TBI NCLEX PRACTICE QUESTIONS 2025 WITH 100% ACCURATE ANSWERS | ALREADY
GRADED A+
The nurse is caring for an older adult client who sustained a traumatic brain injury (TBI) who
is schedule to be transferred to a rehabilitation center after the acute phase of care is
completed. The client asks the nurse what will be done for them there that cannot be done
in a hospital. Which response by the nurse is most accurate?
"The rehabilitation phase after a traumatic brain injury (TBI) will cure cognitive deficits."
"You seem concerned about transitioning to a new healthcare facility for treatment."
"You will have different therapies tailored to meet your specific needs."
"This healthcare facility will make the determination if you are safe to live alone."
"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.
,The nurse is providing a presentation to a group of high-school-aged children and their
parents regarding safety and traumatic brain injury (TBI) prevention. Which information
would be most appropriate to provide to this age group?
Being cognizant of sensory-perceptual changes
Clearing the floor of cords
Spotting for signs of shaken baby syndrome
Using seat belts
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.
The nurse is reviewing the plan of care for a client brought in to the emergency department
after a motorcycle accident. The healthcare provider suspects that the client has a diffuse
axonal injury. Which test should the nurse anticipate being prescribed to confirm this
diagnosis?
Transcranial Doppler
CT scan
, Cerebrospinal fluid (CSF) analysis
MRI scan
MRI scan
An MRI will help the healthcare provider discern between a concussion and a traumatic
brain injury (TBI), including a diffuse axonal injury. A CT scan and/or a transcranial Doppler
will help determine the presence of an intracranial hemorrhage. A cerebrospinal fluid (CSF)
analysis is performed for meningitis. The presence of CSF dripping from the nares or ears
indicates a basilar skull fracture.
The nurse is developing a plan of care for a client who sustained a traumatic brain injury
(TBI). The client is having difficulty with meeting self-care needs, including dressing,
bathing, and grooming. Which member of the healthcare team would help the client
master these tasks?
The occupational therapist (OT)
The unlicensed assistive personnel (UAP)
The hospital chaplain
The physical therapist (PT)
The occupational therapist (OT)
GRADED A+
The nurse is caring for an older adult client who sustained a traumatic brain injury (TBI) who
is schedule to be transferred to a rehabilitation center after the acute phase of care is
completed. The client asks the nurse what will be done for them there that cannot be done
in a hospital. Which response by the nurse is most accurate?
"The rehabilitation phase after a traumatic brain injury (TBI) will cure cognitive deficits."
"You seem concerned about transitioning to a new healthcare facility for treatment."
"You will have different therapies tailored to meet your specific needs."
"This healthcare facility will make the determination if you are safe to live alone."
"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.
,The nurse is providing a presentation to a group of high-school-aged children and their
parents regarding safety and traumatic brain injury (TBI) prevention. Which information
would be most appropriate to provide to this age group?
Being cognizant of sensory-perceptual changes
Clearing the floor of cords
Spotting for signs of shaken baby syndrome
Using seat belts
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.
The nurse is reviewing the plan of care for a client brought in to the emergency department
after a motorcycle accident. The healthcare provider suspects that the client has a diffuse
axonal injury. Which test should the nurse anticipate being prescribed to confirm this
diagnosis?
Transcranial Doppler
CT scan
, Cerebrospinal fluid (CSF) analysis
MRI scan
MRI scan
An MRI will help the healthcare provider discern between a concussion and a traumatic
brain injury (TBI), including a diffuse axonal injury. A CT scan and/or a transcranial Doppler
will help determine the presence of an intracranial hemorrhage. A cerebrospinal fluid (CSF)
analysis is performed for meningitis. The presence of CSF dripping from the nares or ears
indicates a basilar skull fracture.
The nurse is developing a plan of care for a client who sustained a traumatic brain injury
(TBI). The client is having difficulty with meeting self-care needs, including dressing,
bathing, and grooming. Which member of the healthcare team would help the client
master these tasks?
The occupational therapist (OT)
The unlicensed assistive personnel (UAP)
The hospital chaplain
The physical therapist (PT)
The occupational therapist (OT)
