CNRN Neurological Assessment and Monitoring 3

Question 1

A nurse notes Cushing's triad in a neuroscience patient. Which set of findings is characteristic?

Accepted Answer

Hypertension, bradycardia, irregular respirations

Answer

Hypotension, tachycardia, irregular respirations

Answer

Hypotension, bradycardia, tachypnea

Answer

Hypertension, tachycardia, apnea

Question 2

Which type of brain herniation results in ipsilateral CN III palsy and contralateral hemiplegia?

Accepted Answer

Uncal herniation

Answer

Central (transtentorial) herniation

Answer

Subfalcine herniation

Answer

Tonsillar herniation

Question 3

When using the FOUR (Full Outline of UnResponsiveness) scale, which domain is assessed that the GCS does NOT include?

Accepted Answer

Brainstem reflexes

Answer

Motor response

Answer

Verbal response

Answer

Eye opening

Question 4

A patient with a subarachnoid hemorrhage develops a sudden severe headache described as 'the worst headache of my life.' The nurse recognizes this as:

Accepted Answer

Sentinel headache or thunderclap headache

Answer

Migraine aura

Answer

Tension-type headache

Answer

Cluster headache

Question 5

Which scale is commonly used by CNRN nurses to grade subarachnoid hemorrhage severity based on clinical presentation?

Accepted Answer

Hunt and Hess Scale

Answer

Rankin Scale

Answer

NIHSS

Answer

Barthel Index

Question 6

A CNRN assesses a patient for papilledema during funduscopic examination. Papilledema is caused by:

Accepted Answer

Increased intracranial pressure transmitted along the optic nerve sheath

Answer

Retinal detachment

Answer

Diabetic retinopathy

Answer

Central retinal artery occlusion