Brain Death Quiz

13 Questions | By Jsaude | Updated: Mar 21, 2022 | Attempts: 723

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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