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Assessment
Disorders
Mystery
Treatment
Code Stroke
100
What is the most reliable indicator of neurologic function? Level of consciousness
Level of consciousness
100
What is the disease with the cardinal signs: Resting tremor, rigidity and bradykinesia.
Parkinson's Disease
100
The strongest risk factor for the development of dementia is?
Increasing chronological age.
100
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?
Respiratory effort.
100
What is the national benchmark for Door to CT result time?
45 minutes
200
Which type of headache is associated with having an aura, signaling the start of the headache?
Migraine
200
What is a slowly progressive autoimmune disease?
Multiple Sclerosis
200
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? Atrial fibrillation
Atrial fibrillation
200
What are the two priority treatments for a patient having a seizure?
Patient safety and maintaining airway.
200
What is priority when a Stroke Alert is initiated?
GET THE PATIENT TO CT.
300
What is which of the following totals would be classified as a moderate head injury?
11
300
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?
Generalized
300
Meningeal irritation is indicated by which of the following findings? Nuchal rigidity
Nuchal rigidity
300
What is treatment priority for a patient experiencing signs and symptoms of a stroke who is actively vomiting?
Protect the airway
300
Name 2 contraindications for (t-Pa)
Abdominal surgery Rapidly improving stroke symptoms Suspected brain bleed Recent AMI GI bleed Platelet count <100,000
400
What intervention should the nurse anticipate for a patient with an open skull fracture with a 7mm depression?
Prepare for immediate surgery
400
What is the classic triad associated with meningitis?
Nuchal rigidity, fever and altered level of consciousness.
400
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?
Subdural hemorrhage.
400
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.
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. Page physician Place patient on oxygen Get ready for CT Do neuro assessment Vital signs
400
What is the most awesome department in the hospital to work?
The Emergency Department
500
What is a perfect score using the National Institutes of health Stroke Score (NIHSS) for a stroke assessment?
0
500
Which of the following symptoms is most commonly found in a patient with Guillian-Barre syndrome? scending paralysis.
Ascending paralysis
500
Sensory stimulation over the face is controlled by the : Trigeminal
Trigeminal
500
Which drug is used as a diagnostic test for myasthenia gravis? Edrophonium (Tensilon)
Edrophonium (Tensilon)
500
Once (t-Pa) therapy is initiated, what interventions should be avoided?
No IV sticks or Foley's.