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NSG 233 MED SURG III EXAM 2 2025/2026 BANK
CURRENTLY TESTING COMPLETE ACTUAL
QUESTIONS WITH DETAILED VERIFIED ANSWERS
EXPERT VERIFIED EXAM!!!/ALREADY GRADED
A+||LATEST EXAM!!!
What is the cardinal behavioral sign of a frontal lobe
traumatic brain injury? - Answer-Bizarre or irrational
behavior.
What is the cardinal neurologic sign of a temporal lobe
traumatic brain injury? - Answer-Amnesia or disorientation.
Upon discharge, which s/s would you teach the patient to
return to the emergency department if they begin
experiencing? - Answer-- decreased LOC.
- worsening headache.
- Dizziness.
- Seizures.
- Abnormal pupil response.
- vomiting.
- irritability.
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- slurred speech.
- weakness or numbness of the extremities.
What are the three cardinal signs of brain death? -
Answer-1. coma.
2. absence of reflexes.
3. apnea.
What GCS score indicates a severe traumatic brain injury?
- Answer-A score of 3-8.
What are the three signs of the Cushing's Triad and what
do they indicate? - Answer-1. Bradycardia (decreased
heart rate).
2. Widening pulse pressure (SBP is rising).
3. Irregular respirations.
- Cushing's Triad indicates increased intracranial pressure.
What is a common electrolyte imbalance in patients who
experience a TBI? - Answer-Hyponatremia (low sodium).
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Normal sodium levels are 135-145 mEq/L.
What are some nursing interventions for a TBI? - Answer--
Maintain a patent airway.
- monitor neurologic function (neuro checks).
- monitor vitals (look for Cushing's triad).
- POSITION HOB AT 30 DEGREES WITH THE NECK IN
A NEUTRAL POSITION TO PROTECT C-SPINE.
- assess motor function.
- monitor for fluid and electrolyte imbalances, especially
sodium.
- promote adequate nutrition.
- maintain thermoregulation.
- maintain skin integrity.
- early administration of anticonvulsants.
- maintain cerebral perfusion pressure.
What can hyponatremia cause? What precautions do we
need to place our patient on because of this? - Answer-
Seizures!
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Seizure precautions.
What should cerebral perfusion pressure be maintained
at? - Answer-Above 50 mmHg.
What are three common symptoms for a patient coming
out of a coma? - Answer-1. agitation.
2. restlessness.
3. incontinence.
May also experience lethargy and stupor.
What do unilaterally dilated and poorly responding pupils
indicate? - Answer-The development of a hematoma, with
subsequent pressure on the third cranial nerve due to
shifting of the brain.
What is the medication Phenytoin (Dilantin) used for? -
Answer-Used to control seizures!
NSG 233 MED SURG III EXAM 2 2025/2026 BANK
CURRENTLY TESTING COMPLETE ACTUAL
QUESTIONS WITH DETAILED VERIFIED ANSWERS
EXPERT VERIFIED EXAM!!!/ALREADY GRADED
A+||LATEST EXAM!!!
What is the cardinal behavioral sign of a frontal lobe
traumatic brain injury? - Answer-Bizarre or irrational
behavior.
What is the cardinal neurologic sign of a temporal lobe
traumatic brain injury? - Answer-Amnesia or disorientation.
Upon discharge, which s/s would you teach the patient to
return to the emergency department if they begin
experiencing? - Answer-- decreased LOC.
- worsening headache.
- Dizziness.
- Seizures.
- Abnormal pupil response.
- vomiting.
- irritability.
,2|Page
- slurred speech.
- weakness or numbness of the extremities.
What are the three cardinal signs of brain death? -
Answer-1. coma.
2. absence of reflexes.
3. apnea.
What GCS score indicates a severe traumatic brain injury?
- Answer-A score of 3-8.
What are the three signs of the Cushing's Triad and what
do they indicate? - Answer-1. Bradycardia (decreased
heart rate).
2. Widening pulse pressure (SBP is rising).
3. Irregular respirations.
- Cushing's Triad indicates increased intracranial pressure.
What is a common electrolyte imbalance in patients who
experience a TBI? - Answer-Hyponatremia (low sodium).
,3|Page
Normal sodium levels are 135-145 mEq/L.
What are some nursing interventions for a TBI? - Answer--
Maintain a patent airway.
- monitor neurologic function (neuro checks).
- monitor vitals (look for Cushing's triad).
- POSITION HOB AT 30 DEGREES WITH THE NECK IN
A NEUTRAL POSITION TO PROTECT C-SPINE.
- assess motor function.
- monitor for fluid and electrolyte imbalances, especially
sodium.
- promote adequate nutrition.
- maintain thermoregulation.
- maintain skin integrity.
- early administration of anticonvulsants.
- maintain cerebral perfusion pressure.
What can hyponatremia cause? What precautions do we
need to place our patient on because of this? - Answer-
Seizures!
, 4|Page
Seizure precautions.
What should cerebral perfusion pressure be maintained
at? - Answer-Above 50 mmHg.
What are three common symptoms for a patient coming
out of a coma? - Answer-1. agitation.
2. restlessness.
3. incontinence.
May also experience lethargy and stupor.
What do unilaterally dilated and poorly responding pupils
indicate? - Answer-The development of a hematoma, with
subsequent pressure on the third cranial nerve due to
shifting of the brain.
What is the medication Phenytoin (Dilantin) used for? -
Answer-Used to control seizures!
