NUR 401 Test #2 (Week 6-8): Questions With Solutions
- Week 6: CVA (Occlusive, Hemorrhagic, and Transient Ischemic Attack (TIA))
Head Injury
ICP (Increased ICP)
- Week 7: Spinal Cord Injury
Seizures and Seizure disorders
- Week 8: Multiple Sclerosis (MS)
Parkinson's Disease
Which surgical techniques and procedures are used to localize brain tumours
intraoperatively? (SATA)
a. Electroencephalogram (EEG)
b. X-ray
c. Ultrasound
d. Functional magnetic resonance imaging (MRI)
e. Cortical mapping
f. Computer-guided stereotactic biopsy Right Ans - c, d, e, f
EEG is to rule out seizure disorders, X-ray is used to view changes in the skull
but may not show soft tissue damages
A Client with a head injury presents with loss of corneal reflex. What action
should the nurse take to prevent abrasion?
a. Use of antibiotic eye drops
b. Use an eye patch
c. Tape the eyes shut
d. Apply warm compresses Right Ans - C.
A client is diagnosed with a brainstem tumour. When assessing the client,
which symptoms would the nurse expect to find?
a. Crossed eyes
b. Diabetes insipidus
c. Tinnitus and vertigo
d. Facial muscle weakness
e. Headache on awakening Right Ans - a., d., and e
Rationale: Diabetes insipidus (thalamus and sellar tumours) and tinnitus,
deafness and vertigo (cerebellopontine tumours)
, A client with increased ICP from a brain tumour is being monitored with a
ventriculostomy. What is the priority nursing intervention?
a. Administer IV mannitol (Osmitrol)
b. Use a ventilator to hyperoxygenate the client
c. Use strict aseptic techniques for wound dressing changes
d. Be aware of changes in ICP related to leaking CSF Right Ans - c.
Rationale: prevent serious complication of infection is the top priority
What is the triad of symptoms the nurse would expect to find during
assessment of the client with Parkinson's disease?
a. Spasticity, diplopia, tremor
b. Tremor, rigidity, bradykinesia
c. Ataxia, drowsiness, dysarthria
d. Diplopia, tremor, bradykinesia Right Ans - b.
What is a major goal of treatment for the client with a chronic,
progressive neurological disease?
a. Reversal of pathophysiological features
b. Total remission of the disease
c. Continuation of usual lifestyle
d. Adaptation by client and family to the disease Right Ans - d.
Social effects of a chronic neurological disease include which of the
following? (Select all that apply)
a. Divorce
b. Job loss
c. Depression
d. Role changes
e. Loss of self-esteem Right Ans - all of the above
Which health condition(s) can increase an individual's risk for stroke?
(Select all that apply)
a. Pneumonia
b. Atrial fibrillation
c. Previous TIA
d. Hypertension
e. Migraines Right Ans - b., c., and d.
Which of the following factors related to cerebral blood flow most
- Week 6: CVA (Occlusive, Hemorrhagic, and Transient Ischemic Attack (TIA))
Head Injury
ICP (Increased ICP)
- Week 7: Spinal Cord Injury
Seizures and Seizure disorders
- Week 8: Multiple Sclerosis (MS)
Parkinson's Disease
Which surgical techniques and procedures are used to localize brain tumours
intraoperatively? (SATA)
a. Electroencephalogram (EEG)
b. X-ray
c. Ultrasound
d. Functional magnetic resonance imaging (MRI)
e. Cortical mapping
f. Computer-guided stereotactic biopsy Right Ans - c, d, e, f
EEG is to rule out seizure disorders, X-ray is used to view changes in the skull
but may not show soft tissue damages
A Client with a head injury presents with loss of corneal reflex. What action
should the nurse take to prevent abrasion?
a. Use of antibiotic eye drops
b. Use an eye patch
c. Tape the eyes shut
d. Apply warm compresses Right Ans - C.
A client is diagnosed with a brainstem tumour. When assessing the client,
which symptoms would the nurse expect to find?
a. Crossed eyes
b. Diabetes insipidus
c. Tinnitus and vertigo
d. Facial muscle weakness
e. Headache on awakening Right Ans - a., d., and e
Rationale: Diabetes insipidus (thalamus and sellar tumours) and tinnitus,
deafness and vertigo (cerebellopontine tumours)
, A client with increased ICP from a brain tumour is being monitored with a
ventriculostomy. What is the priority nursing intervention?
a. Administer IV mannitol (Osmitrol)
b. Use a ventilator to hyperoxygenate the client
c. Use strict aseptic techniques for wound dressing changes
d. Be aware of changes in ICP related to leaking CSF Right Ans - c.
Rationale: prevent serious complication of infection is the top priority
What is the triad of symptoms the nurse would expect to find during
assessment of the client with Parkinson's disease?
a. Spasticity, diplopia, tremor
b. Tremor, rigidity, bradykinesia
c. Ataxia, drowsiness, dysarthria
d. Diplopia, tremor, bradykinesia Right Ans - b.
What is a major goal of treatment for the client with a chronic,
progressive neurological disease?
a. Reversal of pathophysiological features
b. Total remission of the disease
c. Continuation of usual lifestyle
d. Adaptation by client and family to the disease Right Ans - d.
Social effects of a chronic neurological disease include which of the
following? (Select all that apply)
a. Divorce
b. Job loss
c. Depression
d. Role changes
e. Loss of self-esteem Right Ans - all of the above
Which health condition(s) can increase an individual's risk for stroke?
(Select all that apply)
a. Pneumonia
b. Atrial fibrillation
c. Previous TIA
d. Hypertension
e. Migraines Right Ans - b., c., and d.
Which of the following factors related to cerebral blood flow most
