NSG 209 Exam 3 EXAM (LATEST) || MOST RECENT EXAM
2026|2027 ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ | GUARANTEED SUCCESS!! NEWEST EXAM | JUST
RELEASED!!
A clients mean arterial pressure is 60 mm Hg and intracranial pressure
is 20 mm Hg. Based on the clients
cerebral perfusion pressure, what should the nurse anticipate for this
client?
a. Impending brain herniation
b. Poor prognosis and cognitive function
c. Probable complete recovery
d. Unable to tell from this information -ANSWERS-b. Poor prognosis and
cognitive function
the cerebral perfusion pressure (CPP) is the intracranial pressure
subtracted from the mean arterial pressure: in
this case, 60
20 = 40. For optimal outcomes, CPP should be at least 70 mm Hg. This
client has very low CPP,
which will probably lead to a poorer prognosis with significant cognitive
dysfunction should the client survive.
This data does not indicate impending brain herniation or complete
recover
,A client has a traumatic brain injury. The nurse assesses the following:
pulse change from 82 to 60
beats/min, pulse pressure increase from 26 to 40 mm Hg, and
respiratory irregularities. What action by the nurse takes priority?
a. Call the provider or Rapid Response Team.
b. Increase the rate of the IV fluid administration.
c. Notify respiratory therapy for a breathing treatment.
d. Prepare to give IV pain medication -ANSWERS-a. Call the provider or
Rapid Response Team.
These manifestations indicate Cushings syndrome, a potentially life-
threatening increase in intracranial
pressure (ICP), which is an emergency. Immediate medical attention is
necessary, so the nurse notifies the provider or the Rapid Response
Team. Increasing fluids would increase the ICP. The client does not
need a
breathing treatment or pain medication
A nurse is caring for four clients in the neurologic intensive care unit.
After receiving the hand-off report,
which client should the nurse see first?
a. Client with a Glasgow Coma Scale score that was 10 and is now is 8
b. Client with a Glasgow Coma Scale score that was 9 and is now is 12
,c. Client with a moderate brain injury who is amnesic for the event
d. Client who is requesting pain medication for a headache -ANSWERS-
a. Client with a Glasgow Coma Scale score that was 10 and is now is 8
A 2-point decrease in the Glasgow Coma Scale score is clinically
significant and the nurse needs to see this
client first. An improvement in the score is a good sign. Amnesia is an
expected finding with brain injuries, so
this client is lower priority. The client requesting pain medication
should be seen after the one with the declining Glasgow Coma Scale
score.
A client is in the clinic for a follow-up visit after a moderate traumatic
brain injury. The clients spouse is
very frustrated, stating that the clients personality has changed and the
situation is intolerable. What action by
the nurse is best?
a. Explain that personality changes are common following brain injuries.
b. Ask the client why he or she is acting out and behaving differently.
c. Refer the client and spouse to a head injury support group.
d. Tell the spouse this is expected and he or she will have to learn to
cope -ANSWERS-a. Explain that personality changes are common
following brain injuries.
, Personality and behavior often change permanently after head injury.
The nurse should explain this to the
spouse. Asking the client about his or her behavior isnt useful because
the client probably cannot help it. A referral might be a good idea, but
the nurse needs to do something in addition to just referring the
couple. Telling the spouse to learn to cope belittles the spouses
concerns and feelings
The nurse is caring for four clients with traumatic brain injuries. Which
client should the nurse assess first?
a. Client with cerebral perfusion pressure of 72 mm Hg
b. Client who has a Glasgow Coma Scale score of 12
c. Client with a PaCO2 of 36 mm Hg who is on a ventilator
d. Client who has a temperature of 102 F (38.9 C) -ANSWERS-d. Client
who has a temperature of 102 F (38.9 C)
A fever is a poor prognostic indicator in clients with brain injuries. The
nurse should see this client first. A Glasgow Coma Scale score of 12, a
PaCO2 of 36, and cerebral perfusion pressure of 72 mm Hg are all
desired
outcomes
After a craniotomy, the nurse assesses the client and finds dry, sticky
mucous membranes and restlessness.
2026|2027 ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+ | GUARANTEED SUCCESS!! NEWEST EXAM | JUST
RELEASED!!
A clients mean arterial pressure is 60 mm Hg and intracranial pressure
is 20 mm Hg. Based on the clients
cerebral perfusion pressure, what should the nurse anticipate for this
client?
a. Impending brain herniation
b. Poor prognosis and cognitive function
c. Probable complete recovery
d. Unable to tell from this information -ANSWERS-b. Poor prognosis and
cognitive function
the cerebral perfusion pressure (CPP) is the intracranial pressure
subtracted from the mean arterial pressure: in
this case, 60
20 = 40. For optimal outcomes, CPP should be at least 70 mm Hg. This
client has very low CPP,
which will probably lead to a poorer prognosis with significant cognitive
dysfunction should the client survive.
This data does not indicate impending brain herniation or complete
recover
,A client has a traumatic brain injury. The nurse assesses the following:
pulse change from 82 to 60
beats/min, pulse pressure increase from 26 to 40 mm Hg, and
respiratory irregularities. What action by the nurse takes priority?
a. Call the provider or Rapid Response Team.
b. Increase the rate of the IV fluid administration.
c. Notify respiratory therapy for a breathing treatment.
d. Prepare to give IV pain medication -ANSWERS-a. Call the provider or
Rapid Response Team.
These manifestations indicate Cushings syndrome, a potentially life-
threatening increase in intracranial
pressure (ICP), which is an emergency. Immediate medical attention is
necessary, so the nurse notifies the provider or the Rapid Response
Team. Increasing fluids would increase the ICP. The client does not
need a
breathing treatment or pain medication
A nurse is caring for four clients in the neurologic intensive care unit.
After receiving the hand-off report,
which client should the nurse see first?
a. Client with a Glasgow Coma Scale score that was 10 and is now is 8
b. Client with a Glasgow Coma Scale score that was 9 and is now is 12
,c. Client with a moderate brain injury who is amnesic for the event
d. Client who is requesting pain medication for a headache -ANSWERS-
a. Client with a Glasgow Coma Scale score that was 10 and is now is 8
A 2-point decrease in the Glasgow Coma Scale score is clinically
significant and the nurse needs to see this
client first. An improvement in the score is a good sign. Amnesia is an
expected finding with brain injuries, so
this client is lower priority. The client requesting pain medication
should be seen after the one with the declining Glasgow Coma Scale
score.
A client is in the clinic for a follow-up visit after a moderate traumatic
brain injury. The clients spouse is
very frustrated, stating that the clients personality has changed and the
situation is intolerable. What action by
the nurse is best?
a. Explain that personality changes are common following brain injuries.
b. Ask the client why he or she is acting out and behaving differently.
c. Refer the client and spouse to a head injury support group.
d. Tell the spouse this is expected and he or she will have to learn to
cope -ANSWERS-a. Explain that personality changes are common
following brain injuries.
, Personality and behavior often change permanently after head injury.
The nurse should explain this to the
spouse. Asking the client about his or her behavior isnt useful because
the client probably cannot help it. A referral might be a good idea, but
the nurse needs to do something in addition to just referring the
couple. Telling the spouse to learn to cope belittles the spouses
concerns and feelings
The nurse is caring for four clients with traumatic brain injuries. Which
client should the nurse assess first?
a. Client with cerebral perfusion pressure of 72 mm Hg
b. Client who has a Glasgow Coma Scale score of 12
c. Client with a PaCO2 of 36 mm Hg who is on a ventilator
d. Client who has a temperature of 102 F (38.9 C) -ANSWERS-d. Client
who has a temperature of 102 F (38.9 C)
A fever is a poor prognostic indicator in clients with brain injuries. The
nurse should see this client first. A Glasgow Coma Scale score of 12, a
PaCO2 of 36, and cerebral perfusion pressure of 72 mm Hg are all
desired
outcomes
After a craniotomy, the nurse assesses the client and finds dry, sticky
mucous membranes and restlessness.
