NUR 203 Neuro Exam Questions And 100% Correct
Answers 2024-2025
Baby has myelino sac, what position should the baby be placed in? - Prone with head
leaned to the side to breastfeed
Spastic cerebral palsy s/s - Hypertonicity with poor gait
and a couple of other things
Cerebral palsy pt findings include - clinched fists
inability to smile
persistent moro reflex
Cerebral palsy pt diet include - increased caloric demands due to the muscle spasticity
Pt realizes that a complication of having an injury to the T6 vertebrae includes - Answer
cough and something to do with chest/lungs
The pt with a suspected spinal cord injury is now unable to shrug shoulders. Which
spinal injury should the nurse suspect - Answer C4-C5
The pt comes to the ED w/an epidural hematoma, what does the nurse expect? - Answer
Preparing the pt for a craniotomy to get the pressure off
Pt is admitted to floor and has epilepsy, which of the following are not contraindicated
for this pt? SATA - Answer padded bed rails, keep bed rails up at all time, oxygen and
suction at bedside
, If the pt is going to seize-what should the nurse do? Answwer Gently roll pt on their side
loosen clothing clear area out of pt way observe and document the seizure
Nurse is caring for a pt with a cranial nerve # 9 injury, what should be implemented
during feeding time? Answwer Sit pt up in bed
Pt has a current BP 210/110 and is complaining of sudden flushing to the trunk. What
should nurses priority action be? -Answer Sit the patient HOB up
Pt is showing signs for autonomic dysreflexia. What should the nurse's priority be?
-Answer Palpate bladder
A stroke pt goes to surgery and is then admitted to the floor for observation. The pt
starts presenting with slurred speech. What should the nurse do as priority action? -
Answer Place pt HOB up to 30 degrees and call the doctor
What would you make the priority first assessment with the pt who presents to the ED
with a brain injury? - Answer Check respiratory status
What is the body's first-line response to ensure that tissue perfusion /blood pressure is
maintained? -Answer MAP - arterial pressure
Find CPP - Answer CPP = MAP - ICP
Pt had TPA at 10 AM. Dr gives the order for clopidogrel and coumadin to be given in the
evening. The nurse should -Answer A. Give the medications because its within the
correct timeframe
B. Call the Dr. and question the time.
C. Call the pharmacist and question the time.
Siloti up
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