose hand grasps are weaker on the right
43 y/o male who had a cerbral aneurysm clipping and is increasingly stuporous
24 y/o male who was involved in a motor vehicle crash who is yelling obscenities at the nursing staff
75 y/o male who had a carotid endarterectomy and is unable to state the day of the week
60s - Q12
The results of your patient's lumbar puncture indicate that the protein level is 150mg/dL. The specimen is cloudy and the patient's WBC count is 23. You suspect that the patient may have which condition?
Myasthenia Gravis
Guillain-Barre Syndrome
Paraventricular tumor
Meningitis
60s - Q13
A patient has acquired upper motor neuron damage due to a thrombotic stroke. During your assessment, you will evaluate for which of the following?
Hyperreflexia, spasticity, ridigity
Inability to speak
Flaccidity of limbs
Loss of sensory sensation
60s - Q14
Your patient reports difficulty hearing and vertigo. Which cranial nerve has been affected?
Facial
Abducens
Trochlear
Vestibulococlear
60s - Q15
A patient is admitted to a nursing unit wiht trigeminal neuralgia. The focus of nursing care with this patient should be:
Restoration of self-esteem due to body image disturbance
Strengthening exercises
Pain control
Safety measures for depressive ideation
60s