Complex Med Surg Neuo/GI Exam

50 Questions | Total Attempts: 325

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Complex Med Surg Neuo/GI Exam

Another practice test for my Ivy Tech MS3 Peeps


Questions and Answers
  • 1. 
    A patient with a history of a-fib would be at highest risk for having a:
    • A. 

      Thrombolytic stroke

    • B. 

      Embolic stroke

    • C. 

      Hemorrhagic stroke

  • 2. 
    A patient with CAD would be at highest risk of having a:
    • A. 

      Thromboytic stroke

    • B. 

      Embolic stroke

    • C. 

      Hemorrhagic stroke

  • 3. 
    A common TIA usually lasts:
    • A. 

      24 hours to a week

    • B. 

      About 12 hours

    • C. 

      About 1 hour

  • 4. 
    A RIND (reversible ischemic neurological defict) usually lasts:
    • A. 

      24 hours to a week

    • B. 

      About 12 hours

    • C. 

      About 1 hour

  • 5. 
    A 62 year old man is raking leaves in his lawn when he collapses. The doctors suspect this type of stroke:
    • A. 

      Thrombolytic

    • B. 

      Embolic

    • C. 

      Hemorrhagic

  • 6. 
    The greatest risk factor for ALL types of stroke is:
    • A. 

      Hypertension

    • B. 

      Atherosclerosis

    • C. 

      DVTs

  • 7. 
    A stroke patient has a hard time seeing and picking up his cup to drink. When he spills, he yells at you and throws his cup. What side of the brain do you think his stroke is affecting?
    • A. 

      Right

    • B. 

      Left

    • C. 

      Both

  • 8. 
    You notice your stroke patient only eats 1/2 of what is on their plate and their left arm is dirty and hanging out of their gown. You suspect they are suffering from _________________ which occurs with a ______________sided stroke
    • A. 

      Bilateral neglect; right

    • B. 

      Unilateral neglect; right

    • C. 

      Unilateral negect; left

  • 9. 
    While having your patient sign an informed consent, you ask the patient if they have any questions and to sign their name. The patient tries to ask a question, gives up and then attempts to sign the consent but cannot do so. You become concerned that the patient might be experiencing a stroke on the ___________side.
    • A. 

      Right

    • B. 

      Left

    • C. 

      Both

  • 10. 
    The most important diagnostic test for a stroke patient is
    • A. 

      A MRI

    • B. 

      A CT

    • C. 

      A Echocardiogram

  • 11. 
    Which of these interventions can help reduce ICP in a stroke patient?
    • A. 

      Clustering care to give longer rest periods

    • B. 

      Elevating HOB

    • C. 

      Administer stool softeners

    • D. 

      Loosen clothing

    • E. 

      Flexing head back to relieve nuchal rigidity

  • 12. 
    What assessment should be done before administering thrombolytic therapy to a stroke patient?
    • A. 

      PTT and INR levels

    • B. 

      CAT scan

    • C. 

      D-Dimer levels

  • 13. 
    What would be the priority nursing dianosis for a stroke patient?
    • A. 

      Impaired physical mobility

    • B. 

      Impaired verbal communication

    • C. 

      Impaired swallowing

    • D. 

      Incontinence

  • 14. 
    What is the most frequent symptom of a brain tumor?
    • A. 

      Nausea and Vomiting

    • B. 

      Visual disturbances

    • C. 

      Seizures

    • D. 

      Headache

  • 15. 
    Your patient is post-op from a craniotomy. You notice his urine output is 40mL/hr and his serum sodium is 155. You suspect he might be suffering from:
    • A. 

      Meningitis infection secondary to craniotomy

    • B. 

      SIADH- Syndrome of inappropriate anti-diuretic hormone

    • C. 

      Diabetis Insipidus

    • D. 

      Hydrocephalus due to ICP

  • 16. 
    The most common cause of Spinal Cord Injuries is
    • A. 

      Falls

    • B. 

      MVA's (Motor Vehicle Accidents)

    • C. 

      Acts of Violence

    • D. 

      Sports

  • 17. 
    Your patient was rear-ended waiting for the light to turn green. She comes in to the ER complaining of neck pain and numbness. You suspect her injury was caused by this mechanism:
    • A. 

      Hyperflexion

    • B. 

      Hyperextension

    • C. 

      Vertebral compression

    • D. 

      Rotation

  • 18. 
    What medication would you expect your MVA patient to be put on upon admission to the hospital?
    • A. 

      Mannitol

    • B. 

      Decadron

    • C. 

      Dilantin

    • D. 

      Methylprednisolone

  • 19. 
    You check up on you SCI patient; her vitals are: T- 97.2, P-56, R-12, BP- 90/47. You suspect she might be suffering from:
    • A. 

      Autonomic dysreflexia

    • B. 

      Neurogenic Shock

    • C. 

      Cushing's Reflex

    • D. 

      Hemorrhagic Shock

  • 20. 
    You have a parapalegic patient admitted for the treatment of a decubitus ulcer. His 0800 vitals are: T- 98.8, P- 82, BP- 134/60, R-18. You do a second set of vitals at 1200 which are: T-98.6, P- 65, BP- 165/82, R- 18. He also complains of a punding headache.Your first intervention should be:
    • A. 

      Nothing- all vital signs are WNL

    • B. 

      Administer tylenol as written on prn orders for HA and continue to monitor

    • C. 

      Raise the HOB to decrease ICP and headache pain

    • D. 

      Check foley catheter for kinks or obstructions

  • 21. 
    Your neighbor's child falls from his skateboard and hits his head on the sidewalk. He is dazed but in a couple of minutes says he is fine. His mom calls you that evening during dinner worried because keeps laying his head on the table,won't eat and just asks to be put to bed. You advise her to take him to the hospital because:
    • A. 

      You think he might have a subdural hemotoma

    • B. 

      You think he migh thave a epidural hematoma

    • C. 

      You think he might have a concussion

    • D. 

      You don't want to get sued because he fell on the sidewalk in front of your house

  • 22. 
    Your TBI patient is being monitored for ICP. His latest reading was 10 mmHg. You assess:
    • A. 

      This is WNL and no intervention is needed

    • B. 

      This is mildly elevated ICP- make sure the HOB is up and the lights are low

    • C. 

      This is a moderate increase in ICP- administer mannitol as rx

    • D. 

      This is a significant increase in ICP- use the catheter to draw off 10mL of IC fluid

  • 23. 
    What is the first intervention for increased ICP?
    • A. 

      Sedation

    • B. 

      Mannitol

    • C. 

      Hyperventilation

    • D. 

      Phenobarbitol

  • 24. 
    I have reviewed the Pain and Coma Worksheets and feel confident that I could answer any question posed from them.
    • A. 

      True

    • B. 

      False

  • 25. 
    Most of the complications that arise from Hepatitis occurs from:
    • A. 

      Hepatic cell death

    • B. 

      Hepatic cell injury

    • C. 

      Hepatic cell hypoxia

    • D. 

      Hepatic cell carcinoma

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