NR574/ NR 574 Final Exam: Acute Care Practicum Review (Latest 2025/ 2026 Update) | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain

NR574/t NRt 574t Finalt Exam:t Acutet Caret
Practicumt Reviewt (Latestt 2025/t 2026t
Update)t |t Questionst &t Answers|t Gradet
A|t 100%t Correctt (Verifiedt Solutions)-t
Chamberlain
QUESTION
t Cushing'st triad
Answer:
t threet classict signs—bradycardia,t hypertension,t andt bradyp-t nea—seent witht pressuret ont
thet medullat ast at resultt oft braint stemt herniation



QUESTION
t objectivet findingst oft intracranialt HTN
Answer:
t -changest int thet levelt oft consciousness
-Cushing'st triadt (suggestivet oft brainstemt compression)
bradycardiat hypertension
t alteredt respiratoryt pattern
-headachet (continuoust thatt worsenst int thet morning)
-seizures
-changest int speech
-papilledemat ort pupillaryt changes
-oculomotort palsies
-decreasedt motort function
decerebratet (extensor)t posturingt indicatest moret serioust damaget decorticate(flexor)t
posturing
projectilet vomitingt (nott precededt byt nausea)



QUESTION

,t Decorticatet posturing
Answer:
t -"flexort posturing"t ort "mummyt baby"t (thi
mummyt preservation)t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t t
ttttttttttttttttttt
-adductiont oft armst (armst foldt tot chest);t flexiont oft elbowst andt wrists



QUESTION
t Decerebratet posturing
Answer:
t -"extensort posturing";
-abductiont oft arms,t elbowt andt wristt extension



QUESTION
t At concussiont ist consideredt at t t t t t t t t t t t t t t t t t .
Answer:
t mildt traumatict braint injuryt (MTBI)



QUESTION
t decidingt factort fort TBIt intubationt (clinicalt pearl)
Answer:
t Clinicalt Tip:t Remember
"lesst thant 8,t intubate!"t whent evaluatingt at clientt witht TBI.



QUESTION
t Mostt concussionst resultt int at losst oft consciousness.t True
False

Answer:

,t False
Rationale:t Thet answert ist false.t Clientst mayt reportt brieft losst oft consciousnesst follow-t
ingt thet incidentt butt typicallyt awakent spontaneouslyt withint at fewt minutes.t Oft note,t
moret thant 90%t oft clientst diagnosedt witht at concussiont dot nott loset consciousnesst att thet
timet oft injury.



QUESTION
t Nigelt ist broughtt tot thet emergencyt departmentt byt EMS.t Het wast ridingt at bicyclet
withoutt at helmett andt wast struckt byt at cart att at lowt ratet oft speedt whilet crossingt ant
intersection.t Hist initialt GCSt wast 14t upont arrival.t EMSt reports,t accordingt tot witnessest
att thet scene,t thatt Nigelt sustainedt at brieft losst oft consciousnesst oft <t 5t minutest (min).t
Het hast at larget hematomat tot thet frontalt scalpt andt multiplet skint abrasionst tot hist
extremities.t At non-contrastt CTt oft thet headt wast normalt andt Nigel'st follow-upt GCSt
improvedt tot 15.Classifyt Nigel'st TBIt ast mild,t moderate,t ort severe.t Nigel'st TBIt ist t t t t t t
ttttt.

Answer:
t Rationale:t Nigel'st TBIt ist mild.t Thet initialt GCSt fort clientst witht mildt TBIt ist usuallyt
betweent 13-15.Radiographict imagingt oft thet braint witht CTt ort MRIt willt bet normal.



QUESTION
t TBIt (traumatict braint injury)t clinicalt findings
Answer:
t headachet dizziness
fatiguet memoryt losst confusion
difficultyt concentratingt nauseat and/ort vomitingt drowsiness,t stupor,t coma
blurredt ort doublet visiont seizure
coma
irregulart ort dilatedt pupilst cranialt nervet palsyt speecht impairment
motort weaknesst ort paralysis



QUESTION
t Typest oft Traumatict Braint Injury
Answer:

, t -Traumatic:t damaget acquiredt fromt ant exter-t nalt force
-Non-traumatic
-Congenital:t damaget ort malformationt int thet braint thatt occurst beforet birth



QUESTION
t Causest oft Traumatict Braint Injury
Answer:
t fallst assaults
sportst injuries
motort vehiclet accidents
abuset (shakent babyt syndrome,t domestict violence)
gunshott woundst workplacet injuries



QUESTION
t causest oft TBI,t nontraumatic
Answer:
t stroket (embolic,t hemorrhagic,t ischemic)
meningitist encephalitist seizuret electricalt shockt tumors
metabolict disorderst hypoxia
neurotoxict substances



QUESTION
t causest oft congenitalt TBI
Answer:
t cerebralt palsyt anencephaly
encephalocele
Chiarit malformationst congenitalt hydrocephalust microcephaly



QUESTION
t Whicht oft thet followingt findingst wouldt thet nurset practitionert (NP)t expectt tot observet
int Nigel?t Selectt allt thatt apply.