NSG 3280(PATHO) NCLEX REVIEWS FOR
EXAM 3 QUESTIONS AND ANSWERS
2025\2026 UPDATE
It is true that encephalitis is usually:
a. because of a bacterial infection in the CNS.
b. fatal.
c. because of a viral infection in brain cells.
d. asymptomatic. - CORRECT ANSWER c. because of a viral infection in brain
cells.
It is true that epidural bleeding is:
a. associated with widespread vascular disruption.
b. located between the arachnoid and the dura mater.
c. usually because of venous leakage.
d. characterized by a lucid interval immediately after injury. - CORRECT
ANSWER d. characterized by a lucid interval immediately after injury.
The most important determinant for prescribing therapy for acute stroke
is:
a. location of ischemia.
b. thrombotic versus embolic cause.
c. ischemic versus hemorrhagic cause.
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d. age of the patient. - CORRECT ANSWER C. ischemic versus hemorrhagic
cause.
Intracranial pressure normally ranges from - mm Hg
a. O to 15
b. 10 to 20
c. 15 to 25
d. 20 to 30 - CORRECT ANSWER a. O to 15
- edema occurs when ischemic tissue swells because of cellular energy
failure.
a. Interstitial
b. Osmotic
c. Vasogenic
d. Cytotoxic - CORRECT ANSWER d. Cytotoxic
A severe complication of elevated intracranial pressure is:
a. Cushing reflex.
b. brain herniation.
c. burr hole.
d. hydrocephalus. - CORRECT ANSWER b. brain herniation.
A tool used to assess levels of consciousness is:
a. magnetic resonance imaging (MRI).
b. intracranial pressure (ICP) monitoring.
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c. Glasgow Coma Scale (GCS).
d. central perfusion pressure (CPP). - CORRECT ANSWER c. Glasgow Coma
Scale (GCS)
The first indication of brain compression from increasing intracranial
pressure (ICP) may be:
a. decorticate posturing.
b. absence of verbalization.
c. sluggish pupil response to light.
d. Glasgow Coma Scale score of 13. - CORRECT ANSWER c. sluggish pupil
response to light.
A level of - on the Glasgow Coma Scale indicates likely fatal damage
a. 3
b. 8
c. 12
d. 15 - CORRECT ANSWER a. 3
- occurs when a brainstem impaired patient exhibits a persistent rhythmic
or jerky movement in one or both eyes.
a. Nystagmus
b. Dysconjugate movement
c. Ocular palsy
d. Doll's eyes - CORRECT ANSWER a. Nystagmus
Which brain disorders are a cause of acute brain injury? (Select all that
apply.)
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a. Seizure disorders
b. Brain trauma
c. Dementias
d. Brain hemorrhage
e. Central nervous system infections - CORRECT ANSWER B. Brain trauma
D. Brain hemorrhage
E. Central nervous system infections
Seizures that involve both hemispheres at the outset are termed:
a. partial.
b. complex.
c. focal.
d. generalized. - CORRECT ANSWER d. generalized
The primary reason that prolonged seizure activity predisposes to ischemic
brain damage is that:
a. neurons are unable to transport glucose.
b. cardiovascular regulation is impaired.
c. the brainstem is depressed.
d. the lack of airway maintenance can lead to hypoxia. - CORRECT ANSWER
d. the lack of airway maintenance can lead to hypoxia.
The dementia of Alzheimer disease is associated with structural changes in
the brain, including:
a. deposition of amyloid plaques in the brain.
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