Neuro Exam Review

1. SATAlumbar puncture, MRI, CT

2. Head injury s/s (SATA)sudden onset of HA, nausea, ipsilateral pupils
3. Basilar skull fracture (SATA)battle sign, periorbital ecchymosis (racoon eyes),
rhinorrhea
4. HCP risk for Hep B, what is the prevention measure obtain vaccine/ immunization
5. Glasgow coma scale open eye to command
6. Dosage calculation (multiple choice) 1080
7. Dosage calculation to enter number1700 mg and 100ml
8. Gall bladder with nausea, vomitinglactate ringer 1L over 30 min
9. Neurogenic shock (SATA) bradycardia, hypotension
10. Spinal shockflaccid paralysis and loss of sensation below level of injury
11. Which patients will nurse see first: there were 4 patients but between these two patients
(Pt with L2 injury and Pt with C5 injury) I chose patient with C5 injury, & I think is
the right answer
12. Bile duct obstructyellow sclera and clay colored stool
13. Brain tumor patient ask about the treatmentreduce the size or remove the tumor will be
recommended
14. ERCP, patient understanding“look at” my gallbladder and bile duct. Key word is “look
at”
15. Diazepam at home, how to take rectally
16. Neurogenic shockbradycardia
17. Patient used lactulose, nursing intervention- fall/injury prevention
18. Hep Aboiled water consumed and cook food thoroughly
19. Esophageal varicesmaintain airway
20. Pt says, “I can’t do this, I don’t want to” -- are you thinking of hurting or killing
yourself?
21. Hep A txt (SATA)--small meals, adequate rest, & ..
22. Patient having tonic-clonic seizure on the way to ED-observe time, record detail of
seizure and postictal state
23. Patient with seizure, nurse wants to give Lorazepam, assessment that warrant immediate
intervention respiration 8 breaths per min
24. Patient with SCI regain sensation after few monthresolution of spinal shock
25. Hepatic encephalopathytremor of hand when extended
26. Pancreatitis pt pain locationright upper quadrant and right scapula
27. Hep A s/s  can cause a mild flu-like symptoms, jaundice, and diarrhea
28. Which Patient to see first Priority- go see the patient with 4 seizures in 30 min first
29. ICP pt concerntemperature 100.9
30. Chart givenIV fluid at rate
31. ICP is 24 BP is 92/60 interventionraise HOB
32. Delegation to LVN/LPNwound drainage… dressing change every 6 hours
 33. Decerebrate patient getting better sign withdraw from pain
34. Ascites
35. BP taken on patient, hand crampcheck chemistry level
36. Cholelithiasis (gallbladder stone) first intervention IV morphine
37. Pt at home, family doing most of the ADL, best RN response make plan of care that
involve patient independence with family included
38. Yellow-bluish discoloration of periumbilical area in which diseasepancreatitis
39. RN need to correct NPAslightly restricting pt. upper extremities having seizures
40. Nurse on bed side, patient start seizing, priorityturn the patient on side and protect the
airway
41. Phenytoin med: hold the med, because of toxicity phenytoin 32
42. Pulmonary Embolism symptoms: (SATA) hemoptysis, low grade fever, & something else
43. Pt complaining n/v, lipase increased, what to do: Insert NG tube
44. PEEP: prevents alveoli collapse
45. CO2 decreased: Increase ventilator
46. Early signs/symptoms of Hep C: weakness & anorexia
47. Learn refractory hypoxemia; FiO2, PaO2, and CO2
48. Which statement made by the patient correct: fentanyl
49. Pt with Cirrhosis has ascites, how do you measure fluid: daily weight

“I added the green information, I wanted for you to added new questions and correct some of
previous ones”.