Page 1 of 60
NSG 233 Med Surg III Exam 2 Newest 2025 Actual
Exam| Complete Questions and Correct Detailed
Answers (Verified Answers) Graded A+
What is the cardinal behavioral sign of a frontal lobe traumatic
brain injury? .....ANSWER..... Bizarre or irrational behavior.
What is the cardinal neurologic sign of a temporal lobe
traumatic brain injury? .....ANSWER..... Amnesia or disorientation.
Upon discharge, which s/s would you teach the patient to return
to the emergency department if they begin experiencing?
.....ANSWER..... - decreased LOC.
- worsening headache.
- Dizziness.
- Seizures.
- Abnormal pupil response.
- vomiting.
,Page 2 of 60
- irritability.
- slurred speech.
- weakness or numbness of the extremities.
What are the three cardinal signs of brain death?
.....ANSWER..... 1. coma.
2. absence of reflexes.
3. apnea.
What GCS score indicates a severe traumatic brain injury?
.....ANSWER..... A score of 3-8.
What are the three signs of the Cushing's Triad and what do they
indicate? .....ANSWER..... 1. Bradycardia (decreased heart rate).
2. Widening pulse pressure (SBP is rising).
3. Irregular respirations.
,Page 3 of 60
- Cushing's Triad indicates increased intracranial pressure.
What is a common electrolyte imbalance in patients who
experience a TBI? .....ANSWER..... Hyponatremia (low sodium).
Normal sodium levels are 135-145 mEq/L.
What are some nursing interventions for a TBI? .....ANSWER..... -
Maintain a patent airway.
- monitor neurologic function (neuro checks).
- monitor vitals (look for Cushing's triad).
- POSITION HOB AT 30 DEGREES WITH THE NECK IN A
NEUTRAL POSITION TO PROTECT C-SPINE.
- assess motor function.
- monitor for fluid and electrolyte imbalances, especially sodium.
- promote adequate nutrition.
, Page 4 of 60
- maintain thermoregulation.
- maintain skin integrity.
- early administration of anticonvulsants.
- maintain cerebral perfusion pressure.
What can hyponatremia cause? What precautions do we need to
place our patient on because of this? .....ANSWER..... Seizures!
Seizure precautions.
What should cerebral perfusion pressure be maintained at?
.....ANSWER..... Above 50 mmHg.
What are three common symptoms for a patient coming out of a
coma? .....ANSWER..... 1. agitation.
2. restlessness.
3. incontinence.
NSG 233 Med Surg III Exam 2 Newest 2025 Actual
Exam| Complete Questions and Correct Detailed
Answers (Verified Answers) Graded A+
What is the cardinal behavioral sign of a frontal lobe traumatic
brain injury? .....ANSWER..... Bizarre or irrational behavior.
What is the cardinal neurologic sign of a temporal lobe
traumatic brain injury? .....ANSWER..... Amnesia or disorientation.
Upon discharge, which s/s would you teach the patient to return
to the emergency department if they begin experiencing?
.....ANSWER..... - decreased LOC.
- worsening headache.
- Dizziness.
- Seizures.
- Abnormal pupil response.
- vomiting.
,Page 2 of 60
- irritability.
- slurred speech.
- weakness or numbness of the extremities.
What are the three cardinal signs of brain death?
.....ANSWER..... 1. coma.
2. absence of reflexes.
3. apnea.
What GCS score indicates a severe traumatic brain injury?
.....ANSWER..... A score of 3-8.
What are the three signs of the Cushing's Triad and what do they
indicate? .....ANSWER..... 1. Bradycardia (decreased heart rate).
2. Widening pulse pressure (SBP is rising).
3. Irregular respirations.
,Page 3 of 60
- Cushing's Triad indicates increased intracranial pressure.
What is a common electrolyte imbalance in patients who
experience a TBI? .....ANSWER..... Hyponatremia (low sodium).
Normal sodium levels are 135-145 mEq/L.
What are some nursing interventions for a TBI? .....ANSWER..... -
Maintain a patent airway.
- monitor neurologic function (neuro checks).
- monitor vitals (look for Cushing's triad).
- POSITION HOB AT 30 DEGREES WITH THE NECK IN A
NEUTRAL POSITION TO PROTECT C-SPINE.
- assess motor function.
- monitor for fluid and electrolyte imbalances, especially sodium.
- promote adequate nutrition.
, Page 4 of 60
- maintain thermoregulation.
- maintain skin integrity.
- early administration of anticonvulsants.
- maintain cerebral perfusion pressure.
What can hyponatremia cause? What precautions do we need to
place our patient on because of this? .....ANSWER..... Seizures!
Seizure precautions.
What should cerebral perfusion pressure be maintained at?
.....ANSWER..... Above 50 mmHg.
What are three common symptoms for a patient coming out of a
coma? .....ANSWER..... 1. agitation.
2. restlessness.
3. incontinence.
