1. B
Rapid neurological assessment and activation of stroke protocol is critical for early intervention and thrombolysis eligibility.
2. C
Rebleeding is a life-threatening complication in subarachnoid hemorrhage; sudden severe headache and nuchal rigidity may indicate this.
3. B
Post-craniotomy patients are at risk for increased ICP; monitoring signs like headache, vomiting, and neurological changes is vital.
4. B
Adult learners retain complex information best through active, interactive learning such as case studies and simulation.
5. A
Repositioning and compression devices improve venous return and reduce DVT risk in immobilized patients.
6. A
Corticosteroids are standard for acute MS exacerbation; monitoring for side effects ensures patient safety.
7. A
Constricted pupils, bradycardia, and irregular respirations (Cushing’s triad) are hallmark signs of increased ICP.
8. A
Glasgow Coma Scale evaluates level of consciousness and cognitive function after brain injury.
9. A
Immediate, specific, and constructive feedback supports adult learning and skill acquisition.
10. A
Thickened liquids and upright positioning reduce aspiration risk in dysphagia.
11. A
Maintaining euvolemia and monitoring for vasospasm with Doppler is evidence-based prevention.
12. A
Visual aids and analogies enhance understanding of complex neurophysiology.
13. A
Stroke symptoms require immediate activation of the stroke protocol to minimize brain injury.
14. A
Protecting patient information is essential; HIPAA compliance is critical in neuro documentation.
15. A
Respiratory compromise in myasthenia gravis can be life-threatening; immediate intervention is necessary.
16. A
Functional independence measures (FIM) objectively reflect rehabilitation progress.
17. A
Monitoring oxygenation, BP, and ICP prevents secondary brain injury by maintaining adequate cerebral perfusion.
18. A
Simple sentences, visual cues, and time allow effective communication with aphasic patients.
19. A
Airway and neurological assessment post-seizure are critical to patient safety.
20. A
Evidence-based practice requires implementing validated protocols and auditing outcomes.
21. A
Demonstration, supervised practice, and feedback optimize learning for complex procedures.
22. A
Brainstem strokes present with cranial nerve deficits, limb weakness, and vertigo.
23. A
Antiplatelet therapy requires adherence and bleeding monitoring to prevent complications.
24. A
Integrating assessments with evidence-based guidelines improves patient outcomes.
25. A
Decreasing GCS indicates worsening neurological status; rapid action is required.
26. A
Accurate and timely documentation protects patient safety and ensures regulatory compliance.
27. A
Repositioning, skin care, and DVT prophylaxis prevent complications in immobile patients.
28. A
Sudden limb weakness, sensory loss, and urinary retention are classic signs of spinal cord compression.
29. A
Tailored, repeated instruction with demonstration maximizes learning in chronic neuro conditions.
30. A
Oxygen therapy and prescribed meds are effective acute interventions for cluster headaches.
31. A
Preparing the patient for imaging while maintaining stability ensures rapid diagnosis.
32. A
Structured handoffs using SBAR improve communication and patient safety.
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