BSN 366 Week 6 Acute Intracranial Problems Questions
With Complete Solutions
Head Injury:
Question 1 of 3
Which incidents are the most common causes of head injury?
Select all that apply.
Falls
Assaults
Car accidents
Gunshot wounds
Sports-related trauma - Falls
Falls are one of the leading causes of head injury.
Car accidents
Motor vehicle collisions are one of the leading causes of head
injury.
Increased Intracranial Pressure
Question 1 of 4
Which components can affect a patient's increased intracranial
pressure?
Select all that apply.
Blood
Brain tissue
Hematoma
Synovial fluid
Cerebrospinal fluid - Blood
Brain tissue
Hematoma
Cerebrospinal fluid
,Inflammatory Diseases of the Central Nervous System
Question 1 of 3
Which statement best describes bacterial meningitis?
Infection of spinal cord caused by Haemophilus influenzae
Accumulation of pus within the brain tissue caused by
Streptococcus pneumoniae
Inflammation of brain and spinal cord tissue caused by
Streptococcus pneumoniae
Viral infection causing inflammation of the brain and
surrounding tissues - Inflammation of brain and spinal cord
tissue caused by Streptococcus pneumoniae
Bacterial meningitis is an acute inflammation of meningeal
tissue surrounding brain and spinal cord.
Question 1 of 10
During the assessment of a patient with a brain abscess, the
nurse notes elevated blood pressure and altered level of
consciousness. Which additional symptoms should the nurse
assess for?
Select all that apply.
Fever
Nausea
Headache
Drowsiness
Nuchal rigidity - Fever
Nausea
Headache
Drowsiness
Question 1 of 3
,A college student presents to the health clinic reporting that a
roommate was diagnosed with bacterial meningitis two days
earlier. Which nursing intervention should be performed first?
Administer acyclovir
Order lumbar puncture
Administer cephalosporin
Encourage extra hydration - Administer cephalosporin
Patients who come in contact with persons diagnosed with
meningitis should be treated with prophylactic antibiotics like
cephalosporin immediately in order to prevent possible
infection.
Question 1 of 3
A nurse is assessing a patient following a head trauma. Which
assessment findings are consistent with a diagnosis of Cushing's
triad?
Select all that apply.
Heart rate of 52 beats per minute
Pulses that seem thready in nature
Irregular breathing pattern
Systolic blood pressure reading of 178 mm Hg
Initial blood pressure reading of 160/45 mm Hg with later
reading of 189/32 mm Hg - Heart rate of 52 beats per minute
Irregular breathing pattern
Systolic blood pressure reading of 178 mm Hg
Initial blood pressure reading of 160/45 mm Hg with later
reading of 189/32 mm Hg
Question 1 of 3
A patient presents with abnormal extension, does not open their
eyes to stimulus, and does not give a sound as reaction to pain.
, The patient exhibiting these signs would be given a score of
_____________ - 4
According the Glasgow Coma scale abnormal extension
receives a 2, lack of eye opening receives a 1, and lack of sound
to stimuli receives a 1, for a total of 4.
Question 1 of 3
A patient with a parietal lobe tumor who is receiving radiation
therapy complains of worsening headaches, nausea, and
drowsiness. The nurse suspects increased ICP and anticipates
which health care provider order?
Morphine 5 mg IV push
Ampicillin 2 g IVPB
Dexamethasone 10 mg IV
Phenergan 10 mg IV push - Dexamethasone 10 mg IV
Dexamethasone is a corticosteroid and is used to treat cerebral
edema. Headache, nausea, and drowsiness are symptoms of
cerebral edema.
Question 1 of 3
The medical team reports a score of seven on the Glasgow
Coma Scale (GCS) during initial assessment of a patient with a
head trauma. What is the next step in the patient's treatment?
Intubation
Burr hole procedure
Computerized tomography (CT) scan
Positron emission tomography (PET) scan - Intubation
Patients with a GCS score below eight, which indicates severe
head injury, require immediate intubation to allow for
mechanical ventilation and to protect the airway.
With Complete Solutions
Head Injury:
Question 1 of 3
Which incidents are the most common causes of head injury?
Select all that apply.
Falls
Assaults
Car accidents
Gunshot wounds
Sports-related trauma - Falls
Falls are one of the leading causes of head injury.
Car accidents
Motor vehicle collisions are one of the leading causes of head
injury.
Increased Intracranial Pressure
Question 1 of 4
Which components can affect a patient's increased intracranial
pressure?
Select all that apply.
Blood
Brain tissue
Hematoma
Synovial fluid
Cerebrospinal fluid - Blood
Brain tissue
Hematoma
Cerebrospinal fluid
,Inflammatory Diseases of the Central Nervous System
Question 1 of 3
Which statement best describes bacterial meningitis?
Infection of spinal cord caused by Haemophilus influenzae
Accumulation of pus within the brain tissue caused by
Streptococcus pneumoniae
Inflammation of brain and spinal cord tissue caused by
Streptococcus pneumoniae
Viral infection causing inflammation of the brain and
surrounding tissues - Inflammation of brain and spinal cord
tissue caused by Streptococcus pneumoniae
Bacterial meningitis is an acute inflammation of meningeal
tissue surrounding brain and spinal cord.
Question 1 of 10
During the assessment of a patient with a brain abscess, the
nurse notes elevated blood pressure and altered level of
consciousness. Which additional symptoms should the nurse
assess for?
Select all that apply.
Fever
Nausea
Headache
Drowsiness
Nuchal rigidity - Fever
Nausea
Headache
Drowsiness
Question 1 of 3
,A college student presents to the health clinic reporting that a
roommate was diagnosed with bacterial meningitis two days
earlier. Which nursing intervention should be performed first?
Administer acyclovir
Order lumbar puncture
Administer cephalosporin
Encourage extra hydration - Administer cephalosporin
Patients who come in contact with persons diagnosed with
meningitis should be treated with prophylactic antibiotics like
cephalosporin immediately in order to prevent possible
infection.
Question 1 of 3
A nurse is assessing a patient following a head trauma. Which
assessment findings are consistent with a diagnosis of Cushing's
triad?
Select all that apply.
Heart rate of 52 beats per minute
Pulses that seem thready in nature
Irregular breathing pattern
Systolic blood pressure reading of 178 mm Hg
Initial blood pressure reading of 160/45 mm Hg with later
reading of 189/32 mm Hg - Heart rate of 52 beats per minute
Irregular breathing pattern
Systolic blood pressure reading of 178 mm Hg
Initial blood pressure reading of 160/45 mm Hg with later
reading of 189/32 mm Hg
Question 1 of 3
A patient presents with abnormal extension, does not open their
eyes to stimulus, and does not give a sound as reaction to pain.
, The patient exhibiting these signs would be given a score of
_____________ - 4
According the Glasgow Coma scale abnormal extension
receives a 2, lack of eye opening receives a 1, and lack of sound
to stimuli receives a 1, for a total of 4.
Question 1 of 3
A patient with a parietal lobe tumor who is receiving radiation
therapy complains of worsening headaches, nausea, and
drowsiness. The nurse suspects increased ICP and anticipates
which health care provider order?
Morphine 5 mg IV push
Ampicillin 2 g IVPB
Dexamethasone 10 mg IV
Phenergan 10 mg IV push - Dexamethasone 10 mg IV
Dexamethasone is a corticosteroid and is used to treat cerebral
edema. Headache, nausea, and drowsiness are symptoms of
cerebral edema.
Question 1 of 3
The medical team reports a score of seven on the Glasgow
Coma Scale (GCS) during initial assessment of a patient with a
head trauma. What is the next step in the patient's treatment?
Intubation
Burr hole procedure
Computerized tomography (CT) scan
Positron emission tomography (PET) scan - Intubation
Patients with a GCS score below eight, which indicates severe
head injury, require immediate intubation to allow for
mechanical ventilation and to protect the airway.
