NUR 265 Exam 3 Review 2026
Questions and Answers . Latest
Update
Complications of TBI include? - Correct Answer: Secondary injury, hypotension decreased cerebral
percussion.
NSG for tbi? - Correct Answer: Maintain O2, monitor for S/S of ICP, Check drainage for glucose/halo sign,
hyperventilate pt to blow off CO2. Midline positioning, stay on backboard & do not remove C-collar.
ABC's!!! No hip flexing, log roll, elevate HOB.
S/S of increased ICP - Correct Answer: Early: Change in LOC, agitation, headache, and vomiting.
Late: Pupillary dilation, compression and loss of reflexes.
Medication that can lower ICP? - Correct Answer: Mannitol
High spinal chord injuries have a huge risk of causing? - Correct Answer: Respiratory compromise
What is Cushing's triad? - Correct Answer: Widened Pulse pressure
bradycardia
irregular respirations
What is decorticate posturing? - Correct Answer: Extremities are pointing towards the "core" meaning
severe brain damage
What is decerebrate posturing? - Correct Answer: Extremities are pointing away from the core.
ICP NSG? - Correct Answer: Avoid coughing, straining, gagging.
Neuro & VS checks Q1-2H
Questions and Answers . Latest
Update
Complications of TBI include? - Correct Answer: Secondary injury, hypotension decreased cerebral
percussion.
NSG for tbi? - Correct Answer: Maintain O2, monitor for S/S of ICP, Check drainage for glucose/halo sign,
hyperventilate pt to blow off CO2. Midline positioning, stay on backboard & do not remove C-collar.
ABC's!!! No hip flexing, log roll, elevate HOB.
S/S of increased ICP - Correct Answer: Early: Change in LOC, agitation, headache, and vomiting.
Late: Pupillary dilation, compression and loss of reflexes.
Medication that can lower ICP? - Correct Answer: Mannitol
High spinal chord injuries have a huge risk of causing? - Correct Answer: Respiratory compromise
What is Cushing's triad? - Correct Answer: Widened Pulse pressure
bradycardia
irregular respirations
What is decorticate posturing? - Correct Answer: Extremities are pointing towards the "core" meaning
severe brain damage
What is decerebrate posturing? - Correct Answer: Extremities are pointing away from the core.
ICP NSG? - Correct Answer: Avoid coughing, straining, gagging.
Neuro & VS checks Q1-2H