WorksheetsNEUROLOGICAL NURSING
Total questions: 40
Worksheet time: 20mins
1. A patient of head injury is admitted to the trauma unit with experiencing periods of confusion and lucidity. As the nurse assesses his status, she ill further assess for
Subdural hematoma
Increased intracranial pressure
Epidural hematoma
Increased blood pressure
An epidural hematoma is characterized by
a. A long period of unconsciousness followed by a complete lucidity
A short period of unconsciousness followed by a lucid period, folloed by rapid deterioration
No complaints of head ache
Slowly developing signs of increasing ICP
1. In neurological assessment motor system assessment includes
Muscle strength size
Reflex activity
Both the above
None of the above
What are the positive meningeal sign of the following
Opisthatonus position
Nuchal rigidity
Jerky movements of the body
Both a & b
1. Tumors of neuroepithelial cells are called
Germ cell tumors
Fibromas
Both the above
Gliomas
1. Which are the nerves that affect in trigeminal neuralgia
I &II CN
XI &X CN
V CN
III
1. Meaning of concussion
Transient interruption of brain activity no structural injury noted on radiographics
Fracture of parietal bone
Bruising of brain with an associated swelling
All the above
1. A patient with right sided hemiplegia and aphasia resulting from a stroke will most likely have involvement of the
Brain stem
Vertebral artery
Left middle cerebral artery
Right middle cerebral artery
1. When the patient lying with his thigh flexed on the abdomen he cannot completely extend his legs
Positive kernig’s sign
Positive brudzinski sign
Negative kernig’s sign
None of the above
1. Diplopia means
Normal vision
Absence of vision
Double vision
None of the above
1. Decortication is
Abnormal flexion of the upper and lower extremity
Abnormal flexion of the upper extremity and extension of the lower extremity
Abnormal extension of the upper and lower extremity
All of the above
1. Why is preventing a temperature elevation critical in patients with increased ICP?
Fever increases cerebral metabolism
Increases the rate of cerebral formation
A and b
None of the above
1. How does proper positioning help to reduce ICP
It promotes venous drainage
It prevents compression or distortion of the jugular veins
A &b
None of the above
1. Why is extreme hip flexions avoided in patients with increased ICP
It causes increase in intra abdominal pressure
It causes increase in intrathoracic pressure
It causes pain in patients head
A &b
1. What is the effect of hypoxia in patient with increased ICP
Cerebral ischemia
Cerebral edema
Cerebral infection
A &b
1. Which of the following is the cranial surgery approach
Supratentorial
Infractentorial
Transphenoidal
All of the above
1. Which medications are used to reduce cerebral edema ?
Osmotic diuretics
Loop diuretics
Corticosteroids
All the above
1. Why does periorbital edema occur after intracranial surgery
Fluid drains into the dependent periorbital area when patient is in prone position
Hematoma of scalp spread down to the orbit
A &b
None of the above
1. Symptoms of diabetes insipidus is
Excessive urinary output
Elevated serum osmolality
Decreased serum osmolality
All the above
Inability to express oneself or to understand language is called
Aphasia
Apraxia
Ataxia
Agnosia
1. Impaired ability to coordinate movement is called
Aphasia
Apraxia
Ataxia
Agnosia
Difficulty in forming words is known as
Ataxia
Dysarthria
Dysphagia
Aphasia
What are the causes of ischemic stroke
Large artery thrombosis
Cardiogenic emboli
Small penetrating artery thrombosis
All the above
Which of the following are the types of stroke
Ischemic stroke
Hemorrhagic stroke
A &b
None of the above
Paralysis of both arm and leg is called
Paraplegia
Tetraplegia
Quadriplegia
b & c
Battle’s sign means
Area of ecchymosis seen over the mastoid
Area of ecchymosis seen over the orbit
Area of ecchymosis seen over the frontal area
A & c
Which of the following is a component of assessment in GCS
Eye opening
Verbal response
Motor response
All the above
Which of the following is the effects of spinal cord injuries
Central cord syndrome
Anterior cord syndrome
Brown sequard syndrome
All the above
Potential complication of spinal cord injury is
DVT
Orthostatic hypotension
Autonomic dysreflexia
All the above
Which of the following is the best method of opening airway of the suspected cervical vertebrae injury?
flexed position
head tilt and chin lift
Jaw thrust maneuver.
Modified head tilt-chin lift.
Which of the following position is used for lumbar puncture procedure?
Lateral with pillow under the hip.
Prone
semi fowlers
Lateral with the legs pulled up and head bent down onto chest.
Which one of the following is the smallest cranial nerve?
Abducense.
Spinal nerve.
Olfactory.
Auditory.
To assess the coordinated functioning of the cranial nerves 3, 4 , and 6, which of the following test to be done?
Corneal reflex.
Pupil response to light.
Six cardinal fields of gaze.
Pupil response to light and accommodation.
A 21-year-old woman is being treated for injuries sustained in an automobile accident. The patient has a central venous pressure (CVP) line in place. The nurse recognizes that CVP measurement reflects:
Cardiac output
Pressure in the left ventricle
Pressure in right atrium
Pressure in the pulmonary artery
The most commonly used test for accurate measure of visual acuity is which of the following?
Jaegar card
Confrontation test
Snellen eye chart
Hirschberg TEST
Amyloid plaques and neurofibrillary tangles are the hallmarks of
Alzheimer’s disease
Amyotrophic lateral sclerosis
Ataxia Telengiectasia
Autism
Symptoms of Parkinson’s disease include all of the following except:
Tremors of the hands, arms, legs, jaw, and face
Stiff limbs
Bradykinesia and impaired balance
Impaired cognition
Huntington’s disease is a heritable disorder that involves:
Sudden paralysis
Chorea, loss of cognitive abilities, and emotional disturbance
Uncontrollable swearing and repetitive actions
Inability to recognize faces
Brain and spinal tumors may be treated with any or all of the following modalities except:
SURGERY
RADIATION
CHEMOTHERAPY
POSITRON EMISSION TOMOGRAPHY
All of the following may be associated with Guillain-Barre Syndrome except:
Weakening or tingling sensation in the legs
Weakness in the arms and upper body
Nearly complete paralysis
First symptom is altered mental status
