ICP & TBI
STROKE
NEURO DIAGNOSTICS
MED MATH
SENSORY
100

A client is at risk for cerebral aneurysm rupture. What head-of-bed position should the nurse maintain to help decrease ICP?

  • Maintain the head of the bed between 30° and 45°.
  • Elevate the HOB 30–45°.
  • Keep the patient's head elevated 30–45°.
100

Of these stroke risk factors—age, family history, sickle cell disease, and hypertension—which one can the patient actually modify?

  • Hypertension
  • High blood pressure
  • Blood pressure control
100

A client with a TIA needs imaging to evaluate the blood vessels of the head and neck. What test should the nurse anticipate?

  • Computerized tomography angiography (CTA)
  • CT angiography
  • CTA
100

The order is hydromorphone 2.5 mg. The bottle contains 5 mg/5 mL. How many mL should the nurse administer?

  • 2.5 mL
  • 2.5 mL PO
  • ½ of the 5-mL dose
100

A patient with macular degeneration uses an Amsler grid at home. What change should make the patient contact the eye provider?

  • Lines are blurry or distorted
  • Distorted lines
  • Blurred lines on the Amsler grid
200

A patient develops hypertension, bradycardia, and irregular respirations after a TBI. What classic finding does this represent?

  • Cushing's triad
  • Cushing response
  • Signs of increased ICP
200

After an ischemic stroke, a patient has facial drooping and slurred speech. What nursing diagnosis takes priority because of these findings?

  • Risk for aspiration
  • Aspiration risk
  • Risk for aspiration related to impaired swallowing
200

A patient with a subarachnoid hemorrhage undergoes CT angiography. What vascular complication can this test help identify?

  • Decreased blood flow related to vasospasm
  • Cerebral vasospasm
  • Vasospasm causing reduced blood flow
200

The prescription is phenytoin 250 mg. Available: 25 mg/5 mL. How many mL should be administered?

  • 50 mL
  • 50 mL via gastrostomy tube
  • Fifty milliliters
200

A patient says, "I get dizzy when I nod my head." Why could this indicate that their hearing problem is affecting ADLs?

  • It may indicate impaired balance
  • Difficulty maintaining balance
  • Dizziness can decrease safe independence
300

A patient with increased ICP develops unequal pupils. What emergency complication should the nurse suspect?

  • Herniation syndrome
  • Brain herniation
  • Cerebral herniation
300

A patient recovering from an ischemic stroke is immobile. What vascular complication is the nurse trying to prevent by promoting mobility?

  • Deep vein thrombosis
  • DVT
  • Venous thromboembolism
300

A patient has a larger left pupil than the right. Compression of which cranial nerve explains this finding?

  • Left oculomotor nerve
  • Left CN III
  • Left third cranial nerve
300

If 5 mg of hydromorphone is contained in 5 mL, what volume contains 2.5 mg?

  • 2.5 mL
  • 2.5 milliliters
  • Half of the available 5 mL
300

Which autoimmune condition in the patient's history increases the risk of developing Mèniére's disease?

  • Rheumatoid arthritis
  • RA
  • An autoimmune disorder such as rheumatoid arthritis
400

A patient with elevated ICP needs medication to decrease cerebral edema. Which medication should the nurse anticipate?

  • Mannitol
  • An osmotic diuretic
  • IV mannitol
400

A patient receives tPA for an ischemic stroke. What complication requires especially close nursing observation?

  • Signs of bleeding
  • Hemorrhage
  • Bleeding complications
400

What makes an intraventricular ICP catheter particularly valuable compared with some other monitoring devices?

  • The catheter tip is located in the lateral ventricle
  • It measures ICP from the lateral ventricle
  • It can measure ICP and drain CSF
400

A medication concentration is 25 mg/5 mL. The prescribed dose is 250 mg. Before administering this unusually large volume, what mathematical result should the nurse obtain?

  • 50 mL
  • 50 mL
  • Fifty milliliters
400

Name one of the fluids that protects and surrounds the structures of the inner ear.

  • Endolymph
  • Perilymph
  • Endolymphatic fluid
500

A client with increased ICP needs optimal positioning to promote cerebral venous drainage. Describe the best position.

  • Semi-Fowler with the neck in a neutral position
  • Head elevated with the neck neutral
  • HOB elevated approximately 45–90° with neutral neck alignment
500

A patient asks what systolic blood pressure goal is associated with reducing future stroke risk. What range should the nurse discuss?

  • 120–129 mm Hg
  • Less than 130 mm Hg
  • Systolic BP below 130 mm Hg
500

A patient has suspected cardioembolic ischemic stroke. What diagnostic test can identify a cardiac rhythm such as atrial fibrillation that could explain the embolic source?

  • Electrocardiogram
  • EKG
  • ECG
500

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500

A patient reports blurry, hazy vision. Is this more consistent with cataracts, glaucoma, retinal detachment, or macular degeneration?

  • Cataracts
  • Cataract formation
  • Lens clouding/cataracts
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