Free Certified Neuroscience Registered Nurse Questions and Answers

Question 1

A patient with status epilepticus has been taken into the hospital. Right now, the patient is postictal. Which of the following nursing factors is most crucial when managing the patient?

Accepted Answer

Maintain an airway.

Answer

Obtain an electrocardiogram.

Answer

Insert a central line.

Answer

Prepare the patient for a lumbar puncture.

Question 2

An external ventricular drain is present in a patient. Between 25 and 30 mm Hg is the intracranial pressure (ICP) range. Which of the following traits or symptoms is not a match for these ICPs?

Accepted Answer

Tachycardia.

Answer

Irregular respirations.

Answer

Fixed pupils.

Answer

Bradycardia.

Question 3

ICP is 30 mm Hg in a patient with an external ventricular drain (EVD). When the drain is opened, the output is extremely slow. What comes after that?

Accepted Answer

Call the attending/resident.

Answer

Continue to monitor the ICP.

Answer

Flush the drain distally.

Answer

Flush the drain proximally.

Question 4

After a stroke, a patient will be given aspirin (Ecotrin) and ticagrelor (Brilinta) to take home. Which of the following side effects of these drugs ought to be explained to the family?

Accepted Answer

Bleeding

Answer

Nystagmus.

Answer

Tardive dyskinesia.

Answer

Ataxia.

Question 5

Lethargy, anorexia, vomiting, and a high-grade fever appear in an inmate with a history of HIV. The patient shows a positive Brudzinski sign during physical examination. In order to confirm the diagnosis, which of the following tests would not be used?

Accepted Answer

CT scan of the abdomen and pelvis.

Answer

Erythrocyte sedimentation rate.

Answer

Lumbar Puncture

Answer

Blood cultures

Question 6

The ICP of a patient with an EVD has been steadily rising. Which drugs should the nurse anticipate administering to this patient?

Accepted Answer

Mannitol (Osmitrol).

Answer

Hydrochlorothiazide (Microzide).

Answer

Hydralazine.

Answer

Furosemide (Lasix).

Question 7

After receiving a trigeminal neuralgia diagnosis and treatment, a patient is leaving the hospital. Which of the following recommendations for the patient should not be made by the nurse?

Accepted Answer

Chewing gum may help symptoms.

Answer

Drinking room temperature drinks may help prevent pain.

Answer

Shaving may precipitate pain.

Answer

Eating soft foods may prevent symptoms.