Medsurg Exam Final Neuro Quesitons

12 Questions | 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

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