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, The nurse is providing care to a patient with a closed head injury with a Glasgow Coma
Scale (GCS) score of 6. What does this score indicate about the patient's neurologic
status?
a. Patient is in vegetative state.
b. Patient is a paraplegic.
c. Patient is in a coma.
d. Patient is able to obey commands. - correct ans:C
A patient with a serious head injury has been admitted. The nurse knows that certain
neurologic findings can indicate the prognosis for the patient. Which finding denotes the
most serious prognosis?
a. Abnormal flexion
b. Abnormal extension
c. Localization
d. Withdrawal - correct ans:B
The nurse knows that change in pupil size is a significant neurologic finding particularly in
the patient with a head injury. How much of a size difference between the two pupils is
still considered normal?
a. 1 mm
b. 1.5 mm
c. 2 mm
d. 2.5 mm - correct ans:A
A patient is admitted immediately after a craniotomy. The patient has no history of eye
surgery. When assessing the size and shape of the patient's pupils, the nurse observes the
patient's left pupil is oval. What does this finding indicate?
a. Cortical dysfunction