1/20/25, 6:03 PM CCRN CRITICAL CARE REGISTERED NURSE EXAM 3 LATEST 2023/2024 QUESTIONS AND 100% CORRECT ANSWERS TE…
CCRN CRITICAL CARE REGISTERED NURSE
EXAM 3 LATEST 2023/2024 QUESTIONS AND
100% CORRECT ANSWERS TEST BANK
Save
Terms in this set (239)
What is the first thing Level of consciousness
assessed if a patient has a
suspected TBI?
1. Alert = Awake and easily aroused
2. Lethargic = Drowsy, drifts asleep when not
stimulated.
What are the 5 levels of
3. Obtunded = Sleeps most times, difficult to arouse,
LOC and what are the
stimulated with loud noise, shaking, or non-painful
characteristics of each
touch
one?
4. Stuporous = Need persistent/continuous loud noise
or pain for arousal; responds to stimuli
5. Comatose = No response to any stimulation
What is hyperarousal in An agitated/delusional state
LOC?
Painful stimulation
What is noxious 1. Sternal rub = rubbing fist on its sternum
stimulation and what are 4 2. Supraorbital = putting pressure above its eyes
examples? 3. Trapezius pinch = pinch btw neck and shoulders
4. Mandibular pressure = pushing at the angle of jaw
https://quizlet.com/995127742/ccrn-critical-care-registered-nurse-exam-3-latest-20232024-questions-and-100-correct-answers-test-bank-flash-cards/… 1/12
, 1/20/25, 6:03 PM CCRN CRITICAL CARE REGISTERED NURSE EXAM 3 LATEST 2023/2024 QUESTIONS AND 100% CORRECT ANSWERS TE…
1. Hypotension
What are the 4 H's that
2. Hypoxia
negate/invalidate the
3. Hypoglycemia
neuro exam?
4. Hypothermia
What is the Glasgow To assess patients with altered levels of consciousness
Coma Scale (GCS) used
for?
What are the 3 things 3 things = eyes, verbal, and motor function
assessed for in the GCS? 1. Mild = 13-15
What are the ranges for 2. Moderate = 9-12
mild, moderate, and 3. Severe = <8
severe?
When assessing a pts 1. Noxious stimulation
motor functioning in a 2. Strenght (scale 1-5)
neuro assessment what 3. Lateral comparison
are the 5 things that are 4. Withdrawal & Localization
looked at? 5. Posturing
What is posturing in a Motor responses of upper extremities and how they
motor assessment? respond to painful stimuli
1. Localization = moving extremities towards the
stimulation
What are the 4 types of 2. Decorticate = abnormal flexion, arm curled and
posturing in a motor flexed
assessment? 3. Decerebrate = abnormal extension, arm extended &
straight (internal rotation of shoulder)
4. No response to stimuli
Contralateral = Responses that affect the opposite
What is the difference
side of the brain: motor
between contralateral and
Ipsilateral = Responses that affect the same side of the
ipsilateral affect?
brain: pupils
What 3 things are looked 1. Size
at about the eyes/pupils in 2. Reaction
an neuro assessment? 3. Equality
https://quizlet.com/995127742/ccrn-critical-care-registered-nurse-exam-3-latest-20232024-questions-and-100-correct-answers-test-bank-flash-cards/… 2/12
CCRN CRITICAL CARE REGISTERED NURSE
EXAM 3 LATEST 2023/2024 QUESTIONS AND
100% CORRECT ANSWERS TEST BANK
Save
Terms in this set (239)
What is the first thing Level of consciousness
assessed if a patient has a
suspected TBI?
1. Alert = Awake and easily aroused
2. Lethargic = Drowsy, drifts asleep when not
stimulated.
What are the 5 levels of
3. Obtunded = Sleeps most times, difficult to arouse,
LOC and what are the
stimulated with loud noise, shaking, or non-painful
characteristics of each
touch
one?
4. Stuporous = Need persistent/continuous loud noise
or pain for arousal; responds to stimuli
5. Comatose = No response to any stimulation
What is hyperarousal in An agitated/delusional state
LOC?
Painful stimulation
What is noxious 1. Sternal rub = rubbing fist on its sternum
stimulation and what are 4 2. Supraorbital = putting pressure above its eyes
examples? 3. Trapezius pinch = pinch btw neck and shoulders
4. Mandibular pressure = pushing at the angle of jaw
https://quizlet.com/995127742/ccrn-critical-care-registered-nurse-exam-3-latest-20232024-questions-and-100-correct-answers-test-bank-flash-cards/… 1/12
, 1/20/25, 6:03 PM CCRN CRITICAL CARE REGISTERED NURSE EXAM 3 LATEST 2023/2024 QUESTIONS AND 100% CORRECT ANSWERS TE…
1. Hypotension
What are the 4 H's that
2. Hypoxia
negate/invalidate the
3. Hypoglycemia
neuro exam?
4. Hypothermia
What is the Glasgow To assess patients with altered levels of consciousness
Coma Scale (GCS) used
for?
What are the 3 things 3 things = eyes, verbal, and motor function
assessed for in the GCS? 1. Mild = 13-15
What are the ranges for 2. Moderate = 9-12
mild, moderate, and 3. Severe = <8
severe?
When assessing a pts 1. Noxious stimulation
motor functioning in a 2. Strenght (scale 1-5)
neuro assessment what 3. Lateral comparison
are the 5 things that are 4. Withdrawal & Localization
looked at? 5. Posturing
What is posturing in a Motor responses of upper extremities and how they
motor assessment? respond to painful stimuli
1. Localization = moving extremities towards the
stimulation
What are the 4 types of 2. Decorticate = abnormal flexion, arm curled and
posturing in a motor flexed
assessment? 3. Decerebrate = abnormal extension, arm extended &
straight (internal rotation of shoulder)
4. No response to stimuli
Contralateral = Responses that affect the opposite
What is the difference
side of the brain: motor
between contralateral and
Ipsilateral = Responses that affect the same side of the
ipsilateral affect?
brain: pupils
What 3 things are looked 1. Size
at about the eyes/pupils in 2. Reaction
an neuro assessment? 3. Equality
https://quizlet.com/995127742/ccrn-critical-care-registered-nurse-exam-3-latest-20232024-questions-and-100-correct-answers-test-bank-flash-cards/… 2/12
