EXAM 2026|2027ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS (VERIFIED ANSWERS) ALREADY
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What are symptoms of fat embolism syndrome and when do
they occur? -
ANSWER-Respiratory (tachypnea), neuro (agitation, anxiety)
and dermal
(petechial rash on chest), occur 12-72 hours after pelvic or long
bone fractures
What is a diffuse brain injury? - ANSWER-Global, generalized.
Directly affects
consciousness, such as diffuse axonal injury or
concussion
What is a focal brain injury? - ANSWER-Local, indirectly affects
consciousness.
Focal injuries are something you could point to like a skull
fracture or bleed
What events are typical of diffuse brain injuries? -
ANSWER-Following the
injury, there is a transient loss of consciousness, then the
brain re-boots
,What are clinical findings suggestive of TBI? - ANSWER-
Somatic-H/A, N&V,
blurred vision,
fatigue
Cognitive-confusion, impaired
judgement
Emotional-depression, irritability, sleep
disturbances
What is the treatment for TBI? - ANSWER-REST
What is TBI and second impact syndrome? - ANSWER-Occurs
when an injured
brain receives a SECOND blow in anywhere from minutes to
weeks after the
initial impact. This condition is
often fatal
Peri-orbital ecchymosis or 'raccoon eyes" are result of? -
ANSWER-Anterior
fossa
fracture
Post-aricular hematoma or "Battle sign" is a result of? -
ANSWER-Middle fossa
fracture.
If patient has a tympanic tear, CSF leaks -
otorrhea
,Pressure on which cranial nerve results in pupillary
dilation and loss of
reactivity? - ANSWER-Cranial
nerve III
What is the most common site of an epidural hematoma? -
ANSWER-Under the
temporal bone, at site of the middle meningeal artery. Blood
accumulates under
the dura. On CT the hematoma
appears convex
What is the hallmark of an epidural hematoma? - ANSWER-A
lucid interval after
the injury, the as the bleeding puts more pressure on the
brain-fixed & dilated
pupils on the injured side, motor and sensory
changes on the
CONTRALATERAL
side
What is the cause of a Subdural hematoma? - ANSWER-
Bleeding bridging vein
is
cause
More common than
epidural
, Blood on brain causes mechanical &
chemical damage
Will have same sided (ipsilateral) pupil dilation, contralateral
weakness and
sensory
dysfunction
What diagnostic study best identifies intracranial bleeds? -
ANSWER-CT,
fractures and bleeds are readily apparent on CT,
concussions and diffuse
injuries are
not
What is a cerebral contusion? - ANSWER-It is bruising of gray
or white matter,
that "blossom"
over time
What is the chief nursing concern with a cerebral contusion? -
ANSWER-
Neurological deterioration, reassess frequently
Early findings include confusion, drowsiness, irritability,
Disorientation, H/A,
N&V
What is a intraparenchymal hemorrhage? - ANSWER-It is
bleeding within the brain tissue, cerebrum, cerebellum or
brainstem. They are NOT routinely or easily evacuated.