CNRN Flashcards Certified Correct Questions and Answers
Complete Study Guide
What is used to to classify LOC and is particularly suited to assess comatose patients and those in the
acute stages of injury? - Correct Answer- Glascow Coma Scale
GCS Range - Correct Answer- 3 to 15
15 on a GCS equals - Correct Answer- full alertness
Mild Injury GCS - Correct Answer- 13-15
Moderate injury GCS - Correct Answer- 9-12
What does a score less than 8 on a GCS indicate? - Correct Answer- severe brain injury
What is being gauged on a GCS? - Correct Answer- -Eye opening
-Motor
-Verbal ability
What is used first in a GCS assessment? - Correct Answer- Voice
What do you do if the patient is unresponsive to auditory cues? - Correct Answer- Use tactile stimulation
What do you begin with when using tactile stimulation? - Correct Answer- gentle shaking or touching
If touching or shaking doesn't work, what next? - Correct Answer- apply more pressure or pinching the
, upper chest or upper back
Major indicator of neurological change - Correct Answer- Level of consciousness
Consciousness refers to both _______ and ______ ________ - Correct Answer- -alertness
-cognitive function
What makes a patient obtunded? - Correct Answer- -They require stimuli for arousal
-can follow commands with repeated stimulation
-are able to respond but only with few words
-appear drowsy
What makes a patient stuporous? - Correct Answer- -lack of spontaneous movement or verbalization
-minimal responsiveness
Patients who are unarousable and have their eyes closed are considered to be what? - Correct Answer-
comatose
How many levels can coma be divided into? - Correct Answer- three
What is primary injury? - Correct Answer- Insult caused directly by contact to the head and brain at the
time of injury
Low impact velocities limit what? - Correct Answer- -Injuries to the skull (fracture)
-injuries to the scalp (laceration)
High velocity impact involves the brain as well causing what? - Correct Answer- intracerebral
hemorrhage
Complete Study Guide
What is used to to classify LOC and is particularly suited to assess comatose patients and those in the
acute stages of injury? - Correct Answer- Glascow Coma Scale
GCS Range - Correct Answer- 3 to 15
15 on a GCS equals - Correct Answer- full alertness
Mild Injury GCS - Correct Answer- 13-15
Moderate injury GCS - Correct Answer- 9-12
What does a score less than 8 on a GCS indicate? - Correct Answer- severe brain injury
What is being gauged on a GCS? - Correct Answer- -Eye opening
-Motor
-Verbal ability
What is used first in a GCS assessment? - Correct Answer- Voice
What do you do if the patient is unresponsive to auditory cues? - Correct Answer- Use tactile stimulation
What do you begin with when using tactile stimulation? - Correct Answer- gentle shaking or touching
If touching or shaking doesn't work, what next? - Correct Answer- apply more pressure or pinching the
, upper chest or upper back
Major indicator of neurological change - Correct Answer- Level of consciousness
Consciousness refers to both _______ and ______ ________ - Correct Answer- -alertness
-cognitive function
What makes a patient obtunded? - Correct Answer- -They require stimuli for arousal
-can follow commands with repeated stimulation
-are able to respond but only with few words
-appear drowsy
What makes a patient stuporous? - Correct Answer- -lack of spontaneous movement or verbalization
-minimal responsiveness
Patients who are unarousable and have their eyes closed are considered to be what? - Correct Answer-
comatose
How many levels can coma be divided into? - Correct Answer- three
What is primary injury? - Correct Answer- Insult caused directly by contact to the head and brain at the
time of injury
Low impact velocities limit what? - Correct Answer- -Injuries to the skull (fracture)
-injuries to the scalp (laceration)
High velocity impact involves the brain as well causing what? - Correct Answer- intracerebral
hemorrhage
