1. Diet in Seizure - Low in carbohydrate,
Acetyl - primary excitatory;
High in protein
2. Tensilon test - Myasthenia Gravis
3. Ascending paralysis - GBS
4. Anticholinergic - Parksinson’s disease
5. Severe shaky handwriting - PD
6. Demyelination of PNS? - GBS
7. Flattened affect - PD
8. Associated with hx of swine flu vax -
GBS
9. Cholinergic - MG
10. Most common cause of dementia -
Alzheimer’s Dse
11. Small tumor - PET Scan
12. Distressing problem experience by
ALS - retention of cognitive function
13. Tinnitus - VIII
14. Bell’s palsy - VII
15. Anosmia - I
16. Papilledema - II
17. Ptosis of eyelid - VI
18. Nystagmus - IV
19. inability to rotate head and move
shoulder - XI
20. Tongue protrusion - XII
Matching Type
1. GABA - muscle and nerve
inhibitory transmission
2. Enkephalin - excitatory; inhibits
pain transmission
3. Norepi - excitatory response;
mostly affecting moods
4. Dopamine - inhibitory; affects
behavior, attention, and fine
movement
5.
vagal stimulation of the heart
6. Serotonin - inhibitory; inhibits
pain pathways and can control
sleep
Key Answers for possible Multiple
Choices (Bold)
1. A. “I am trying to quit smoking
and have a patch on”
2. C. Coffee
3. C. Normal Finding; the fluid
will be sent for testing to
determine other factors
4. B., C., D. Force Fluids, Get
plenty of bedrest, Take some
OTC analgesics
5. B. Have the patient lie flat for 6
hrs
6. Assessment of CN function and
ask pt to cover one nostril at a
time to see if the patient can smell
coffee, alcohol and mind - A. CN
I
7. Snellen Eye Chart - B. CN II
8. Gag Reflex - D. CN X (Vagus
Nerve)
9. Changes in personality and affect
- A. Frontal Lobe
10. Suffered Stroke = Inability to
breathe - D. Brain Stem
11. Expressive speaking aphasia - B.
Inferior Posterior Frontal Areas
12. Pupils of Head Injury (which
parasympathetic effect will be
experienced?) - B. Constricted
Pupils
13. Motor vehicle injury and
sustained head injury; assessing
DTR = diminished or hypoactive
reflexes - B. 1+
14. Neuro Assessment; patient stands
with eyes open and then closed
for 20 secs to assess balance - C.
Romberg Test
15. Severe pain in the face that was
stimulated by brushing teeth - C.
CN V
1. Altered LOC; 1st priority tx - D.
Maintenance of patent airway
2. LOC using GCS; severe
impairment of neurologic function
- A. 3
3. Severe neurologic impairment
from a head trauma; type of
posturing that occurs c the most
severe neurologic impairment -
C. Flaccid
4. Head trauma in a physical
altercation; optimal range is - B. 0
- 10 mmHg
5. ICP reading of 20 mmHg and a
mean arterial pressure of 90
mmHg; calculated cerebral
perfusion pressure - C. 70 mmHg
6. Cushing Triad; identified
symptoms associated with
Cushing Triad - A., B., C.
- Bradycardia,
- Bradypnea,
- HTN
7. Traumatic Brain Injury; earliest
sign of serious impairment of
brain circulation r/t increasing
ICP - D. Lethargy and Stupor
8. Increased ICP; osmotic diuretics -
C. Mannitol
9. Diabetes Insipidus - D. More
than 200 ml/hr
10. Long term use of anticonvulsant
in women - C. Osteoporosis
11. Tonic-Clonic Seizure; nursing
intervention to be provided
– A., C., D.
- Loosening constrictive clothing,
- Position on side c head flexed
forward,
- Providing Privacy
12. Seizure Disorder; nutritional
approach for seizure mgt - C.
High in protein and Low in
carbohydrates
13. Post-op after intracranial surgery
for tx of subdural hematoma;
increase in the pt’s blood pressure
from baseline, decrease in the hr
from 86 - 54, and crackles in the
bases of lungs - A. Increased ICP
14. Pt 3 days post-op from
craniotomy - “I feel something
trickling down the back of my
throat and I taste something
salty”; priority action - D. Notify
health care provider of a
possible CSF leak
15. Small pituitary adenoma removed
by transsphenoidal approach and
has developed diabetes insipidus;
pharmacologic therapy - C.
Vasopressin
1. Exhibiting symptoms associated
with transient ischemic attack
(TIA); period of time sx will
subside - A. 1 hour
2. Memory loss and impaired
learning capacity - A. Frontal
3. Possible stroke; initial dx test for
stroke usually performed in ER -
C. Noncontrast CT
4. 110 lb pt having stroke;
recombinant rt-PA minimum dose
- A. 50 mg
5. Classic signs of hemorrhagic
stroke; pt reports would be an
indicator - C. Severe headache
6. Hemorrhagic stroke; position in
bed - D. Semi Fowler
7. Large Ischemic Stroke;
interventions to decrease ICP - A.,
B., D.
- Administer Mannitol as
prescribed,
- Maintain partial pressure
of PaCO2 within a range
of 30 - 35 mmHg,
- Administer supplemental
oxygen if O2 sat is <88%
8. Blood glucose level of 420
mg/dl; significance of
hyperglycemia - B. This is
significant for poor neurologic
outcomes
9. Carotid Endarterectomy; “All of a
sudden, I am having trouble
moving my right side”; priority
concern - A. Thrombus
formation at the site of
endarterectomy
10. Acute phase of an ischemic
stroke; how long this phase may
last - C. 1 - 3 days
11. Ischemic Stroke admitted to acute
care facility; nurse plans the rehab
- D. The day the patient has
stroke
12. Pt c stroke begins having
complications regarding spasticity
in the lower extremity; prescribed
medication to alleviate this issue -
B. Lioresal
13. Stroke pt difficulty forming words
- C. Dysphagia
14. Stroke = cognitive deficits - A.,
B., C.
- Poor Abstract Reasoning,
- Decreased Attention
Span,
- Short- and Long-term
memory loss
15. Right hemispheric stroke; clinical
manifestations - A. Left Visual
Field Deficit
1. Suspected meningitis; if diagnosis
is confirmed, which will the nurse
institute - A., B., C.
Administration of Rifampin,
Ciprofloxacin, and Ceftriaxone
2. Diagnosed c meningococcal
meningitis; prophylactic therapy
begins for those who had close
contact - A. Within 24 hrs after
exposure
3. Bacterial Meningitis;
dexamethasone; appropriate time
to give this medication - B. 15 -
20 minutes before the first dose
of antibiotic and q6 for the next
4 days
4. Assessment data priority in
changes in ICP - A. Level of
Consciousness
5. Antiviral meds ganciclovir to
HSV-1; best way to avoid
crystallization - C. Give via slow
IV over 1 hour
6. Which donor screened by a nurse
will be unable to donate blood? -
D. A donor who was in college
in England for 1 year
7. Diagnosed Multiple Sclerosis 2
yrs ago admitted c another
relapse; prev relapse followed c
complete recovery c exception of
occasional vertigo; which type of
MS is identified? - C.
Relapsing-remitting (RR)
8. MS having spasticity in lower
extremities, decreasing their
physical mobility - B., C., D.
- Demonstrate daily muscle
stretching exercises
- Apply warm compress
- Allow pt adequate time to
perform exercises
9. Administering tensilon test to
patient with ptosis; if test positive
for MG, which outcome will be
observed? - A. Thirty secs after
administration, facial weakness
and ptosis will be relieved for
appx 5 minutes
10. During a Tensilon test to
determine if pt has MG, patient
reports cramping and diaphoretic.
V/S are BP 1300/78, HR 42, and
RR 18; which is priority action by
nurse - C. Give atropine to
control side effects of
edrophonium
11. Pt with MG is in the hospital for
tx of pneumonia; pyridostigmine
bromide on time; nurse does not
give the medication until after
bfast; which outcome will patient
have r/t late dose? - A. The
muscles will become fatigued,
and the patient will not be able
to chew food or swallow pills.
12. Suspected GBS has had a lumbar
puncture for CSF evaluation.
When reviewing the lab results,
which is diagnostic for this Dse? -
B. Elevated protein levels in the
CSF
13. GBS; assessing the patient for
autonomic dysfunction;
 intervention to determine
presence of autonomic
dysfunction? - B. Assess the
blood pressure and heart rate
14. Onset of pain r/t trigeminal
neuralgia; which subj data stated
by the patient does the nurse
identify triggered the paroxysms
of pain? - C. “I was brushing my
teeth.”
15. Bell’s Palsy stated, “It doesn’t
hurt anymore to touch my face.
How am I going to get muscle
tone back so I don’t look like this
anymore?”; Which intervention
can the nurse suggest? - A.
Suggest massaging the face
several times daily, using a
gentle upward motion, to
maintain muscle tone.
1. Diagnosed c intracerebral tumor.
The nurse identifies that the
diagnosis may include which form
of tumor growth? - A., B., C.
- Astrocytoma,
- Ependymoma,
- Medulloblastoma
2. Exhibiting seizure-like
movements localized to one side
of the body; which type of brain
tumor - C. Motor Cortex Tumor
3. Exhibiting clinical manifestations
of brain tumor; which tumor is
commonly seen in older adults? -
D. Medulloblastoma
4. Pt c Parkinson’s Dse is exhibiting
bradykinesia, rigidity, and
tremors. These symptoms are
directly related to which
decreased neurotransmitter level?-
B. Dopamine
5. Preparing meds for PD. Most
effective drug currently for
tremors of Parkinson’s? - B.
Levodopa
6. Pt c brain tumor reports
headaches that are worst in the
morning; best explanation for
morning headaches? - A. You
may have increase in ICP
7. Diagnosed with a spinal cord
tumor had a course of radiation
and chemotherapy; two months
after completion of radiation,
patient reports severe pain in the
back; this indicates? - D. Spinal
Metastasis
8. Assessment for PD; patient’s
voice change since last visit and
more difficult to understand; how
will it be documented - B.
Dysphonia
9. PD is experiencing on-off
syndrome; assessment of patient’s
clinical symptoms correlates with
this syndrome - D. Periods of
near immobility, followed by a
sudden return of effectiveness of
medication
10. Parkinson’s Dse ask nurses how
to prevent problems c bowel
elimination; which intervention
 will the nurse include when
developing NCP to assist c
regular stool pattern? - C. Adopt
a diet with moderate fiber
intake
11. Adult child of a pt with
Huntington's Dse asks what is the
risk of inheriting disease - C. If
one parent has the disorder,
there is a 50% chance that you
will inherit the disease
12. Caring for patient c Huntington
Dse in the long-term care facility;
most prominent symptom - A.
Rapid, jerky, involuntary
movements
13. Patient c Huntington Dse is
prescribed with meds to reduce
chorea; which meds will the nurse
administer that is only drug
approved - A. Tetrabenazine
14. Diagnosed c Amyotrophic Lateral
Sclerosis (ALS); nurse
understands that symptoms of
disease will begin in what way? -
C. Weakness starting in the
muscles supplied by the cranial
nerves
15. Pt with ALS asked what drug will
prolong pt’s life; which best
response to patient’s inquiry that
may prolong life by 3 - 6 months?
- B. Riluzole