Neurology Practice QuestionsChapter 22Questions1.1.The nurse describes a concussion as a closed head injury in which:A.The brain tissue is bruised.B.No loss of consciousness occurs.C.There is amnesia related to the incident.D.There are no subsequent symptoms.2.2.Why is the older adult more at risk for a cranial bleed following a head injury?A.The older adult’s brain is smaller, which allows for more movement inside the cranium.B.The older adult’s brain features fragile vessels more likely to rupture.C.The older adult’s brain contains less cerebrospinal fluid (CSF) to cushion the brain.D.The older adult’s brain has less flexible meninges to absorb impact.3.3.The emergency room nurse is assessing a newly admitted patient with a head injury. The nurse observes clear drainage from the nose. Which action should the nurse perform first?A.Document the presence of rhinorrhea.B.Inform the physician of the assessment.C.Test the fluid with a Dextrostix.D.Tape a drip pad under the nose.4.4.In assessing the patient with a significant right intracerebral hemorrhage, the nurse anticipates that the patient will demonstrate which signs?
A.Left-sided hemiplegia with dilated right pupilB.Right-sided hemiplegia with brisk right pupil responseC.Bilateral motor hemiplegia with bilaterally dilated pupilsD.Left-sided hemiplegia and bilateral PERRLA5.5.The nurse is caring for an older adult patient who was admitted to the hospital following a closed head injury that resulted in a 5-minute period of unconsciousness. The nurse most carefully monitors the patient for which change?A.Increasing respiratory rateB.Decreasing heart rateC.Decreasing pulse pressureD.Decreasing level of consciousness (LOC)6.6.The patient with a suspected subdural hematoma is on an intravenous (IV) drip of mannitol infusing at 50 mL/hr. The nurse explains that the slow infusion rate is essential for what purpose?A.To ensure effectiveness of the drug.B.To avoid fluid overload.C.To maintain electrolyte balance.D.To maintain adequate blood pressure (BP).7.7.Following a craniotomy to relieve increased intracranial pressure (ICP), which implementation should thenurse implement?A.Elevate the head of the bed 20 to 30 degrees.B.Place drip pad or cotton to absorb cerebrospinal fluid (CSF) drainage from the nose or ears.C.Stimulate the patient to better assess changing level of consciousness (LOC).
D.Reposition the patient frequently for comfort.8.8.The unconscious patient with a closed head injury is on mechanical ventilation. To improve brain perfusion through increased blood pressure, the carbon dioxide (CO2) should be maintained at what level?A.10 to 15 mm HgB.15 to 20 mm HgC.20 to 25 mm HgD.25 to 30 mm Hg9.9.The nurse is caring for a patient with a closed head injury. Which finding causes the nurse to suspect thatthe patient has developed diabetes insipidus (DI)?