IPI NURSING EXAM PART IV301. You are discharging a patient home after supratenorial removal of a pituitary mass. What medication would expect to have
... [Show More] ordered prophylactically for this patient?
A. Prednisone
B. Dexamethasone
C. Cafergot
D. Phentoin
302. During their pathophysiology class the nursing students study seizures. How might the instructor best describe the cause of a seizure?
A. Uncontrolled normal electrical charges throughout the brain
B. A drysrthymia in the motor strip of the brain
C. A dysrthymia in the nerve cells in one section of the brain
D. Abnormal, recurring controlled electrical charges in the brain
303. You are caring for a patient who has had transspheniodal surgery. You know that when a patient has transsphenoidal surgery it is generally for a problem with what?
A. Pituitary
B. Thalamus
C. Hypothalamus
D. Foreamenvole
304. The nursing instructor is teaching her students about monitoring a patient with increased ICP. What is a trend of ICP measurements over time an important indication of?
A. Patient’s level of consciousness
B. Patient’s ultimate prognosis
C. Whether or not the patient’s brainstem is going to herniated
D. Patient’s underlying status
305. A patient is considered terminal after being involved in a motor vehicle accident in which they received massive trauma to the head. As the patient’s ICP
increases and condition worsens, the family asks you what indications of approaching death will be there be. What would be your best response?
A. “There is a change in the pattern of their respirations.”
B. “Projectile vomiting and hemiplegia usually occur just before death.”
C. “Posturing may develop as pressure on the brain steam increases.”
D. “Loss of brain steam reflexes is a sign of approaching death.”
306. The nurse is caring for a patient with a brain tumor. What drug would the nurse expect the nurse to be ordered to reduce the edema surrounding the tumor?
A. Solumedrol
B. Dextromethrorphan
C. Dexamethasone
D. Mannitol
307. A patient with suspected head injury following an assault is being transported to the emergency department. What would the nurse expect the physician to order to aid in preventing secondary injury?
A. PET
B. CBC
C. ABG
D. MRI
308. The nurse for a patient with a spinal cord injury notes that the patient is having autonomic dysreflexia. What is the priority nursing action at this time?
A. Irrigate the catheter
B. Check the rectum for a fecal mass
C. Place the patient in a sitting position
D. A topical anesthesia is inserted into the rectum
309. A patient you are caring is noted that a 6 year old is in transit with a suspected brain injury after being involved in a pedestrian /motor vehicle accident. The child [Show Less]