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
https://quizlet.com/1200895527/nur-265-exam-3-actual-exam-2026-all-questions-and-correct-answers-verified-answers-brand-new-version-flash-card… 1/17
,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
https://quizlet.com/1200895527/nur-265-exam-3-actual-exam-2026-all-questions-and-correct-answers-verified-answers-brand-new-version-flash-card… 2/17
, 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
https://quizlet.com/1200895527/nur-265-exam-3-actual-exam-2026-all-questions-and-correct-answers-verified-answers-brand-new-version-flash-card… 3/17
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
https://quizlet.com/1200895527/nur-265-exam-3-actual-exam-2026-all-questions-and-correct-answers-verified-answers-brand-new-version-flash-card… 1/17
,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
https://quizlet.com/1200895527/nur-265-exam-3-actual-exam-2026-all-questions-and-correct-answers-verified-answers-brand-new-version-flash-card… 2/17
, 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
https://quizlet.com/1200895527/nur-265-exam-3-actual-exam-2026-all-questions-and-correct-answers-verified-answers-brand-new-version-flash-card… 3/17