Medsurg Exam Final Neuro Quesitons

12 Questions | By Kaytlin.edwards | Updated: Apr 24, 2020 | Attempts: 71

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1.

A patient with suspected meningitis has the following results on LP: Opening pressure of 300 (elevated), WBCs 2500 with >80% neutrophils, Protein of 300 and glucose of 35mg/dL. These findings are…
- A.
  
  Suggestive of viral infection.
- B.
  
  Suggestive of fungal infection.
- C.
  
  Expected in young adults.
- D.
  
  Indicative of bacterial meningitis.
2.

Treatment of bacterial meningitis will include
- A.
  
  Aggressive administration of antipyretics.
- B.
  
  Antibiotics within the hour, post blood culture.
- C.
  
  Watching and waiting---no meds are started until cultures are conclusive.
- D.
  
  Vaccination per CDC protocol.
3.

You are accepting a patient to your neuro rehab unit from the intensive care unit. What will you prioritize FIRST when the patient is brought to your unit?
- A.
  
  Get a set of vital signs and do a rapid, focused neuro assessment.
- B.
  
  Get an oxygen saturation on this patient, get O2 on him if his saturation is below 96%.
- C.
  
  Teach the family about hand hygiene practices on your unit.
- D.
  
  Do a complete medication review with the nurse giving report.
4.

Your patient is s/p stroke. His BP in the ER was 190/110. He was diagnosed (by CT scan) as having an ischemic stroke. His current BP (4 hours post admission) is 160/90. Treatment for his BP would include:
- A.
  
  Administration of IV calcium channel blockers.
- B.
  
  Administration of intravenous vasodilators.
- C.
  
  Resumption of home medications including an ACE inhibitor.
- D.
  
  Close monitoring of BP at this time.
5.

Which is an appropriate order upon transfer of the post stroke patient from the ICU?
- A.
  
  Q 4 hour completion of the NIHSS scale.
- B.
  
  HOB flat except for eating.
- C.
  
  Maintain BP <120/80.
- D.
  
  Restart (or start) moderate to high intensity statin therapy.
6.

Which medications would you see in the hospitalized patient post stroke?
- A.
  
  Subcutaneous enoxaparin daily to prevent DVT and PE.
- B.
  
  ASA for patients not receiving fibrinolytic therapy.
- C.
  
  Fluid administration of Normal Saline at 125mL/hour
- D.
  
  Ativan
7.

Which of the following therapies should be involved in the post stroke patient?
- A.
  
  Respiratory therapy
- B.
  
  Occupational therapy
- C.
  
  Physical therapy
- D.
  
  Social services
- E.
  
  All of the above
8.

The drug used in the immediate (first line treatment) of seizures (may even be given during the seizure if prolonged) is which of the following?
- A.
  
  Propofol (Diprivan).
- B.
  
  Phenytoin (Dilantin).
- C.
  
  Valproic acid (Depakote).
- D.
  
  Lorazepam (Ativan).
9.

Which of the following is true of diagnosis in Parkinson’s disease?
- A.
  
  It is diagnosed on CT scan of the brain which can identify atrophy in the substantia nigra of the basal ganglia.
- B.
  
  It is diagnosed when a patient has 2 or more cardinal symptoms with asymmetrical presentation. MUST INCLUDE BRADYKINESIA
- C.
  
  It is diagnosed as a “rule in” when patients respond appropriately to Dopamine-receptor agonists:(pramipexole (Mirapax) or ropinerole (Requip).
- D.
  
  It is diagnosed by blood work and possibly LP where increased levels of oligoclonal bands are diagnostic.
10.

Which of the following patients is most at risk for post stroke depression (PSD)?
- A.
  
  The patient who has a history of depression, has aphasia and is being transferred to a rehab facility.
- B.
  
  The patient with a history of anxiety, has apraxia, and is being transferred into home care services.
- C.
  
  The patient with a minor stroke, inability to swallow who is transferring to home.
- D.
  
  A patient with no history of depression, minimal language or motor deficits, who is being transferred to a short-stay rehab unit.
11.

Which of the following is NOT a question on the Geriatric Depression Scale?
- A.
  
  Do you often get bored?
- B.
  
  Are you basically satisfied with your life?
- C.
  
  Do you feel pretty worthless the way you are now?
- D.
  
  Do you have a lack of energy?
12.

Which sign is this?
- A.
  
  Brudkinski’s
- B.
  
  Kernig’s sign
- C.
  
  Cleopatra’s reflex
- D.
  
  Homan’s sign