MSNCB Neurological Nursing 2

Question 1

A patient with a subarachnoid hemorrhage suddenly develops worsening headache, photophobia, and neck stiffness. Which complication is most likely occurring?

Accepted Answer

Rebleeding

Answer

Sudden worsening of headache after subarachnoid hemorrhage is the classic sign of rebleeding, the most dangerous early complication.

Question 2

Which Glasgow Coma Scale score indicates severe traumatic brain injury?

Accepted Answer

8 or below

Answer

A GCS score of 8 or below classifies a traumatic brain injury as severe and typically requires intubation to protect the airway.

Question 3

A nurse is caring for a patient post-craniotomy. Which finding requires IMMEDIATE intervention?

Accepted Answer

Pupils unequal and non-reactive

Answer

Unequal, non-reactive pupils post-craniotomy indicate uncal herniation and brainstem compression, requiring immediate intervention.

Question 4

What is the priority nursing intervention for a patient experiencing status epilepticus?

Accepted Answer

Protect the airway and administer IV benzodiazepine

Answer

Airway protection and rapid administration of IV benzodiazepines (such as lorazepam) are the immediate priorities in status epilepticus.

Question 5

A patient with Guillain-Barré syndrome is admitted. Which assessment finding is most critical to monitor?

Accepted Answer

Respiratory rate and tidal volume

Answer

Ascending paralysis in Guillain-Barré syndrome can involve respiratory muscles, making respiratory function the most critical assessment.

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

(MSNCB) Medical-Surgical Nursing Certification Board Practice Test

MSNCB Neurological Nursing 2