Exam Questions and Correct
Answers | New Update
Which statement is accurate for management of a patient with traumatic
brain injury (TBI)?
a. An adequate cough reflex will protect the patient's airway
b. Poor oral hygiene can lead to respiratory crisis from secretions
c. A tracheotomy is needed and will interfere with the patient's ability to
communicate
,d. The patient may not realistically expect to regain normal speech with
vocal cord damage - ANSWER ✔✔b. Poor oral hygiene can lead to
respiratory crisis from secretions
Which phrase describes an open traumatic brain injury (TBI)?
a. An injury in which the skull is fractured
b. An injury in which the skull remains intact
c. An injury that damages only the brain tissue
d. An injury in which there is increased intracranial pressure (ICP) -
ANSWER ✔✔a. An injury in which the skull is fractured
The nurse suspects which diagnosis when a patient's assessment
findings include a recent blow to the head with a heavy object, amnesia
about the event, no loss of consciousness, and an MRI that shows no
evidence of brain damage?
a. Mild traumatic brain injury (MTBI)
b. Acute traumatic brain injury
c. Severe traumatic brain injury
d. Moderate traumatic brain injury - ANSWER ✔✔a. Mild traumatic
brain injury (MTBI)
,Rationale: With moderate TBI, patients have loss of consciousness, and
CT and MRI scans usually show brain injury. Acute TBI is not a real
category. And with severe TBI, the patient has loss of consciousness,
and CT and MRI scans catch tissue damage in the brain early.
An impairment of which function could be the result of TBI? SATA.
a. mobility
b. cognition
c. reproduction
d. sensory perception
e. psychosocial function - ANSWER ✔✔a. mobility
b. cognition
d. sensory perception
e. psychosocial function
Which causes of TBI in the U.S. are the most common? SATA.
a. falls
b. violence
c. physical abuse
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, d. sports-related injuries
e. motor vehicle crashes - ANSWER ✔✔a. falls
e. motor vehicle crashes
Which symptom concerns the nurse the most when assessing a patient
with a TBI after a skateboarding incident?
a. amnesia
b. restlessness
c. head laceration
d. asymmetric pupils - ANSWER ✔✔d. asymmetric pupils
Rationale: asymmetric (uneven) pupils, loss of light reaction, or unilateral
or bilateral pupils are a sign of severe TBI. Amnesia, restless, and a
head laceration could be symptoms of mild TBI.
Which statement describes an indirect traumatic brain injury (TBI)?
a. Force was applied directly to the patient's head
b. Force was applied to the head by an object or tool, not another body
part
c. Force was applied to another body part, but the brain was still affected