CNRN Exam for American Association of Neuroscience Nurses (AANN) and American Board, Exams of Nursing

Download CNRN Exam for American Association of Neuroscience Nurses (AANN) and American Board and more Exams Nursing in PDF only on Docsity! CNRN Exam for American Association of Neuroscience Nurses (AANN) and American Board of Neuroscience Nursing (ABNN) with verified answers 1. A baby with Down syndrome is likely to need? CORRECT ANSWER assistance breast feeding or bottle feeding with manual support of chin and throat 2. A child with Down syndrome in school is having difficulty learning new material & requiring a great deal of repitition; what test should be considered CORRECT ANSWER polysomnography (r/o sleep apnea) 3. A conscious hemiplegic stroke pt should transfer from chair to bed how? CORRECT ANSWER orienting the chair at an angle and the unaffected side closest to the bed 4. A patient with post-polio syndrome most likely had what kind of recovery course from the initial illness CORRECT ANSWER normal or good recovery course 5. A person with a severe throbbing Rt sided headache 3 days post MVA, & transient ipsilateral monocular blindness should be monitored for what? CORRECT ANSWER partial Horner's syndrome 6. A tremor that occurs most prominently when the hands are in use is r/t? CORRECT ANSWER benign essential tremor 7. A very common manifestation of carotid dissection r/t neck injury CORRECT ANSWER partial Horner's syndrome 8. A young patient presenting with Bell's palsy should always be evaluated for CORRECT ANSWER diabetes 9. Advised to avoid glucose-containing IVF in pts with TBI b/c it can contribute to... CORRECT ANSWER neurotoxic acidosis 10. Anosmia CORRECT ANSWER the inability to perceive odor or a lack of functioning olfaction 11. Antibiotic treatment for neurosyphillis should consist of: CORRECT ANSWER IV aqueous crystalline PCN-G q4h x 10-14 days 12. Assists in preventing opiod tolerance CORRECT ANSWER dextromethorphan 13. Back and leg pain associated with lumbar spinal stenosis is usually improved how? CORRECT ANSWER improves somewhat with walking uphill 14. Battle's sign CORRECT ANSWER ecchymosis over the temporal bones--develops typically 12-24hrs following the basal skull fracture 15. Before deep brain stimulation is used in a Parkinson's pt, they should CORRECT ANSWER dc PD meds the night before surgery 16. Best treatment options for a woman in 3rd trimester of pregnancy with + Tinel's and Phalen's sign is what? CORRECT ANSWER wrist splints and rehab modalities 17. Best way to prevent the development of peroneal nerve palsy in a recently immobilized pt is what? CORRECT ANSWER avoiding pressure to the back of the knees during period when pt is immobilized 18. Careful temperature monitoring following an acute CVA is important b/c CORRECT ANSWER hyperthermia increases the risk of infarct extension 19. Cerebellar tremors primarily are associated when? CORRECT ANSWER at the end of a movement 20. Characteristic finding on EEG in a patient experiencing "staring spells" 39. most prevalent focal dystonia CORRECT ANSWER torticollis 40. MS pts being treated with Tysabri require intensive long-term monitoring why? CORRECT ANSWER there is a 1/1000 risk of developing progressive multifocal leukoencephalopathy 41. neurofibromatosis is inherited how? CORRECT ANSWER autosomal dominant fashion, but as many as 1/3 are spontaneous mutations 42. neuropathic pain follows what pattern typically? CORRECT ANSWER worse in the evening 43. on EMG examination of a patient with post-polio syndrome, you can expect to see CORRECT ANSWER evidence of anterior horn disease with increased amplitude and duration with the evoked potentials and increased % of polyphasic potentials 44. One MOST important discharge education piece to include to parents taking home a baby with Erb's palsy is what? CORRECT ANSWER PROM exercises for the affected arm 45. Pain upon straight leg raising in a multi trauma patient may indicate what? CORRECT ANSWER herniated nucleus pulposus 46. Patient presenting with pure mental neuropathy (numb chin syndrome) is MOST likely to have? CORRECT ANSWER metastatic cancer 47. patients with adrenoleukodystrophy ALD lack: CORRECT ANSWER an enzyme that breaks down very long chain fatty acids 48. patients with idiopathic intracranial HTN should be followed with CORRECT ANSWER quantitative visual field examination 49. patients with multiple system atrophy become overheated and are at significant risk for heat stroke because: CORRECT ANSWER they fail to sweat 50. people with Down syndrome have the GREATEST increased risk of: CORRECT ANSWER dementia 51. post-polio syndrome can cause CORRECT ANSWER sleep apnea 52. Prevention of DVT in the patient hospitalized for GB management is best accomplished how? CORRECT ANSWER mini doses of heparin 53. Pt's presenting with impaired memory, broad-based magnetic gait, and urinary incontinence display what d/o? what treatment is indicated? CORRECT ANSWER NPH...normal pressure hydrocephalus...treatment is VP shunt 54. pt's with _____have a predisposition to generalized sz... CORRECT ANSWER Stage 3 Alzheimer's dz 55. pt's with ALS experience extended survival time and extended time not requiring a tracheostomy when treated with ? CORRECT ANSWER Riluzole 56. Pts rec'g the following therapies (INH, RIF, EMB, PZA) for HIV should receive supplements of what? CORRECT ANSWER Vitamin B6 (pyridoxine) 57. Pts with ALD lack what? CORRECT ANSWER Enzyme that breaks down VLCFAs 58. RLS can affect people of what age group? CORRECT ANSWER Any age 59. Severe sharp pain with passive hip flexion may indicated what? CORRECT ANSWER hip fracture 60. specific condition of small vessels that can lead to lacunar strokes CORRECT ANSWER lipohyalinosis 61. Subdural hematomas most commonly result from what? CORRECT ANSWER venous bleeding from the tearing of briding veins 62. symmetric, bilat distribution of sensory and motor deficits, beginning distally and progressing proximally CORRECT ANSWER diabetic peripheral neuropathy 63. Sympathetic blockade can reduce pain associated with: CORRECT ANSWER postherpetic neuralgia 64. The BEST method for preventing subacute sclerosing pan encephalitis (SSPE) is? CORRECT ANSWER measles vaccinations 65. The best pharmacologic approach to symptoms of RLS is usually CORRECT ANSWER cyclic deployment of various classes of medications 66. The classic triad of fever, focal abnormalities, and increased ICP are seen in ... CORRECT ANSWER brain abscesses 86. Treating spasticity in pts with syringomyelia should be balanced so as to not: CORRECT ANSWER inadvertently increase weakness 87. Treatment of Parkinson's with Carbidopa, the drug helps how? CORRECT ANSWER inhibits the enzyme dopa decarboxylase 88. Tremors associated with Parkinson's disease occur primarily when? CORRECT ANSWER at rest 89. Tremors d/t toxic or metabolic abnorms occur when? CORRECT ANSWER both at rest and with motion 90. Triptans should not be used to abort migraine headaches in patients who: CORRECT ANSWER have HTN or other risk factors for heart attack or stroke 91. Untreated hydrocephalus in newborns: CORRECT ANSWER has a 50-60% death rate overall 92. Untreated syringomyelia can expect what type of progression? CORRECT ANSWER slow progression with slow accumulation of neurological deficits 93. What are classic signs of autonomic dysfunction syndrome and what's the most common intervention CORRECT ANSWER hypertension, tachycardia, tachypnea, and fever---iv morphine 94. What are the 5 classic syndromes of lacunar strokes CORRECT ANSWER pure motor hemiparesis, ataxic hemiparesis, dysarthria/clumsy hand syndrome, pure sensory stroke, and mixed sensorimotor stroke 95. What are the most common sign's of erb's palsy? CORRECT ANSWER loss of sensation in the arm and paralysis and atrophy of the deltoid, biceps, and brachialis muscles. 96. What group of people have the greatest risk of ICH? CORRECT ANSWER patients with unruptured intracerebral AVM's 97. What is a common alternative approach to preventing the s/s of carpel tunnel syndrome? CORRECT ANSWER yoga 98. What is a disadvantage to gamma-knife tx for malignant brain tumors? CORRECT ANSWER it's unable to detect malig cells that may have infiltrated into surrounding normal tissues 99. What is a potential complication of a CSF leak in basal skull fx's? CORRECT ANSWER the trapping of portions of the frontal meninges b/w the fx edges with a persistent CSF leak requiring surgical intervention 100. What isa ttributed to the greatest improvement in survival rates of pts with metastatic brain CA? CORRECT ANSWER RADIOSURGERY 101. What is the best strategy to ensue that a patient with middle stages of Alzheimer's dz can carry out complex instructions? CORRECT ANSWER both verbal and nonverbal cues simultaneously 102. What is the best way to accomplish external draining of CSF via an EVD? CORRECT ANSWER drain a few drops/minute and close the drain after 5min or less 103. what is the biggest insurmountable obstacle to effective pharmacological treatments for patients with cluster headaches CORRECT ANSWER cigarette smoking 104. what is the greatest risk factor for lacunar strokes CORRECT ANSWER hypertension 105. what is the major difference b/w subdural hematoma and subdural hygroma CORRECT ANSWER subdural hematoma is blood, and subdural hygroma is CSF 106. what is the most common cause of a radial nerve injury CORRECT ANSWER humerus fracture 107. what is the most common cause of Erb's palsy? CORRECT ANSWER dystocia or abnormal or difficult childbirth or labor 108. What is the most common neurological manifestation of HIV dz? CORRECT ANSWER Peripheral neuropathy 109. what is the most common route for metas malignant tumors of other organs to spread to the CNS? CORRECT ANSWER via blood circulation 110. what is the MOST common source of infection leading to brain abcesses? CORRECT ANSWER hematogenous spread from distant infected sites, such as PNA, lung abscess, or bacterial endocarditis 111. what is the most important diagnostic test for the pt having a dull headache, superimposed ice pick sensations on the scalp, jaw claudication, and elevated ESR? CORRECT ANSWER temporal artery biopsy--r/o giant cell arteritis 112. what is the only fully established risk factor for meningomas? CORRECT ANSWER radiation exposure 113. what is the only non-pain sensitive tissue in the head/brain CORRECT ANSWER brain parenchyma 114. what is the Phalen's sign? CORRECT ANSWER maneuver to diagnose carpel tunnel--hands forced dorsal sides together and wrists flexed to 90deg; positive test causes burning, tingling, or numb sensation over the thumb, index, middle and ring fingers.