NUR 265 EXAM 3 STUDY GUIDE EXAMS SET
COMPLETE QUESTIONS AND ANSWERS 2026
VIEW AHEAD TEST.
◍ GCS of 13-15, difficulty to concentrate, (concussion), loss of
consciousness up to 30min Answer: what is a mild TBI classified as ?
◍ gcs of 9-12, loss of consciousness 30min-6hrs Answer: what is a
moderate tbi classified as?
◍ gcs 3-8, loss of consciousness more than 6hrs Answer: what is a
severe tbi classified as?
◍ open-skull is fractured
closed-blunt force trauma, integrity of skull isnt compromised
closed is worse Answer: difference between open and closed tbi
◍ Brain Hernitation-cheyne stokes breathing, hemodynamic
instability, fixed and non-reactive pupils Answer: what is the
complication of a tbi and IICP and what is its symptoms?
◍ 1. mannitol-via iv filter, used until serum osmolarity reaches 310-
320
2. furosomide
3.fentanyl- decrease pain and restlessness
,4. proprofol and midazalam-sedation
5.lidocaine- to surpress cough reflex Answer: what are the
medications used for a TBI?
◍ used in a TBI
pt core temp is reduced to 89.6-93.2 for 24-48hrs post primary injury,
decreases cellular demands Answer: what is therapuetic hypothermia
?
◍ 1.assess ABC's
2.implement spine precautions
3.)vital signs
4.)neuro assessment
*report any GCS point change of 2 or more Answer: assessment for
TBI
◍ -pt supine
-spine and head in neutral midline position
-bed rest
-NO neck of hip flexion
-NO thoracic/lumbar flexion
-manual control of cervical spine when C collar is removed
-log roll Answer: what is included in spine precautions?
◍ -vitals Q1-2hrs
, -if intubated provide 100%o2 before and after every suction
-maintain Pao2 80-100
-AVOID hyperventilation in the first 24hrs
-implement seizure precautions
-maintain hazard free environment
-reorient pt to person, place and time
-always re introduce yourself when you go in pt room
-keep explanations short and simple
- collab with rehab for cognitive rehab Answer: nursing interventions
for TBI
◍ -acetaminophen Q4hrs as needed for headache
-avoid sedatives and alcohol for at least 24 post TBI
-AVOID strenuous activity for at least 48 hrs
-keep follow up appts
-call 911 if :
-seizure -increased weakness -servere of worsening HA -slurred
speech -blurred vision -clear drainage from ears or nose -unequal
pupils - increased sleepiness Answer: pt educations for TBI (mild)
◍ - dazed and confused
-inability to concentrate
-amnesia
-mental fog
COMPLETE QUESTIONS AND ANSWERS 2026
VIEW AHEAD TEST.
◍ GCS of 13-15, difficulty to concentrate, (concussion), loss of
consciousness up to 30min Answer: what is a mild TBI classified as ?
◍ gcs of 9-12, loss of consciousness 30min-6hrs Answer: what is a
moderate tbi classified as?
◍ gcs 3-8, loss of consciousness more than 6hrs Answer: what is a
severe tbi classified as?
◍ open-skull is fractured
closed-blunt force trauma, integrity of skull isnt compromised
closed is worse Answer: difference between open and closed tbi
◍ Brain Hernitation-cheyne stokes breathing, hemodynamic
instability, fixed and non-reactive pupils Answer: what is the
complication of a tbi and IICP and what is its symptoms?
◍ 1. mannitol-via iv filter, used until serum osmolarity reaches 310-
320
2. furosomide
3.fentanyl- decrease pain and restlessness
,4. proprofol and midazalam-sedation
5.lidocaine- to surpress cough reflex Answer: what are the
medications used for a TBI?
◍ used in a TBI
pt core temp is reduced to 89.6-93.2 for 24-48hrs post primary injury,
decreases cellular demands Answer: what is therapuetic hypothermia
?
◍ 1.assess ABC's
2.implement spine precautions
3.)vital signs
4.)neuro assessment
*report any GCS point change of 2 or more Answer: assessment for
TBI
◍ -pt supine
-spine and head in neutral midline position
-bed rest
-NO neck of hip flexion
-NO thoracic/lumbar flexion
-manual control of cervical spine when C collar is removed
-log roll Answer: what is included in spine precautions?
◍ -vitals Q1-2hrs
, -if intubated provide 100%o2 before and after every suction
-maintain Pao2 80-100
-AVOID hyperventilation in the first 24hrs
-implement seizure precautions
-maintain hazard free environment
-reorient pt to person, place and time
-always re introduce yourself when you go in pt room
-keep explanations short and simple
- collab with rehab for cognitive rehab Answer: nursing interventions
for TBI
◍ -acetaminophen Q4hrs as needed for headache
-avoid sedatives and alcohol for at least 24 post TBI
-AVOID strenuous activity for at least 48 hrs
-keep follow up appts
-call 911 if :
-seizure -increased weakness -servere of worsening HA -slurred
speech -blurred vision -clear drainage from ears or nose -unequal
pupils - increased sleepiness Answer: pt educations for TBI (mild)
◍ - dazed and confused
-inability to concentrate
-amnesia
-mental fog
