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Neurology CCRN Questions with Correct Answers
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Neurology CCRN Questions with Correct Answers Which of the following is a false statement? a. head injuries in infants are associated with increased mortality secondary to open fontanels. b. if an infant is not restrained and is propelled during a MVA, the head usually leads. Resulting in criti...

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  • November 3, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • neurology ccrn questions with correct answers

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  • CCRN
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Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024




Neurology CCRN Questions with Correct

Answers


Which of the following is a false statement?


a. head injuries in infants are associated with increased mortality secondary to open fontanels.


b. if an infant is not restrained and is propelled during a MVA, the head usually leads. Resulting in critical

injury


c. The infant has less myelinated nerves that are easily injured.


d. the cranial bones are thin and offer inadequate protection - ANSWER✔✔-A, open fontanels allow for a

certain decree of expansion reducing the mortality associated with head injuries. When an infant is

propelled, the head usually leads. The infant has thin cranial bones and less myelinated nerves.


The nurse is caring for Jacob, an infant with a closed head injury. His vital signs at 0200 are as follows. BP

90/60 HR 130 RR 22, At 0230 the nruse notes that Jacob is not responding to stimuli and his vital signs

are as follows: BP 110/42


HR 54 RR . In addition to attending to his airway which of the following should the nurse anticipate as a

top priority.


a. administer a 10ml/kg bolus of an isotonic solution


b. administer PRN morphine


c. administer mannitol



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,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


c. administer glucose - ANSWER✔✔-c. the scenario describes a child with Cushing's reflex. an emergency

where increased ICP may lead to herniation. In Cushing's reflex, the systolic BP increases greater than the

diastolic pressure, creating a widened pulse pressure. Bradycardia and apnea accompany the widened

pulse pressure. Increased ICP is usually managed with an osmotic diuretic such as Mannitol.


The nurse is caring for Samantha, a 5 year old with a closed head injury. When the nurse stimulated

Samantha, the child flexed her arms, clenches her fists and extends her legs. Which of the following is

accurate?


a. Samantha is demonstrating decorticate posturing which indicates cerebral damage


b. Samantha is demonstrating decorticate posturing which indicates damage to the midbrain.


c. Samantha is demonstrating decerebrate posturing which indicates cerebral damage


b. Samantha is demonstrating decerebrate posturing which indicates damage to the midbrain. -

ANSWER✔✔-A. Decorticate posturing which indicates cerebral damage occurs when the response to

stimuli includes, clenched fists, flexed arms and extended legs.


Tyrone is in the PICU after haing a brain tumor resected. His ICP is 15 and his MAP is 80. What is his CPP?


a. 95mmHG


b. 45mmHg


c. 65mmHg


d.33mmHg - ANSWER✔✔-C. CPP is calculated by subtracting the ICP from the MAP.


Which of the following is an acceptable CPP for an adolescent?


a. 35mmHg


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, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024


b. 45mmHg


c. 55mmHg


d. 65mmHg - ANSWER✔✔-D. An adolescent should have a CPP of 65mmHg or greater


Which of the following is true regarding diagnosing brain death?


a. the body temperature must be greater than 33 degrees centrigrade.


b. a diagnosis of brain death can still be made if the child is receiving CNS depressants and paralytic

agents


c. spinal reflexes may still be present


d. no solid criteria exist for diagnosis brain death in children. - ANSWER✔✔-c. Spinal reflexes may still be

present despite brain death. Criteria does exist for the diagnosis of brain death in children. The body

temperature must be greater than 32C. A diagnosis of braing death cannot be made if the child has

received any CNS depressants.


The neurologist is assessing Josie for brain death. When Josie's head is turned from side to side the nurse

notes that she has a dolls eyes response. What response should be noted in the neurologically intact

child when the head is rapidly turned from side to side.


a. the eyes should deviate to the opposite side that the head is turned to


b. the eyes should deviate to the same side that the head is turned to


c. the eyes should open and close in rapid succession


d. the eyes should close tightly. - ANSWER✔✔-A. in a neurologically intact child, when the head is turned

rapidly from side to side, the eyes should deviate to the opposite side that the head is turned to.


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