1|Page
SCFHS-Style Clinical Final Exam Level 3
Nurse||Verified Exam!!!||, 2026/2027-Question
Prometric-Format Nursing Competency Examination
with Rationales||Newest Exam!!!
Describe the administration requirements of TPA? -
Answer-Administer within TPA 60 minutes of ER
admission. MUST administer within 3 hours of
signs/symptoms of stroke.
Causes of TBI? - Answer-SIDS, MVA, Falls, Sports,
ETOH, drug use
**MVA most common throughout all ages
Describe and give examples of mild brain injury. - Answer--
No long-lasting effects, rapid recovery
-Concussion,
Describe and give examples of moderate brain injury. -
Answer--LOC (few minutes to hours)
-Confusion (days even weeks)
-Complete recovery or able to adapt to disability
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-Severe concussion
Give examples of severe brain injury? - Answer--
Prolonged LOC (days, weeks, months)
-Severe deficits
-Limited recovery
-Permanent disability
IE: vegetative state, coma, brain death
Methods to decrease increased intracranial pressure? -
Answer-Mannitol
Elevated head of bed
No bending at waist
Decrease stimuli/stress/straining/coughing
Give oxygen, corticosteroids
Bed rest
**Align head/neck with rest of body
Start IV
What should be avoided in patients with ICP? - Answer-
Stimuli/stress/straining
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No smoking
Give stool softeners/laxatives
**No unnecessary suctioning!!
**No lying flat!
**No elevation of feet!
What are three categories of tx for brain tumors? -
Answer-Surgery
Radiation
Chemo
Treatments for embolytic stroke? - Answer-**TPA,
**If someone is unable to get TPA: heparin/ASA, shunts,
angioplasty
Sxs of hepatitis A. - Answer-Mild flu-like sxs
Most common reasons for hep A? - Answer-Fecal/oral
route
Contaminated food/water
More common in pediatrics
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Sxs of hepatitis B - Answer-Jaundice
N/V, anorexia
Rash
Changes in stool (light colored) dark colored urine
Non-modifiable risk factors for stroke? - Answer-Age,
family history, gender, sex, DM1
Modifiable risk factors for stroke? - Answer-DM2, **HTN**,
smoking, a.fib, sickle cell
What should you teach a client about risk factors for
stroke? - Answer-**Monitor/control blood pressure**, Quit
smoking, need to follow a healthy balanced diet, stop
drinking/drug use, decrease BMI
Diagnostic tests to evaluate stroke? - Answer-CT, MRI,
PET Scan
INR, PT, aPTT, Creatinine, allergies, BMP, CBC
SCFHS-Style Clinical Final Exam Level 3
Nurse||Verified Exam!!!||, 2026/2027-Question
Prometric-Format Nursing Competency Examination
with Rationales||Newest Exam!!!
Describe the administration requirements of TPA? -
Answer-Administer within TPA 60 minutes of ER
admission. MUST administer within 3 hours of
signs/symptoms of stroke.
Causes of TBI? - Answer-SIDS, MVA, Falls, Sports,
ETOH, drug use
**MVA most common throughout all ages
Describe and give examples of mild brain injury. - Answer--
No long-lasting effects, rapid recovery
-Concussion,
Describe and give examples of moderate brain injury. -
Answer--LOC (few minutes to hours)
-Confusion (days even weeks)
-Complete recovery or able to adapt to disability
,2|Page
-Severe concussion
Give examples of severe brain injury? - Answer--
Prolonged LOC (days, weeks, months)
-Severe deficits
-Limited recovery
-Permanent disability
IE: vegetative state, coma, brain death
Methods to decrease increased intracranial pressure? -
Answer-Mannitol
Elevated head of bed
No bending at waist
Decrease stimuli/stress/straining/coughing
Give oxygen, corticosteroids
Bed rest
**Align head/neck with rest of body
Start IV
What should be avoided in patients with ICP? - Answer-
Stimuli/stress/straining
,3|Page
No smoking
Give stool softeners/laxatives
**No unnecessary suctioning!!
**No lying flat!
**No elevation of feet!
What are three categories of tx for brain tumors? -
Answer-Surgery
Radiation
Chemo
Treatments for embolytic stroke? - Answer-**TPA,
**If someone is unable to get TPA: heparin/ASA, shunts,
angioplasty
Sxs of hepatitis A. - Answer-Mild flu-like sxs
Most common reasons for hep A? - Answer-Fecal/oral
route
Contaminated food/water
More common in pediatrics
, 4|Page
Sxs of hepatitis B - Answer-Jaundice
N/V, anorexia
Rash
Changes in stool (light colored) dark colored urine
Non-modifiable risk factors for stroke? - Answer-Age,
family history, gender, sex, DM1
Modifiable risk factors for stroke? - Answer-DM2, **HTN**,
smoking, a.fib, sickle cell
What should you teach a client about risk factors for
stroke? - Answer-**Monitor/control blood pressure**, Quit
smoking, need to follow a healthy balanced diet, stop
drinking/drug use, decrease BMI
Diagnostic tests to evaluate stroke? - Answer-CT, MRI,
PET Scan
INR, PT, aPTT, Creatinine, allergies, BMP, CBC
