CNRN Neurological Assessment and Monitoring 2

Question 1

The nurse is monitoring a patient's cerebral perfusion pressure (CPP). Which formula is used to calculate CPP?

Accepted Answer

CPP = MAP − ICP

Answer

CPP = MAP + ICP

Answer

CPP = SBP − ICP

Answer

CPP = SBP + DBP − ICP

Question 2

Which reflex, when absent, suggests dysfunction at the level of the medulla?

Accepted Answer

Gag reflex

Answer

Corneal reflex

Answer

Plantar reflex

Answer

Babinski sign

Question 3

A positive Romberg test (patient sways when eyes are closed) indicates impairment in which system?

Accepted Answer

Proprioceptive or vestibular function

Answer

Cerebellar function

Answer

Corticospinal tract

Answer

Frontal lobe executive function

Question 4

When assessing for meningeal irritation, the nurse flexes the patient's hip and knee, then extends the knee. The patient reports pain and resists extension. This describes:

Accepted Answer

Kernig's sign

Answer

Brudzinski's sign

Answer

Lhermitte's sign

Answer

Hoffmann's sign

Question 5

In continuous EEG monitoring, which finding requires the nurse to immediately notify the neurologist?

Accepted Answer

Nonconvulsive status epilepticus pattern

Answer

Alpha waves at 8–13 Hz

Answer

Sleep spindles

Answer

K complexes

Question 6

Which positioning intervention is standard for patients at risk for increased ICP?

Accepted Answer

Head of bed elevated 30 degrees with head midline

Answer

Head of bed flat to promote venous return

Answer

Trendelenburg position to increase CPP

Answer

Left lateral decubitus to reduce aspiration risk