NR 341 COMPLEX ADULT HEALTH MIDTERM EXAM 122 REAL
EXAM QUESTIONS WITH 100% RATED CORRECT ANSWERS
(ACCURATELY PASSED) 2025 LATEST UPDATED GET A+
What is the max GCS score? - (ANSWER)15
What is the minimum GCS score? - (ANSWER)3
What GCS score should you intubate? - (ANSWER)8 and under
What are the limitations of the GCS? - (ANSWER)age, drugs, and language
What is normal intracranial pressure (ICP)? - (ANSWER)5-15 mmHg
What are the signs and symptoms of increased ICP? - (ANSWER)change in LOC, change in
speech, change in vital signs, seizures, headache, vomiting, eye changes, posture changes
What is the first sign of increased ICP? - (ANSWER)changes in LOC
What is cushing's triad? - (ANSWER)an effect of increased ICP of increased systolic BP,
decreased pulse, and cheyne-stokes respirations
What is Cheyne-Stokes respiration? - (ANSWER)it is an abnormal rhythm of breathing with
alternation periods of hyperventilation and apnea
What is Kussmaul respiration? - (ANSWER)deep, rapid breathing often induced by acidosis
What condition does Kussmaul respirations commonly occur with? - (ANSWER)DKA
, What posture changes occurs with increased ICP? - (ANSWER)decerebrate, decorticate,or
flaccid
What is decerebrate posturing? - (ANSWER)Extensor response; problem with midbrain or pons
What is decorticate posturing? - (ANSWER)Flexor response; problem with cervical spinal tract
or cerebral hemisphere
What are the eye changes that occur with increased ICP? - (ANSWER)papilledema, pupillary
changes, impaired eye movement
What is a common cause of increased brain volume? - (ANSWER)cerebral edema; can also be
caused by a tumor or meningitis
What causes increased blood volume? - (ANSWER)loss of auto-regulation, decreased
oxygenation, hypercapnia, increased metabolic demands, and obstruction of venous outflow
What causes increased cerebrospinal fluid? - (ANSWER)hydrocephalus, blockage of normal
flow, obstruction of normal re-absorption, and excess production of CSF
What is cerebral perfusion pressure (CPP) dependent upon? - (ANSWER)intracranial pressure
(ICP) and mean arterial pressure (MAP)
What is a normal cerebral perfusion pressure (CPP)? - (ANSWER)50-70
What does a low cerebral perfusion pressure (CPP) result in? - (ANSWER)loss of auto-
regulation and hypoxic insult to brain tissue
Nursing Mgmt. ICP: What is the maintenance goal of ICP? - (ANSWER)ICP < 20 mmHg
EXAM QUESTIONS WITH 100% RATED CORRECT ANSWERS
(ACCURATELY PASSED) 2025 LATEST UPDATED GET A+
What is the max GCS score? - (ANSWER)15
What is the minimum GCS score? - (ANSWER)3
What GCS score should you intubate? - (ANSWER)8 and under
What are the limitations of the GCS? - (ANSWER)age, drugs, and language
What is normal intracranial pressure (ICP)? - (ANSWER)5-15 mmHg
What are the signs and symptoms of increased ICP? - (ANSWER)change in LOC, change in
speech, change in vital signs, seizures, headache, vomiting, eye changes, posture changes
What is the first sign of increased ICP? - (ANSWER)changes in LOC
What is cushing's triad? - (ANSWER)an effect of increased ICP of increased systolic BP,
decreased pulse, and cheyne-stokes respirations
What is Cheyne-Stokes respiration? - (ANSWER)it is an abnormal rhythm of breathing with
alternation periods of hyperventilation and apnea
What is Kussmaul respiration? - (ANSWER)deep, rapid breathing often induced by acidosis
What condition does Kussmaul respirations commonly occur with? - (ANSWER)DKA
, What posture changes occurs with increased ICP? - (ANSWER)decerebrate, decorticate,or
flaccid
What is decerebrate posturing? - (ANSWER)Extensor response; problem with midbrain or pons
What is decorticate posturing? - (ANSWER)Flexor response; problem with cervical spinal tract
or cerebral hemisphere
What are the eye changes that occur with increased ICP? - (ANSWER)papilledema, pupillary
changes, impaired eye movement
What is a common cause of increased brain volume? - (ANSWER)cerebral edema; can also be
caused by a tumor or meningitis
What causes increased blood volume? - (ANSWER)loss of auto-regulation, decreased
oxygenation, hypercapnia, increased metabolic demands, and obstruction of venous outflow
What causes increased cerebrospinal fluid? - (ANSWER)hydrocephalus, blockage of normal
flow, obstruction of normal re-absorption, and excess production of CSF
What is cerebral perfusion pressure (CPP) dependent upon? - (ANSWER)intracranial pressure
(ICP) and mean arterial pressure (MAP)
What is a normal cerebral perfusion pressure (CPP)? - (ANSWER)50-70
What does a low cerebral perfusion pressure (CPP) result in? - (ANSWER)loss of auto-
regulation and hypoxic insult to brain tissue
Nursing Mgmt. ICP: What is the maintenance goal of ICP? - (ANSWER)ICP < 20 mmHg
