Nur_265_Exam_3_Comprehensive_Assessment_2026_Verified_Solutions.pdf

NUR 265 EXAM 3 COMPREHENSIVE
ASSESSMENT 2026 VERIFIED SOLUTIONS
PREPARATION KIT

◉ What are s/s of TBI?
Answer: cushing triad


◉ What is secondary TBI?
Answer: occurs after inital


◉ What is s/s of secondary TBI?
Answer: hypotension (MAP <70)
hypoxia (PO2 <80)
hypertension
intracranial
cerebral edema (decrased HR, increased BP)


◉ What is tx of TBI?
Answer: mannitol


◉ What are n/i with TBI?

,Answer: assess pupils
assess loc
1st priority is ABCs
assess for increased ICP
log roll
head midline
cooling blanket
observe for CSF drainage
prevent hypoxia
lidocain for decrease of cough
HOB 30
neuro checks
NO: rotation, flexion, exgtension, clustercare, hyperventilation,
cough,


◉ What is teaching with TBI?
Answer: return to ER if:
severe HA
n/v
blurred vision
CSF drainage
increased weakness

,slurred speech
unequal pupil size


◉ What is a brain abscess?
Answer: Accumulation of pus within the brain tissue


◉ What is the tx for a brain abscess?
Answer: craniotomy
abx
phenytonin (seizures)


◉ what are s/s for a brain abscess?
Answer: HA
fever
pain
ataxia
aphasia
seizures
motor deficits
severe increased ICP s/s


◉ What is a primary brain tumor?

, Answer: orignate w/ in CNS


◉ What is a secondary brain tumor?
Answer: metastasis from other area of body


◉ What are complications from brain tumors?
Answer: cerebral edema
increased ICP
neuro deficits


◉ What are s/s of brain tumor?
Answer: HA
N/V
seizures
facial numbness
decreased balance/dizzy
weak
change in personality


◉ What is cardiogenic shock?
Answer: pump failure