NUR 265 EXAM 3 2026 —
COMPREHENSIVE PRACTICE
QUESTIONS, ANSWERS &
COMPLETE STUDY GUIDE
, 1. damage to the brain caused by an external force - CORRECT ANSWER what is a
tbi
2. GCS of 13-15, difficulty to concentrate, (concussion), loss of consciousness up to 30min -
CORRECT ANSWER what is a mild TBI classified as ?
3. gcs of 9-12, loss of consciousness 30min-6hrs - CORRECT ANSWER what is a
moderate tbi classified as?
4. gcs 3-8, loss of consciousness more than 6hrs - CORRECT ANSWER what is a
severe tbi classified as?
5. open-skull is fractured
closed-blunt force trauma, integrity of skull isnt compromised
closed is worse - CORRECT ANSWER difference between open and closed tbi
6. Brain Hernita on-cheyne stokes breathing, hemodynamic instability, fixed and non-
reac ve pupils - CORRECT ANSWER what is the complica on of a tbi and IICP and
what is its symptoms?
1. mannitol-via iv filter, used un l serum osmolarity reaches 310-320
2. furosomide
3.fentanyl- decrease pain and restlessness
4. proprofol and midazalam-seda on
5.lidocaine- to surpress cough reflex - CORRECT ANSWER what are the medica ons used
for a TBI?
used in a TBI
, 7. pt core temp is reduced to 89.6-93.2 for 24-48hrs post primary injury, decreases cellular
demands - CORRECT ANSWER what is therapue c hypothermia ?
1.assess ABC's
2.implement spine precau ons
3.)vital signs
4.)neuro assessment
*report any GCS point change of 2 or more - CORRECT ANSWER assessment for TBI
-pt supine
-spine and head in neutral midline posi on
-bed rest
-NO neck of hip flexion
-NO thoracic/lumbar flexion
-manual control of cervical spine when C collar is removed
-log roll - CORRECT ANSWER what is included in spine precau ons?
-vitals Q1-2hrs
-if intubated provide 100%o2 before and a er every suc on
-maintain Pao2 80-100
-AVOID hyperven la on in the first 24hrs
-implement seizure precau ons
-maintain hazard free environment
-reorient pt to person, place and me
-always re introduce yourself when you go in pt room
-keep explana ons short and simple
COMPREHENSIVE PRACTICE
QUESTIONS, ANSWERS &
COMPLETE STUDY GUIDE
, 1. damage to the brain caused by an external force - CORRECT ANSWER what is a
tbi
2. GCS of 13-15, difficulty to concentrate, (concussion), loss of consciousness up to 30min -
CORRECT ANSWER what is a mild TBI classified as ?
3. gcs of 9-12, loss of consciousness 30min-6hrs - CORRECT ANSWER what is a
moderate tbi classified as?
4. gcs 3-8, loss of consciousness more than 6hrs - CORRECT ANSWER what is a
severe tbi classified as?
5. open-skull is fractured
closed-blunt force trauma, integrity of skull isnt compromised
closed is worse - CORRECT ANSWER difference between open and closed tbi
6. Brain Hernita on-cheyne stokes breathing, hemodynamic instability, fixed and non-
reac ve pupils - CORRECT ANSWER what is the complica on of a tbi and IICP and
what is its symptoms?
1. mannitol-via iv filter, used un l serum osmolarity reaches 310-320
2. furosomide
3.fentanyl- decrease pain and restlessness
4. proprofol and midazalam-seda on
5.lidocaine- to surpress cough reflex - CORRECT ANSWER what are the medica ons used
for a TBI?
used in a TBI
, 7. pt core temp is reduced to 89.6-93.2 for 24-48hrs post primary injury, decreases cellular
demands - CORRECT ANSWER what is therapue c hypothermia ?
1.assess ABC's
2.implement spine precau ons
3.)vital signs
4.)neuro assessment
*report any GCS point change of 2 or more - CORRECT ANSWER assessment for TBI
-pt supine
-spine and head in neutral midline posi on
-bed rest
-NO neck of hip flexion
-NO thoracic/lumbar flexion
-manual control of cervical spine when C collar is removed
-log roll - CORRECT ANSWER what is included in spine precau ons?
-vitals Q1-2hrs
-if intubated provide 100%o2 before and a er every suc on
-maintain Pao2 80-100
-AVOID hyperven la on in the first 24hrs
-implement seizure precau ons
-maintain hazard free environment
-reorient pt to person, place and me
-always re introduce yourself when you go in pt room
-keep explana ons short and simple
