Chapter 63 Neurologic Trauma

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Chapter 63  Neurologic Trauma

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1.
After sustaining a fall at home, a patient is brought to the emergency room exhibiting altered level of consciousness. Following a skull x-ray, the patient is diagnosed with a basilar skull fracture. Which sign should alert the nurse to this type of fracture?

A) Babinski’s sign B) Kernig’s sign C) Battle’s sign D) Brudzinski’s sign

2.
A patient brought to the trauma center by ambulance sustained a high cervical spinal cord injury 2 hours ago. The nurse knows that which of the following medications will be given to prevent further spinal cord damage?
A)
Furosemide (Lasix)
C)
Cyclobenzaprine (Flexeril)
B)
Methylprednisolone (Solu-Medrol)
D)
Hydralazine hydrochloride (Apresoline)

3.
A nurse is performing pin site care to a patient in halo traction following a spinal cord injury. One of the traction pins becomes detached when the patient is turned. The nurse would be correct in implementing which of the following priority nursing actions?
A)
Complete the pin site care to decrease risk of infection.
B)
Notify the neurosurgeon of the occurrence.
C)
Stabilize the head in a lateral position.
D)
Reattach the pin to prevent further head trauma.

4.
The nurse observing a patient with autonomic dysreflexia would expect which of the following clinical manifestations?
A)
Tachycardia and hypotension
C)
Tachycardia and hypertension
B)
Bradycardia and hypertension
D)
Bradycardia and hypotension

5.
The nurse is caring for a patient with increased intracranial pressure (ICP) caused by a traumatic brain injury. Which of the following clinical manifestations would indicate that the patient is experiencing increased brain compression causing brain stem damage?

A) Hyperthermia B) Tachycardia C) Hypertension D) Bradypnea

 

Answer Key

1.
C
2.
B
3.
B
4.
B
5.
A

 

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