Brain Death Quiz
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!
- 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
Questions: 14 | Attempts: 39643 | Last updated: Apr 27, 2021
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