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NR 341 Neuro questions with correct answers

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NR 341 Neuro questions with correct answers

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  • October 18, 2024
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NR 341 Neuro questions with correct answers
What is the max GCS score? Correct Answer-15


What is the minimum GCS score? Correct Answer-3


What GCS score should you intubate? Correct Answer-8 and under


What are the limitations of the GCS? Correct Answer-age, drugs, and
language


What is normal intracranial pressure (ICP)? Correct Answer-5-15
mmHg


What are the signs and symptoms of increased ICP? Correct Answer-
change in LOC, change in speech, change in vital signs, seizures,
headache, vomiting, eye changes, posture changes


What is the first sign of increased ICP? Correct Answer-changes in LOC


What is cushing's triad? Correct Answer-an effect of increased ICP of
increased systolic BP, decreased pulse, and cheyne-stokes respirations


What is Cheyne-Stokes respiration? Correct Answer-it is an abnormal
rhythm of breathing with alternation periods of hyperventilation and
apnea

,What is Kussmaul respiration? Correct Answer-deep, rapid breathing
often induced by acidosis


What condition does Kussmaul respirations commonly occur with?
Correct Answer-DKA


What posture changes occurs with increased ICP? Correct Answer-
decerebrate, decorticate,or flaccid


What is decerebrate posturing? Correct Answer-Extensor response;
problem with midbrain or pons


What is decorticate posturing? Correct Answer-Flexor response;
problem with cervical spinal tract or cerebral hemisphere


What are the eye changes that occur with increased ICP? Correct
Answer-papilledema, pupillary changes, impaired eye movement


What is a common cause of increased brain volume? Correct Answer-
cerebral edema; can also be caused by a tumor or meningitis


What causes increased blood volume? Correct Answer-loss of auto-
regulation, decreased oxygenation, hypercapnia, increased metabolic
demands, and obstruction of venous outflow

, What causes increased cerebrospinal fluid? Correct Answer-
hydrocephalus, blockage of normal flow, obstruction of normal re-
absorption, and excess production of CSF


What is cerebral perfusion pressure (CPP) dependent upon? Correct
Answer-intracranial pressure (ICP) and mean arterial pressure (MAP)


What is a normal cerebral perfusion pressure (CPP)? Correct Answer-
50-70


What does a low cerebral perfusion pressure (CPP) result in? Correct
Answer-loss of auto-regulation and hypoxic insult to brain tissue


Nursing Mgmt. ICP: What is the maintenance goal of ICP? Correct
Answer-ICP < 20 mmHg


Nursing Mgmt. ICP: What is the maintenance goal of CPP? Correct
Answer-< 70 mmHg


Nursing Mgmt. ICP: Care should be ________ to allow rest. Correct
Answer-spaced


Nursing Mgmt. ICP: Suctioning should be _______. Correct Answer-
minimum/PRN

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