Musculoskeletal and Neuro CCRN Questions
and Correct Answers | Latest Update
Closed head injury. When nurse stimulates her, the child flexes her arms, clenches her fists,
and extends her legs. which of the following is accurate?
a. Child is demonstrating decorticate posturing which indicates cerebral damage.
b. Child is demonstrating decorticate posturing which indicates damage to the midbrain
c. Child is demonstrating deceberate posturing which indicates cerebral damage
d. Child is demonstrating deceberate posturing which indicates damage to the midbrain.
✓ -:- a. child is demonstrating decorticate posturing which indicates
cerebral damage.
- deceberate posturing is extension of the arms which indicates damage to the mid brain.
Child admitted w TBI. Nurse notes CSF leaking from her ear, bruising below her eyes, and
swelling behind her ear. Which of the following bones was most likely fractured in the
injury.
a. The mandible
b. The frontal bone
c. The parietal bone
d. The sphenoid bone
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✓ -:- d. the sphenoid bone
- leakage of CSF from the ear, bruising below the eyes, and a hematoma behind the ear are
manifestations of a basilar skull fracture that typically involves the temporal, occipital,
sphenoid, and/or ethmoid bones.
Which of the following is an early sign of a basilar skull fracture?
a. Irritability
b. Raccoon's eyes
c. Battle sign
d. leakage of CSF from ear
✓ -:- d. leakage of CSF from ear
- Battle sign and raccoon's eyes LATE signs
TBI. Unresponsive and intubated. Nurse initiates ETCO2 monitoring. Which of the
following statements is FALSE?
a. Increased ICP can be caused from decreased CO2 levels which promote cerebral
vasodilation
b. Cerebral perfusion is optimal in the presence of normally to mildly reduced CO2.
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