CNS Patient Safety Protocols 3

Question 1

How often must an adult in violent or self-destructive behavior restraints be reassessed and have the order renewed under CMS rules?

Accepted Answer

Every 4 hours

Answer

CMS limits violent/self-destructive restraint orders for adults to 4 hours, after which they must be renewed.

Question 2

Which is the best way to position a patient with increased intracranial pressure?

Accepted Answer

HOB 30 degrees with the head midline

Answer

Raising the head of bed to 30 degrees with the head midline helps venous drainage and lowers ICP.

Question 3

Before an MRI for a neuro patient, which item is the greatest safety concern?

Accepted Answer

A cochlear implant or older pacemaker

Answer

Implanted electronic or ferromagnetic devices can move, heat up, or malfunction in the MRI field and must be cleared before scanning.

Question 4

A patient with Parkinson's disease is admitted NPO for surgery. What is the main medication safety risk?

Accepted Answer

Abrupt levodopa withdrawal causing rigidity or parkinsonism-hyperpyrexia syndrome

Answer

Missed or delayed levodopa doses can cause severe rigidity, aspiration, and a neuroleptic malignant-like syndrome, so time-critical dosing must continue.

Question 5

Which antiemetic should be avoided in a patient with Parkinson's disease?

Accepted Answer

Metoclopramide

Answer

Metoclopramide blocks central dopamine receptors and can worsen parkinsonism.

CNS - Certified Neuro Specialist Practice Test

CNS - Certified Neuro Specialist Practice Test

CNS Patient Safety Protocols 3