Brain Death Quiz

13 Questions | Total Attempts: 396

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Brain Quizzes & Trivia

IPlease complete the following Brain Death Quiz. The information is based upon the lecture. You must receive a passing score of 80%. Please submit your score report to Jason. Thanks!


Questions and Answers
  • 1. 
    The State of California requires that ________ phsyician(s) are needed to declare brain death.
    • A. 

      One

    • B. 

      Two

    • C. 

      Three

    • D. 

      None

  • 2. 
    In order for a brain death note to be considered valid, the following criteria must be met:
    • A. 

      Date, time and signature

    • B. 

      Patient's name, diagnosis and events surrounding admission

    • C. 

      Date and time

    • D. 

      None of the above

  • 3. 
    True or FalsePer the State of California, a confirmatory exam is needed to declare brain death.
    • A. 

      True

    • B. 

      False

  • 4. 
    Which organization developed the clinical guidelines regarding brain death?
    • A. 

      Society of Critical Care Medicine

    • B. 

      American Association of Critical Care Nurses

    • C. 

      American Academy of Neurosurgeons

    • D. 

      American Academy of Neurology

  • 5. 
    Which of the following is NOT a confirmatory exam?
    • A. 

      Head CT

    • B. 

      CBF

    • C. 

      EEG

    • D. 

      Four Vessel Angio

  • 6. 
    True or FalseThe second brain death note is the legal time of death.
    • A. 

      True

    • B. 

      False

  • 7. 
    Prior to conducting a brain death exam, what factors must be considered? (Select all that apply)
    • A. 

      Core temperature ≥ 32° C (90°F)

    • B. 

      No paralytics or sedatives have been given recently

    • C. 

      The LNOK has consented for brain death exams to be started

    • D. 

      The patient should be intubated

    • E. 

      Systolic blood pressure ≥ 90

  • 8. 
    Clinical triggers are defined as:
    • A. 

      Neurologically injured patient on a ventilator

    • B. 

      Patient who just expired

    • C. 

      Neurolgoically injured patient on room air

    • D. 

      None of the above

  • 9. 
    Which of the following is NOT apart of the clinical brain death exam?(Select all that apply)
    • A. 

      Facial reflex

    • B. 

      Doll's eyes

    • C. 

      Cold Calorics

    • D. 

      Blinking reflex

    • E. 

      Trigeminal reflex

  • 10. 
    What is a positive apnea test?
    • A. 

      A positive apnea test is when spontaneous respirations are absent, arterial PCO2 is> 60 mmHg, or there is a 20 mmHg increase in PCO2 over baseline normal PCO2.

    • B. 

      A positive apnea test is when spontaneous respirations are absent, arterial PCO2 is> 40 mmHg, or there is a 10 mmHg increase in PCO2 over baseline normal PCO2.

    • C. 

      A positive apnea test is when spontaneous respirations are present.

    • D. 

      A positive apnea test is when spontaneous respirations are absent and independent of what the CO2 is.

  • 11. 
    After reviewing the first brain death note, it was found that the patient's blood pressure was in the 60's. What would the coordinator do next?
    • A. 

      Move forward with the case

    • B. 

      Inform the phsysician that the first note is invalid due to hemodynamic instability and the brain death exam will need to be repeated.

    • C. 

      Coordinate in getting the second brain death exam completed.

  • 12. 
    After arriving on site, it was noted that the patient was 32° C (90°F) when the apnea test was completed. Is this a valid confirmatory exam?
    • A. 

      Yes

    • B. 

      No

  • 13. 
    If you have questions regarding the validity or documentation of a brain death exam, who could you discuss your concerns with?
    • A. 

      Attending physician

    • B. 

      Team Leader

    • C. 

      Bedside RN

    • D. 

      Transplant Surgeon

    • E. 

      AOC

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