NUR 4 EXAM 4 QUESTIONS AND
ANSWERS 100% PASS 2026 UPDATE.
Examples of neurologic trauma (4) - ANS Head trauma
Non-accidental head trauma
Birth trauma
Near drowning
Head injuries- open vs. closed. Which has the highest risk for infection - ANS Open:
penetration to the skull *high risk for infection
Closed: no penetration to the skill
T/F: You can remove a collar off of a cervical spine injury patient when they come to the ER -
ANS False! Never remove a stabilizer collar until orders allow
What is the earliest indication of neuro trauma? - ANS Level of consciousness
Level of consciousness- full consciousness - ANS Child is awake and alert, oriented to time,
place, and person age-appropriately
Level of consciousness- confused - ANS Child is disorientated, alert but responds
inappropriately to questions
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Level of consciousness- obtunded - ANS Child has limited responses to the environment and
falls asleep unless stimulated
Level of consciousness- stupor - ANS Child only responds only to vigorous stimulation
Level of consciousness- coma - ANS Child cannot be aroused, even with painful stimuli
What is the Glascow Coma Scale? What does a lower score indicate? - ANS Assessment tool
used to determine level of consciousness and suggest proper tools + interventions to be used
The lower the score is, the worse the LOC is
Early signs of increased intracranial pressure- infants (6) - ANS Bulging fontanelles
Weak sutures
Increased head circumference
Dilated scalp veins
High-pitched cry
Sun-setting eyes
Early signs of increased intracranial pressure- children (6) - ANS Headache
N/V
Blurred and/or dizzy vision
Lethargy
Changes in LOC
Irritability
Late changes of increased intracranial pressure (5) - ANS Lower LOC
Decreased motor and sensory responses
Bradycardia
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS 100% PASS 2026 UPDATE.
Examples of neurologic trauma (4) - ANS Head trauma
Non-accidental head trauma
Birth trauma
Near drowning
Head injuries- open vs. closed. Which has the highest risk for infection - ANS Open:
penetration to the skull *high risk for infection
Closed: no penetration to the skill
T/F: You can remove a collar off of a cervical spine injury patient when they come to the ER -
ANS False! Never remove a stabilizer collar until orders allow
What is the earliest indication of neuro trauma? - ANS Level of consciousness
Level of consciousness- full consciousness - ANS Child is awake and alert, oriented to time,
place, and person age-appropriately
Level of consciousness- confused - ANS Child is disorientated, alert but responds
inappropriately to questions
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Level of consciousness- obtunded - ANS Child has limited responses to the environment and
falls asleep unless stimulated
Level of consciousness- stupor - ANS Child only responds only to vigorous stimulation
Level of consciousness- coma - ANS Child cannot be aroused, even with painful stimuli
What is the Glascow Coma Scale? What does a lower score indicate? - ANS Assessment tool
used to determine level of consciousness and suggest proper tools + interventions to be used
The lower the score is, the worse the LOC is
Early signs of increased intracranial pressure- infants (6) - ANS Bulging fontanelles
Weak sutures
Increased head circumference
Dilated scalp veins
High-pitched cry
Sun-setting eyes
Early signs of increased intracranial pressure- children (6) - ANS Headache
N/V
Blurred and/or dizzy vision
Lethargy
Changes in LOC
Irritability
Late changes of increased intracranial pressure (5) - ANS Lower LOC
Decreased motor and sensory responses
Bradycardia
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
