10/11/25, 12:52 AM Exam 5 - NUR 508
Exam 5 - NUR 508 \\ACTUAL EXAM 2025-2026 \NEWEST VERSION
\COMPLETE QUESTIONS AND ACCURATE DETAILED ANSWERS \VERIFIED
100% ALREADY GRADED A+
Terms in this set (120)
What is Solu-Medrol used High-dose methylprednisolone reduces inflammation
for in SCI management? and secondary injury in acute SCI (controversial,
timing-dependent).
What procedures may be EVD placement, decompressive craniectomy,
used for patients with hyperosmolar therapy (mannitol, hypertonic saline).
IICP?
What assessment findings Bulging fontanel, irritability, high-pitched cry, sunset eyes.
indicate IICP in babies?
How does IICP present in Rising ICP may show as decreased responsiveness,
sedated patients? abnormal posturing, or changes in vitals (Cushing's
triad).
What does the Glasgow Eye opening, verbal response, motor response; used to
Coma Scale measure? assess LOC and predict prognosis.
Elevate HOB 30°, maintain normothermia, avoid hip
Nursing interventions to
reduce ICP? flexion, suction only PRN, administer osmotic
diuretics.
Hypertension with widening pulse pressure, bradycardia,
What is Cushing's Triad?
irregular respirations →
late sign of increased ICP.
Rapid cerebral edema after a second concussion before
What is Second Impact
Syndrome? the first healed; presents with LOC changes, pupil
changes, respiratory failure.
Rest, avoid strenuous activity, monitor for worsening
Post-concussion patient
education? headaches, vomiting, confusion, or seizures.
What does spinal shock look Flaccid paralysis, areflexia, loss of sensation below injury,
like? hypotension, bradycardia.
Common causes of IICP? Trauma, hemorrhage, tumors, hydrocephalus, cerebral edema.
/ 1/1
1
, 10/11/25, 12:52 AM Exam 5 - NUR 508
Difference between Decorticate = flexion (lesion above brainstem);
decorticate and decerebrate = extension (lesion in brainstem) — worse
decerebrate posturing? prognosis.
How to assess for CSF leak in Halo sign on gauze, glucose-positive drainage from ears/nose.
head injury?
What to avoid in basal skull NG tube insertion and nasal suctioning; risk of intracranial
fractures? placement.
Why is mannitol used in IICP? Osmotic diuretic draws fluid from brain tissue into vasculature,
reducing cerebral edema.
Priority assessment in cervical Respiratory function due to diaphragm/phrenic nerve
SCI? involvement.
Key nursing teaching in Risk for impaired cough, bowel/bladder dysfunction, pressure
thoracic SCI? injury prevention.
Types of SCI and Flexion, hyperextension, compression, rotation, penetrating.
mechanisms?
Caregiver teaching for SCI Autonomic dysreflexia recognition, skin care, bladder program,
patients? infection prevention.
Which population is at Young adult males, often due to trauma (MVCs, diving, violence).
greatest risk for SCI?
Emergency S&S of SCI? Severe neck/back pain, loss of sensation, paralysis, loss of
bladder/bowel control
Difference between complete Complete = no motor/sensory below lesion; incomplete = partial
vs incomplete SCI? preservation (better prognosis).
/ 2/1
1
Exam 5 - NUR 508 \\ACTUAL EXAM 2025-2026 \NEWEST VERSION
\COMPLETE QUESTIONS AND ACCURATE DETAILED ANSWERS \VERIFIED
100% ALREADY GRADED A+
Terms in this set (120)
What is Solu-Medrol used High-dose methylprednisolone reduces inflammation
for in SCI management? and secondary injury in acute SCI (controversial,
timing-dependent).
What procedures may be EVD placement, decompressive craniectomy,
used for patients with hyperosmolar therapy (mannitol, hypertonic saline).
IICP?
What assessment findings Bulging fontanel, irritability, high-pitched cry, sunset eyes.
indicate IICP in babies?
How does IICP present in Rising ICP may show as decreased responsiveness,
sedated patients? abnormal posturing, or changes in vitals (Cushing's
triad).
What does the Glasgow Eye opening, verbal response, motor response; used to
Coma Scale measure? assess LOC and predict prognosis.
Elevate HOB 30°, maintain normothermia, avoid hip
Nursing interventions to
reduce ICP? flexion, suction only PRN, administer osmotic
diuretics.
Hypertension with widening pulse pressure, bradycardia,
What is Cushing's Triad?
irregular respirations →
late sign of increased ICP.
Rapid cerebral edema after a second concussion before
What is Second Impact
Syndrome? the first healed; presents with LOC changes, pupil
changes, respiratory failure.
Rest, avoid strenuous activity, monitor for worsening
Post-concussion patient
education? headaches, vomiting, confusion, or seizures.
What does spinal shock look Flaccid paralysis, areflexia, loss of sensation below injury,
like? hypotension, bradycardia.
Common causes of IICP? Trauma, hemorrhage, tumors, hydrocephalus, cerebral edema.
/ 1/1
1
, 10/11/25, 12:52 AM Exam 5 - NUR 508
Difference between Decorticate = flexion (lesion above brainstem);
decorticate and decerebrate = extension (lesion in brainstem) — worse
decerebrate posturing? prognosis.
How to assess for CSF leak in Halo sign on gauze, glucose-positive drainage from ears/nose.
head injury?
What to avoid in basal skull NG tube insertion and nasal suctioning; risk of intracranial
fractures? placement.
Why is mannitol used in IICP? Osmotic diuretic draws fluid from brain tissue into vasculature,
reducing cerebral edema.
Priority assessment in cervical Respiratory function due to diaphragm/phrenic nerve
SCI? involvement.
Key nursing teaching in Risk for impaired cough, bowel/bladder dysfunction, pressure
thoracic SCI? injury prevention.
Types of SCI and Flexion, hyperextension, compression, rotation, penetrating.
mechanisms?
Caregiver teaching for SCI Autonomic dysreflexia recognition, skin care, bladder program,
patients? infection prevention.
Which population is at Young adult males, often due to trauma (MVCs, diving, violence).
greatest risk for SCI?
Emergency S&S of SCI? Severe neck/back pain, loss of sensation, paralysis, loss of
bladder/bowel control
Difference between complete Complete = no motor/sensory below lesion; incomplete = partial
vs incomplete SCI? preservation (better prognosis).
/ 2/1
1
