General Knowledge Quiz
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Questions and Answers

What is the primary type of stroke associated with a patient making poor impulsive decisions after a brain event?

  • Brainstem stroke
  • Cerebellar stroke
  • Left hemisphere stroke
  • Right hemisphere stroke (correct)
  • Which intervention is most likely to improve communication for a patient suffering from expressive aphasia?

  • Using 'yes' or 'no' questions (correct)
  • Completing the patient's sentences
  • Using visual aids only
  • Encouraging lengthy discussions
  • What finding would correlate with CT scan results showing damage to the cerebellum one week after a stroke?

  • Balance impairment (correct)
  • Speech difficulties
  • Memory loss
  • Visual disturbances
  • Which medication can help confirm a diagnosis of Parkinson's disease through symptom relief?

    <p>Dopaminergic agents (A)</p> Signup and view all the answers

    To reduce the risk of falls, which advice should the nurse give to a patient with Parkinson's disease?

    <p>Use a wide stance with feet apart (A)</p> Signup and view all the answers

    A nurse is caring for a client with increased intracranial pressure (ICP). Which of the following nursing interventions is MOST likely to prevent an increase in ICP?

    <p>Positioning the client with the head of the bed elevated 30 degrees (D)</p> Signup and view all the answers

    A nurse is caring for a client with a head injury who has clear nasal drainage. Which of the following actions should the nurse take FIRST to check the presence of cerebrospinal fluid (CSF)?

    <p>Check the drainage for glucose (B)</p> Signup and view all the answers

    A client with increased ICP has a pressure of 12 mmHg. The nurse understands this pressure reflects which of the following?

    <p>A normal balance between brain tissue, blood, and CSF (A)</p> Signup and view all the answers

    Which of the following is considered a normal value of intracranial pressure (ICP)?

    <p>15 mmHg (C)</p> Signup and view all the answers

    A nurse is caring for a client with increased intracranial pressure. What clinical manifestation would indicate the client is experiencing an early sign of increased ICP?

    <p>Decreased level of consciousness (D)</p> Signup and view all the answers

    Which of the following medications would the nurse expect to administer for a patient with increased intracranial pressure (ICP)?

    <p>Mannitol (C)</p> Signup and view all the answers

    A patient is admitted with a traumatic brain injury (TBI). What findings would the nurse expect to assess that may indicate increased intracranial pressure (ICP)? (Select all that apply)

    <p>Hypertension (A), Decreased level of consciousness (B), Bradycardia (C), Pupil dilation (D), Restlessness (E)</p> Signup and view all the answers

    Which symptom is NOT typically associated with spinal cord injury?

    <p>Increased heart rate (C)</p> Signup and view all the answers

    What is the primary characteristic of neurogenic shock?

    <p>Loss of autonomic reflexes (D)</p> Signup and view all the answers

    Which imaging test is regarded as the gold standard for diagnosing spinal cord injury?

    <p>MRI (C)</p> Signup and view all the answers

    What nursing intervention is critical for a patient with spinal cord injury at the T4 level?

    <p>Keep the patient spine immobilized (A)</p> Signup and view all the answers

    Which statement regarding deep vein thrombosis (DVT) prevention is false?

    <p>Placing a pillow underneath the knees is effective. (C)</p> Signup and view all the answers

    In the Glasgow Coma Scale, how would you record a patient whose eyes cannot be tested due to severe swelling?

    <p>Eyes not testable (NT) (B)</p> Signup and view all the answers

    What does the 'CHECK' step in patient assessment primarily aim to identify?

    <p>Factors interfering with the assessment (A)</p> Signup and view all the answers

    What response would you observe if a patient opens their eyes spontaneously in the GCS assessment?

    <p>Eyes open spontaneously (B)</p> Signup and view all the answers

    If a patient can bend their elbow when stimulated but cannot obey commands, what is the next appropriate action?

    <p>Apply a trapezius pinch (B)</p> Signup and view all the answers

    What is a common misconception about autonomic dyslexia?

    <p>It is related to the sympathetic nervous system. (B)</p> Signup and view all the answers

    What is the correct way to record a patient's response to supraorbital notch pressure?

    <p>Localizing (B)</p> Signup and view all the answers

    Which procedure is contraindicated in a patient with increased intracranial pressure?

    <p>Lumbar puncture (D)</p> Signup and view all the answers

    Which set of vital signs indicates a patient experiencing Cushing triad?

    <p>BP: 200/60, HR: 50, RR: 8 (D)</p> Signup and view all the answers

    What is the first data the nurse should collect for a patient with a C4 spinal cord injury?

    <p>Auscultation of lung sounds (B)</p> Signup and view all the answers

    What indicates the need for early surgical intervention in a patient with spinal cord injury?

    <p>Evidence of continued compression of the cord (C)</p> Signup and view all the answers

    Which modification would indicate neurogenic shock in a patient with acute spinal cord injury?

    <p>Bradycardia (A)</p> Signup and view all the answers

    What action should a nurse take to help prevent autonomic dysreflexia in a patient with paraplegia?

    <p>Teach the purpose of the prescribed bowel program (B)</p> Signup and view all the answers

    How do generalized seizures typically differ from focal seizures?

    <p>Generalized seizures have bilateral synchronous discharges (D)</p> Signup and view all the answers

    What is the common characteristic of complex focal seizures?

    <p>Loss of consciousness and amnesia (A)</p> Signup and view all the answers

    What is one of the requirements for surgical treatment in a patient with seizure disorder?

    <p>An accurate trial of drug therapy with unsatisfactory results (C)</p> Signup and view all the answers

    What is the priority nursing diagnosis for a client with a C5 spinal cord injury?

    <p>Ineffective airway clearance (A)</p> Signup and view all the answers

    A client with a T4 spinal cord injury is experiencing autonomic dysreflexia. What is the most likely cause?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following assessment findings would alert the nurse to the persistence of autonomic dysreflexia in a client with an acute spinal cord injury?

    <p>Throbbing headache (C)</p> Signup and view all the answers

    Which of the following signs and symptoms in a client with a T6 spinal cord injury should alert the nurse to the possibility of autonomic dysreflexia?

    <p>Headache and rising blood pressure (D)</p> Signup and view all the answers

    What is the first action a nurse should take when a patient with a spinal cord injury at T3 complains of a throbbing headache?

    <p>Check the patient's blood pressure (A)</p> Signup and view all the answers

    Which of the following interventions would you expect to perform in the acute care of a client with autonomic dysreflexia?

    <p>Urinary catheterization (A)</p> Signup and view all the answers

    A client receiving treatment for a complete spinal cord injury at T4 is being educated about autonomic dysreflexia. Which common cause should be included in the teaching?

    <p>Fecal impaction (D)</p> Signup and view all the answers

    A nurse is assessing a patient with a spinal cord injury at T6 who is restless and flushed. The patient's blood pressure is 140/98 and heart rate is 52. What is the first action the nurse should take?

    <p>Position the patient upright with legs lowered (B)</p> Signup and view all the answers

    Which patient below is at the most risk for developing autonomic dysreflexia?

    <p>A 15-year-old patient with a spinal cord injury at C7 (C)</p> Signup and view all the answers

    Flashcards

    Glasgow Coma Scale

    A tool used to assess the level of consciousness rapidly.

    Intracranial Pressure (ICP)

    Normal ICP is about 12-15 mmHg; indicates brain health.

    Positioning for ICP

    Elevating the head of the bed 30 degrees helps reduce ICP.

    Nasal Drainage with Head Injury

    Clear nasal drainage may indicate CSF; check for glucose.

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    Decerebrate Posturing

    A sign of severe brain injury; arms extended, toes downward.

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    Cerebral Perfusion Pressure (CPP)

    CPP = MAP - ICP; normal range is 70-100 mmHg.

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    Restlessness as ICP Indicator

    Restlessness is an early sign of increased ICP.

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    Right Hemisphere Stroke

    A stroke affecting the right side of the brain, leading to impulsive behavior.

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    Expressive Aphasia Interventions

    Use yes or no questions to facilitate communication with clients suffering from expressive aphasia.

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    Cerebellum Damage Consequence

    Damage to the cerebellum often results in balance impairment following a stroke.

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    Parkinson's Disease Confirmation

    Parkinson's disease can be confirmed by the relief of symptoms after dopaminergic agents are administered.

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    Levodopa Explanation

    Levodopa is a precursor of dopamine and is converted to dopamine in the brain, used in treating Parkinson's disease.

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    Neurogenic Shock Sign

    Bradycardia indicates a sign of neurogenic shock in spinal cord injury.

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    Autonomic Dysreflexia Symptom

    A throbbing headache can indicate persistent autonomic dysreflexia.

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    Priority Nursing Diagnosis C5

    Ineffective airway clearance is the highest priority diagnosis for C5 injury.

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    Autonomic Dysreflexia Indicators

    Headache and rising blood pressure suggest possible autonomic dysreflexia.

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    Intervention for Dysreflexia

    Urinary catheterization is an expected intervention for autonomic dysreflexia.

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    Risk for Autonomic Dysreflexia

    A 15-year-old with C7 spinal cord injury is at high risk for autonomic dysreflexia.

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    First Action for T3 Headache

    Assess blood pressure when a T3 spinal cord injury patient reports a headache.

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    Management for T6 Patient

    Position patient upright with legs lowered in case of autonomic dysreflexia symptoms.

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    Common Causes of Autonomic Dysreflexia

    Causes include distended bladder, pressure injury, fecal impaction, and urinary tract infection.

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    Localizing response

    Patient moves hand to face when supraorbital notch is pressed.

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    Contraindicated procedure for ICP

    Lumbar puncture is not allowed with increased intracranial pressure.

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    Cushing triad

    A set of symptoms indicating increased ICP; includes high BP, bradycardia, and irregular respiratory rate.

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    First assessment for C4 SCI

    Auscultation of lung sounds is critical to assess respiratory function.

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    Surgical intervention indication in SCI

    Continued evidence of spinal cord compression necessitates early surgery.

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    Neurogenic shock indication

    Bradycardia is a key sign of neurogenic shock in acute SCI patients.

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    Preventing autonomic dysreflexia

    Educate patients with paraplegia about the prescribed bowel program's purpose.

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    Generalized vs. focal seizures

    Generalized seizures involve the whole brain with bilateral discharges; focal seizures affect localized areas.

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    Typical absence seizure

    Childhood seizure type characterized by brief staring spells known as petit mal seizures.

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    Complex focal seizures characteristics

    Includes motor behaviors, altered memory, sensations, and impaired consciousness.

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    Symptoms of Spinal Cord Injury

    Includes headache, sweating, paleness, hypertension, slow heart rate, and blurry vision.

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    Autonomic Dysreflexia

    Exaggerated reflex by the parasympathetic nervous system causing severe hypertension.

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    Gold Standard Imaging for Spinal Injury

    MRI is the preferred diagnostic test for suspected ligament injuries to the spinal cord.

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    Neurogenic Shock Hypotension

    Results from loss of autonomic nervous system regulation causing vasodilation.

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    Safety Priority for T4 Injury

    Keeping the patient's spine immobilized is crucial.

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    DVT Prevention in Spinal Injury

    Venous pooling from vasodilation can lead to DVT; avoid placing a pillow under knees.

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    Eye Assessment Responses

    Responses accessed include spontaneous, sound, pressure, and tone.

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    Patient Assessment Steps

    Check, observe, stimulate, and rate are key steps.

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    GCS Eye Component - Spontaneous

    Patient's eyes open spontaneously denotes alertness.

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    GCS Eye Component - Not Testable

    Record as NT when eyes are swollen and can't be opened.

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    Study Notes

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    Description

    Test your knowledge with this general quiz that covers a variety of topics. These questions are designed to challenge your understanding and recall of basic concepts. Ideal for anyone looking to enhance their general knowledge.

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