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ENA Neurological Emergencies 3.0 – Questions And Accurate Answers
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ENA Neurological Emergencies 3.0 – Questions AndAccurate Answers
When caring for a patient with meningitis, you should perform which nursing
intervention?
A. Discuss stress management techniques.
B. Initiate continuous positive airway pressure (CPAP) ventilation.
C. Elevate the head of the bed to 30.
D. Provide a quiet, darkened room. Right Ans - D
For a patient with meningitis, provide comfort measures such as minimizing
noise, light, and other environmental stimuli. These stimuli can be extremely
noxious because of meningeal inflammation and irritation from infected
cerebrospinal fluid. The other interventions are not appropriate for a patient
with meningitis. Use continuous positive airway pressure (CPAP) ventilation
for a patient with Guillain-Barr syndrome. Elevate the head of the bed to 30
for a patient with a stroke or subarachnoid hemorrhage. Discuss stress
management techniques for a patient with tension headaches.
Which disorder requires treatment with plasmapheresis and
immunoglobulins?
A. Guillain-Barr syndrome
B. Myasthenia gravis
C. Multiple sclerosis
D. Temporal arteritis Right Ans - Guillain-Barr syndrome
Which neurological disorder can cause ST-segment elevation on an
electrocardiogram tracing?
A. Ischemic stroke
B. Seizure
C. Subarachnoid hemorrhage
D. Guillain-Barr syndrome Right Ans - Subarachnoid hemorrhage
Which disorder requires a biopsy for a definitive diagnosis?
, A. Myasthenia gravis
B. Meningitis
C. Guillain-Barr syndrome
D. Temporal arteritis Right Ans - D
The definitive diagnosis of temporal arteritis requires a biopsy of the
temporal artery. The diagnosis of myasthenia gravis is based on symptoms,
antibody testing, electrophysiology testing, and the patient's response to the
edrophonium (Tensilon). The diagnosis of meningitis is confirmed by a
lumbar puncture and cerebrospinal fluid examination and culture and
sensitivity testing. The diagnosis of Guillain-Barr&#-61;&#-87; syndrome is
made through history, physical examination, and cerebrospinal fluid
examination.
Which cranial nerve is responsible for salivation and lacrimation?
A. Cranial nerve V (trigeminal nerve)
B. Cranial nerve VII (facial nerve)
C. Cranial nerve IX (glossopharyngeal nerve)
D. Cranial nerve XII (hypoglossal nerve) Right Ans - Cranial nerve VII
(facial nerve)
Which symptom is most indicative of a tension headache?
A. Aggravation of the pain by light or sound but not by both
B. Unilateral numbness or tingling in the extremities
C. Stabbing, throbbing, or sharp pain
D. Visual disturbances Right Ans - Aggravation of the pain by light or sound
but not by both
Which condition is most likely to cause an early increase in intracranial
pressure?
A. Hemorrhagic stroke
B. Ischemic stroke
C. Temporal arteritis
D. Meningitis Right Ans - Hemorrhagic stroke
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