Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

PCCN neuro questions with solutions, Exams of Advanced Education

PCCN neuro questions with solutions

Typology: Exams

2024/2025

Available from 07/02/2025

kamothojj
kamothojj 🇺🇸

5

(2)

5.5K documents

1 / 4

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
PCCN neuro
Frontal lobe functions - answer Personality, motor function, motor speech, morals,
emotions, judgment
Parietal lobe function - answer Sensation, pain, interpretation, temperature, pressure
Occipital lobe function - answer visual
Cerebellum functions - answer coordination of muscle movement & tone, equilibrium
What does the glasgow coma scale assess? - answer 1. eye opening 2. motor
response 3. verbal response
Early S/S of increased ICP - answer 1. Change in LOC (earliest sign)
2. headache
3. N/V (can project to projectile)
4. Lethargy
5. Irritability
6. slow decision making
Late S/S of increased ICP - answer 1. pupillary changes
2. Seizures
3. Posturing
4. Can progress to coma
Who should ICP monitoring be done for? - answer 1. head injuries (GCS <8)
2. Cerebral edema
3. Large Ischemic stroke
4. Hydrocephalus
Normal ICP - answer 0-15 mmHg
tx is indicated when ICP is greater than? - answer sustained 20-25 mmHg
Positioning of patients w/increased ICP? - answer 1. prevent compression of jugular
veins
2. HOB 30-45 degrees
3. Straight legs
4. Decrease stimuli
Medical tx for increased ICP - answer 1. mannitol
pf3
pf4

Partial preview of the text

Download PCCN neuro questions with solutions and more Exams Advanced Education in PDF only on Docsity!

PCCN neuro

Frontal lobe functions - answer Personality, motor function, motor speech, morals, emotions, judgment Parietal lobe function - answer Sensation, pain, interpretation, temperature, pressure Occipital lobe function - answer visual Cerebellum functions - answer coordination of muscle movement & tone, equilibrium What does the glasgow coma scale assess? - answer 1. eye opening 2. motor response 3. verbal response Early S/S of increased ICP - answer 1. Change in LOC (earliest sign)

  1. headache
  2. N/V (can project to projectile)
  3. Lethargy
  4. Irritability
  5. slow decision making Late S/S of increased ICP - answer 1. pupillary changes
  6. Seizures
  7. Posturing
  8. Can progress to coma Who should ICP monitoring be done for? - answer 1. head injuries (GCS <8)
  9. Cerebral edema
  10. Large Ischemic stroke
  11. Hydrocephalus Normal ICP - answer 0-15 mmHg tx is indicated when ICP is greater than? - answer sustained 20-25 mmHg Positioning of patients w/increased ICP? - answer 1. prevent compression of jugular veins
  12. HOB 30-45 degrees
  13. Straight legs
  14. Decrease stimuli Medical tx for increased ICP - answer 1. mannitol
  1. Hypertonic saline (3% saline)
  2. loop diuretics Monro-kellie doctine - answer Balance of tissue, CSF & blood to create an equilibrium Diffuse axonal injury - answer severe head injury -damage to axons -disconnects cerebral hemisphere from reticular activating system What is a Basilar skull fracture - answer -fracture in floor of skull -eyes, ears, nose or spine affected -risk of injury to cranial nerves Key assessment with a skull fracture? - answer to determine if dura torn- if so will need surgery to remove bone fragments What should be avoided in patients w/basilar skull fractures? - answer Nasogastric or oral tubes! -can end up in brain -also avoid oral suctioning Battle sign is... - answer bruising over mastoid bone- sign of basilar skull fracture Acute Epidural hematoma is usually what type of bleed? - answer Arterial (laceration meningeal artery) S/S of acute epidural hematoma - answer -N/V, agitation, confusion -loss of consciousness --> lucid --> coma -NEURO EMERGENCY! Subdural hematoma is usually what type of bleed? - answer Venous! Complications associated w/TBI? - answer 1. Hypo/hypernatremia
  3. SIADH
  4. DI
  5. Pulmonary complications (asp. pneumonia)
  6. seizures
  7. immobility
  8. DVT Cushing's triad? - answer 1. Wide Pulse pressure
  9. Bradycardia
  10. Increased systolic pressure Decorticate posturing - answer Flexion (to core) or arms, wrists & fingers

BP management for hemorrhagic stroke? - answer Consider reducing if SBP >200 or MAP > What medication is given for a ruptured cerebral aneurysm to prevent vasospams? - answer CCB- Nimodipine Risk factors for aneurysms - answer -congenital -HTN -smoking -Polycystic kidney disease S/S of ruptured aneurysm - answer -Worst headache of life -N/V -photophobia -diplopia -nuchal rigidity (stiff neck) -kernig's sign, brudzinski sign -seizures -decreased LOC Tx for aneurysm - answer -SBP < -surgical or endovascular clip -transcranial doppler to detect vasospasms Tx for hydrocephalus - answer -Ventriculostomy -VP shunt (long term) Causes for seizures? - answer -genetic -congenital -exposure to drugs -withdrawal from drugs -low Na or glucose -infection -trauma -tumors Status epilepticus - answer seizure that lasts > 30 min 20-30% mortality Administration of dilantin - answer -give slowly -peaks in 15-20 min -monitor for bradycardia & hypotension -use a filter -monitor IV site for infiltration -assess levels (10-20)