TBI NCLEX PRACTICE QUESTIONS WITH
CORRECT ANSWERS!!
1 of 20
Term
The home health nurse is working with a family of a 10-year-old child
who suffered a moderate traumatic brain injury (TBI). Which
information should the nurse provide to the parents to help them
understand the changes that may occur due to this injury? (Select all
that apply.)
Requires less sleep
No interest in favorite toys
Increased lethargy
,Increased appetite
Less communicative
Give this one a try later!
Obtaining vital signs every 15-30 minutes
The task that the nurse can delegate to unlicensed assistive personnel (UAP)
cannot be skilled in nature. Therefore, the nurse can delegate the UAP to obtain
frequent vital signs every 15 minutes. Medication is not administered by UAPs.
The UAP does not obtain signatures for consent forms. The nurse is responsible
for assessing the client to determine a Glasgow Coma Scale score.
Next Question
Raccoon eyes
Clear drainage from the nares
Battle sign
A client with a skull fracture would present with battle sign, which is bruising
behind the ear. Other signs include raccoon eyes, which is bruising of the eye
and periorbital area. Leakage of cerebrospinal fluid would be noted from the
ears or the nares. Dysphagia and loss of consciousness can occur with moderate
traumatic brain injuries (TBIs) but are not distinctive to skull fractures.
No interest in favorite toys
Increased lethargy
Children with TBIs will present with different clinical manifestations than
adults due to their developmental ages. The child will have increased
lethargy and may not be as interested in playing with favorite toys. Their
appetite is usually decreased and they may require more sleep for healing.
, The amount of communication either increasing or decreasing will depend
on the child.
Using seat belts
Adolescents have a high risk of developing traumatic brain injuries (TBIs) related
to motor vehicle collisions. It is actually the leading cause of death in
adolescents. Therefore, the nurse would provide information regarding the
importance of wearing seat belts in motor vehicles. The nurse would instruct the
family of an older adult client to remove the cords and throw rugs due to
sensory-perceptual changes that occur with aging. Shaken baby syndrome
occurs in infants, not adolescents.
Don't know?
, 2 of 20
Term
The nurse is caring for an adolescent who presents with headache,
memory loss, and blurred vision after sustaining an injury playing
football. The healthcare provider diagnoses the client with a
concussion and instructs the client to refrain from sports for a
minimum of 4 weeks to prevent second impact syndrome (SIS).
Which client statement indicates an understanding of the instructions
provided?
"I should stay away from any type of sports activity for a month."
"I should avoid playing all sports until the headaches dissipate."
"I should be out on the field with my teammates but not participate."
"I should refrain from going to school until my symptoms go away."
Give this one a try later!
"You will have different therapies tailored to meet your specific needs."
Although rehabilitation begins immediately after the client is stabilized, even in
the intensive care unit, a rehabilitation facility has the expertise to tailor
physical, occupational, speech, and recreational therapy needs. When the client
is ready for discharge, the rehabilitation facility will determine the most
appropriate level of care; however, whether or not the client is safe to live
alone can be
determined at any facility. The client is concerned about transferring locations,
but this is not the best response, because it does not provide information.
Rehabilitation does not cure cognitive deficits. It will assist the client in learning
ways to adapt to these deficits for the most independence as possible.
CORRECT ANSWERS!!
1 of 20
Term
The home health nurse is working with a family of a 10-year-old child
who suffered a moderate traumatic brain injury (TBI). Which
information should the nurse provide to the parents to help them
understand the changes that may occur due to this injury? (Select all
that apply.)
Requires less sleep
No interest in favorite toys
Increased lethargy
,Increased appetite
Less communicative
Give this one a try later!
Obtaining vital signs every 15-30 minutes
The task that the nurse can delegate to unlicensed assistive personnel (UAP)
cannot be skilled in nature. Therefore, the nurse can delegate the UAP to obtain
frequent vital signs every 15 minutes. Medication is not administered by UAPs.
The UAP does not obtain signatures for consent forms. The nurse is responsible
for assessing the client to determine a Glasgow Coma Scale score.
Next Question
Raccoon eyes
Clear drainage from the nares
Battle sign
A client with a skull fracture would present with battle sign, which is bruising
behind the ear. Other signs include raccoon eyes, which is bruising of the eye
and periorbital area. Leakage of cerebrospinal fluid would be noted from the
ears or the nares. Dysphagia and loss of consciousness can occur with moderate
traumatic brain injuries (TBIs) but are not distinctive to skull fractures.
No interest in favorite toys
Increased lethargy
Children with TBIs will present with different clinical manifestations than
adults due to their developmental ages. The child will have increased
lethargy and may not be as interested in playing with favorite toys. Their
appetite is usually decreased and they may require more sleep for healing.
, The amount of communication either increasing or decreasing will depend
on the child.
Using seat belts
Adolescents have a high risk of developing traumatic brain injuries (TBIs) related
to motor vehicle collisions. It is actually the leading cause of death in
adolescents. Therefore, the nurse would provide information regarding the
importance of wearing seat belts in motor vehicles. The nurse would instruct the
family of an older adult client to remove the cords and throw rugs due to
sensory-perceptual changes that occur with aging. Shaken baby syndrome
occurs in infants, not adolescents.
Don't know?
, 2 of 20
Term
The nurse is caring for an adolescent who presents with headache,
memory loss, and blurred vision after sustaining an injury playing
football. The healthcare provider diagnoses the client with a
concussion and instructs the client to refrain from sports for a
minimum of 4 weeks to prevent second impact syndrome (SIS).
Which client statement indicates an understanding of the instructions
provided?
"I should stay away from any type of sports activity for a month."
"I should avoid playing all sports until the headaches dissipate."
"I should be out on the field with my teammates but not participate."
"I should refrain from going to school until my symptoms go away."
Give this one a try later!
"You will have different therapies tailored to meet your specific needs."
Although rehabilitation begins immediately after the client is stabilized, even in
the intensive care unit, a rehabilitation facility has the expertise to tailor
physical, occupational, speech, and recreational therapy needs. When the client
is ready for discharge, the rehabilitation facility will determine the most
appropriate level of care; however, whether or not the client is safe to live
alone can be
determined at any facility. The client is concerned about transferring locations,
but this is not the best response, because it does not provide information.
Rehabilitation does not cure cognitive deficits. It will assist the client in learning
ways to adapt to these deficits for the most independence as possible.
