3. A 16-year-old’s level of arousal was

3. A 16-year-old’s level of arousal was altered after taking a recreational drug. Physical exam revealed a negative Babinski sign, equal and reactive pupils, and roving eye movements. Which of the following diagnoses will the nurse most likely see on the chart? a. Metabolically induced coma b. Structural arousal alteration c. Structurally induced coma d. Psychogenic arousal alteration 4. The breathing pattern that reflects respirations based primarily on carbon dioxide (CO2) levels in the blood is: a. normal. b. ataxic. c. central neurogenic. d. Cheyne-Stokes. 5. A teenager sustains a severe closed head injury following an all-terrain vehicle (ATV) accident and is in a state of deep sleep that requires vigorous stimulation to elicit eye opening. How should the nurse document this in the chart? a. Stupor b. Obtundation c. Coma d. Confusion 6. A patient experiences a severe head injury hitting a tree while riding a motorcycle. Breathing becomes deep and rapid but with normal pattern. What term should the nurse use for this condition? a. Gasping b. Apneusis c. Ataxic breathing d. Central neurogenic hyperventilation 7. A patient presents to the emergency room (ER) reporting excessive vomiting. A CT scan of the brain reveals a mass in the: a. medulla oblongata. b.skull fractures. c.thalamus. d. frontal lobe. 8. For legal purposes, brain death is defined as: a. death of the brainstem. b. lack of cortical function. c. a consistent vegetative state (VS). d. cessation of entire brain function. 9. When thought content and arousal level are intact but a patient cannot communicate and is immobile, the patient is experiencing: a. cerebral death. b. cerebellar motor syndrome. c. locked-in syndrome. d. dysphagia. 10. What term is used to describe an explosive, disorderly discharge of cortical neurons? a. Reflex b. Brain death c. Inattentiveness d. Seizure 11. A patient has memory loss of events that occurred before a head injury. What cognitive disorder does the nurse suspect the patient is experiencing? a. Selective memory deficit b. Executive memory deficit c. Anterograde amnesia d. Retrograde amnesia 12. A 65-year-old patient who recently suffered a cerebral vascular accident is now unable to recognize and identify objects by touch because of injury to the sensory cortex. How should the nurse document this finding? a. Hypomimesis b. Dysphasia c. Agnosia d. Echolalia Question 13. A patient experiences a stroke and now has difficulty writing and producing language. This condition is most likely caused by occlusion of the: a. anterior communicating artery. b. middle cerebral artery. c. posterior communicating artery. d. circle of Willis.

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