Neuro
Blood Culture
NIHSS
Sepsis
MISC
200

What parts of the body would you test sensation on?

Face and limbs

(Typically upper and lower parts of each)

200

Before inoculation, this must be removed and the septum disinfected with 70% isopropyl alcohol, then allowed to air dry.

What is the plastic flip cap on the blood culture bottle?

200

Can you name 3 occasions when you would perform an NIHSS?

•Prior to TNK

•Within 12 hours of arrival (for non tNK)

•When ordered by the MD

•-At RN handoff

•-When there is an acute change in neuro status

200

According to guidelines, this must be administered within one hour of sepsis recognition.

What are broad-spectrum antibiotics?

200

What 3 sections can be documented as “untestable”

•Motor if there is an amputation

•Ataxia if there is an amputation

•Dysarthria if they are intubated

400

What are the 3 types of aphasia to assess for?

Receptive, Expressive, Global

400

In cases of difficult venipuncture, this blood culture bottle should be prioritized for collection.

What is the aerobic bottle? (green)

400

Are arms tested together or separate to assess motor on the NIHSS?

Each one is tested separately

400

This lab test must be repeated by hour 3 and is used to assess tissue perfusion.

What is Lactate?

400

The amount of time a blood culture venipuncture site should be scrubbed?

What is 30 seconds?

500

What 5 things make up a neurological assessment?

GCS, Pupils, Strength, Sensation, Speech

500

This is the recommended volume of blood per bottle for adults and children over 10 years.

What is 8-10mL?

500

Can you complete a NIHSS without any supplies?

No, The cards are required

•Pictures, objects, and sentences test comprehension in the language section

•Tongue twister words are used for scoring dysarthria

500

This bedside test involves elevating the legs to assess fluid responsiveness in septic patients.

What is the Passive Leg Raise (PLR) Test?

500

True or False

A patient has to say the correct number of the finger you’re holding up in the visual fields section

False

The test is checking to see if they can see in that quadrant, not say the right word

Ask them when it wiggles helps with aphasic or confused patients

800

How do you test for strength?

Hand grasps and foot pushes

800

 This action must be avoided after skin disinfection to prevent contamination of the blood culture.

What is repalpating the venipuncture site?

800

When you complete a NIHSS, what part of the neurological assessment is missing?

Pupils!


The NIHSS allows you to gather the information for all other parts of the neuro

800

A creatinine level greater than this value is considered evidence of acute kidney injury in severe sepsis.

What is 2 mg/dL?

800

When prepping a venipuncture site, this must occur after applying disinfectants like chlorhexidine in 70% isopropyl alcohol or povidone-iodine before the site is considered sterile.

What is allowing the disinfectant to fully dry (or evaporate)?

1000

How often do you need to perform a neuro assessment on a hemorrhagic stroke pt?

Every hour

1000

This disinfectant is used for neonates during blood culture collection.

What is povidone-iodine?

1000

What are the 2 sections that are scored as normal when the patient won’t follow commands?

Ataxia and Inattention

Score only if you see it

1000

A patient with severe sepsis and a lactate level greater than 4 mmol/L despite adequate fluid resuscitation meets this condition.

What is Septic Shock?

1000

When a patient is confused or aphasic, how could you test gaze?

If the patient follows you/someone around the room with their eyes, they score as no vision loss