Assessment
Disorders
Mystery
Treatment
Code Stroke
100
Level of consciousness
What is the most reliable indicator of neurologic function?
100
Parkinson's Disease
What is the disease with the cardinal signs: Resting tremor, rigidity and bradykinesia.
100
Increasing chronological age.
The strongest risk factor for the development of dementia is?
100
Respiratory effort.
Patient arrives via EMS to the emergency department after a motor vehicle crash following a prolonged extrication. Assessment reveals a loss of sensation and movement below the clavicles. The priority for this patient is to monitor?
200
Migraine
Which type of headache is associated with having an aura, signaling the start of the headache?
200
Multiple Sclerosis
What is a slowly progressive autoimmune disease?
200
Atrial fibrillation
A patient presents to the emergency department with new onset right-sided weakness, facial droop and aphasia. Which of the following would be a risk factor for an embolic stroke?
200
Patient safety and maintaining airway.
What are the two priority treatments for a patient having a seizure?
300
11
What is which of the following totals would be classified as a moderate head injury?
300
Generalized
A child with epilepsy has a brief lapse of awareness without losing consciousness and appears to be staring into space. The nurse observes rhythmic blinking and nystagmus. This would be classified as what type of seizure?
300
Nuchal rigidity
Meningeal irritation is indicated by which of the following findings?
300
Protect the airway
What is treatment priority for a patient experiencing signs and symptoms of a stroke who is actively vomiting?
300
Abdominal surgery Rapidly improving stroke symptoms Suspected brain bleed Recent AMI GI bleed Platelet count <100,000
Name 2 contraindications for (t-Pa)
400
Prepare for immediate surgery
What intervention should the nurse anticipate for a patient with an open skull fracture with a 7mm depression?
400
Nuchal rigidity, fever and altered level of consciousness.
What is the classic triad associated with meningitis?
400
Subdural hemorrhage.
An elderly patient has a history of falling at home and a decline of mentation over the past 2 weeks. Blood glucose is within normal limits. The nurse should suspect?
400
Page physician Place patient on oxygen Get ready for CT Do neuro assessment Vital signs
During rounding you notice your patient has a left sided facial droop, is unable to move left arm and is having difficulty speaking. Name two priority treatments for this patient.
400
The Emergency Department
What is the most awesome department in the hospital to work?
500
0
What is a perfect score using the National Institutes of health Stroke Score (NIHSS) for a stroke assessment?
500
Ascending paralysis.
Which of the following symptoms is most commonly found in a patient with Guillian-Barre syndrome?
500
Trigeminal
Sensory stimulation over the face is controlled by the :
500
Edrophonium (Tensilon)
Which drug is used as a diagnostic test for myasthenia gravis?
500
No IV sticks or Foley's.
Once (t-Pa) therapy is initiated, what interventions should be avoided?
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