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NUR 265 EXAM 3 ACTUAL EXAM 2026 | ALL QUESTIONS AND CORRECT ANSWERS | VERIFIED ANSWERS | BRAND NEW VERSION!

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NUR 265 EXAM 3 ACTUAL EXAM 2026 | ALL QUESTIONS AND CORRECT ANSWERS | VERIFIED ANSWERS | BRAND NEW VERSION!

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8/21/26, 5:49 PM NUR 265 EXAM 3 ACTUAL EXAM 2026 | ALL QUESTIONS AND CORRECT ANSWERS | VERIFIED ANSWERS | BRAND NEW V…




NUR 265 EXAM 3 ACTUAL EXAM 2026 | ALL
QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS | BRAND NEW VERSION!




Terms in this set (47)



GCS Scale TBI Mild TBI (concussion): 13-15
- normal to lethargic
- LOC <30 mins
- amnesia
- dizziness/ HA/ disoriented
- irritability


Moderate TBI: 9-12
- LOC 30min- 6hrs
- lethargic to obtunded
- follows commands w/ arousal
- confused


Severe TBI: 3-8
- memory loss 24hrs
- must intubate
- not able to follow commands




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,8/21/26, 5:49 PM NUR 265 EXAM 3 ACTUAL EXAM 2026 | ALL QUESTIONS AND CORRECT ANSWERS | VERIFIED ANSWERS | BRAND NEW V…



Decorticate posturing




Decerebrate posturing




ICP Normal 10-15
CPP= MAP-ICP (70-100)


Sxs: change in LOC, sluggish pupils, impaired eye
movement, limb strength, HA, N/V, dilated pupils


NI: LOC, neuro check, I/O, VS


Complications: Cushing triad
- HTN
- bradycardia
- wide pulse pressure
- change in RR




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, 8/21/26, 5:49 PM NUR 265 EXAM 3 ACTUAL EXAM 2026 | ALL QUESTIONS AND CORRECT ANSWERS | VERIFIED ANSWERS | BRAND NEW V…



TBI - falls most common cause


Sxs: dec LOC, gait issues, visual issues, N/V,
amnesia, drowsy, irritable


Primary Injury initial damage to the brain that results from the
traumatic event


secondary injury brain damage that occurs as a response to the
initial injury.


ex: hematoma, hypoxia, ICP, hemorrhage,
herniation, hypotension (MAP >70), INCREASED
CO2 (vasodilation)FEVER


Tx: Mannitol, elevate hob, inc respirations (get rid
of CO2)


Hematomas epidural: arterial bleed (quickest)
subdural: venous bleed


Skull fracture Sxs: leaking CSF (rhinorrhea), CSF leak from ear
(otorrhea), halos test, raccoon eyes, battles sign
(bruise behind the ear) change in pupils




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