NUR 265 Exam 3 2026 Expert
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GCS Scale TBI - ANSWER ✔✔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
Decorticate posturing - ANSWER ✔✔
Decerebrate posturing - ANSWER ✔✔
ICP - ANSWER ✔✔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
TBI - ANSWER ✔✔- falls most common cause
Sxs: dec LOC, gait issues, visual issues, N/V, amnesia, drowsy, irritable
Primary Injury - ANSWER ✔✔initial damage to the brain that results
from the traumatic event
secondary injury - ANSWER ✔✔brain damage that occurs as a
response to the initial injury.
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
Verifed Ace the Test
GCS Scale TBI - ANSWER ✔✔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
Decorticate posturing - ANSWER ✔✔
Decerebrate posturing - ANSWER ✔✔
ICP - ANSWER ✔✔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
TBI - ANSWER ✔✔- falls most common cause
Sxs: dec LOC, gait issues, visual issues, N/V, amnesia, drowsy, irritable
Primary Injury - ANSWER ✔✔initial damage to the brain that results
from the traumatic event
secondary injury - ANSWER ✔✔brain damage that occurs as a
response to the initial injury.
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
