HURST Neuro Review Exam test preparation Questions and Must have marking scheme Updated version 2024/2025
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Hurst
Institution
Hurst
HURST Neuro Review Exam test preparation Questions and Must have marking scheme Updated version 2024/2025
Intracranial Pressure: Late signs/symptoms of IICP - correct answer -marked change in LOC progressing to stupor, then coma
-VS changes (Cushing's triad)
-decerebrate and decorticate postur...
HURST Neuro Review Exam test preparation
Questions and Must have marking scheme
Updated version 2024/2025
Intracranial Pressure: Late signs/symptoms of IICP - correct
answer -marked change in LOC progressing to stupor, then
coma
-VS changes (Cushing's triad)
-decerebrate and decorticate posturing
Intracranial Pressure: Cushing's Triad requires - correct
answer immediate intervention to prevent further brain
ischemia and restore perfusion
Intracranial Pressure: Cushing's Triad consists of - correct
answer -systolic hypertension w/widening pulse pressure
-slow, full, and bounding pulse
-irregular respirations (look for change in pattern,
like Cheyne-Stokes or ataxic respirations)
Intracranial Pressure: Decerebrate and decorticate posturing
indicate - correct answer that the motor response centers of
the brain, mid-brain, and the brain stem are compromised
Intracranial Pressure: Decorticate posturing is present with -
correct answer arms flexed inward and bent in toward the
body and the legs extended
,Intracranial Pressure: Decerebrate posturing is present with -
correct answer all 4 extremities in rigid extension
Intracranial Pressure: With decerebrate and decorticate
posturing, the client will be - correct answer rigid, tight, and
burning more calories
Intracranial Pressure: Which posturing is the worst? - correct
answer decerebrate posturing
Intracranial Pressure: Miscellaneous Signs of IICP - correct
answer -H/As
-change in pupils and pupil response
-projectile vomiting
Intracranial Pressure: RULE-anytime you have a client with a
head injury, if they start complaining of a H/A, assume - correct
answer their ICP is going up
Intracranial Pressure: In a profound coma, pupils will be -
correct answer fixed and dilated
Intracranial Pressure: Why does projectile vomiting occur with
IICP? - correct answer because the vomiting center in the
brain is being stimulated
,Intracranial Pressure: Complications of IICP - correct answer
-brain herniation
-DI and SIADH
Intracranial Pressure: Brain herniation
___________________________ to the brain leading to ______________
and then _________________ - correct answer obstructs the
blood flow; anoxia; brain death
Intracranial Pressure: DI is _________________ and SIADH is
____________________ and it could be ___________________ so
_________________________ - correct answer losing water; too
much water; either; assess for both
Intracranial Pressure - Treatment for IICP: Goal is to relieve IICP
by - correct answer -reducing cerebral edema
-reducing the amount of CSF, or
-reducing the blood volume in the brain
Intracranial Pressure: Treatment for IICP includes - correct
answer -maintain oxygenation
-maintain adequate cerebral perfusion
-keep temperature below 100.4
-elevate the HOB
-keep head midline so the jugular veins can drain
-watch the ICP monitor with turning
-avoid restraints, bowel/bladder distention, hip
, flexion, Valsalva, and isometrics
-NO sneezing and NO nose blowing
-limit suctioning and coughin
-nursing interventions should be spaced
-monitor the Glasgow coma scale
-monitor VS for Cushing's triad
-barbiturate induced coma
-fluid restriction
-ICP monitoring devices
Intracranial Pressure: Treatment medications for IICP include -
correct answer -osmotic diuretics
-hypertonic saline
-steroids
Intracranial Pressure - Treatment for IICP: We need to maintain
oxygenation because - correct answer decreased O2 levels
and high CO2 levels cause cerebral vasodilation in the brain
which increases ICP
Intracranial Pressure - Treatment for IICP: We don't want
__________________ or _____________________ because that would
decrease brain perfusion - correct answer hypotension;
bradycardia
Intracranial Pressure - Treatment for IICP: Isotonic saline and
inotropic agents can be given to - correct answer help
maintain cerebral perfusion
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