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NUR 265 EXAM 3 2025/2026 WITH DETAILED
QUESTIONS AND COREECT ANSWERS | GRADED A+
1. Question:
GCS of 13-15, difficulty to concentrate, (concussion), loss of consciousness up to 30min ?
Answer:
what is a mild TBI classified as ?
2. Question:
gcs of 9-12, loss of consciousness 30min-6hrs ?
Answer:
what is a moderate tbi classified as?
3. Question:
gcs 3-8, loss of consciousness more than 6hrs ?
Answer:
what is a severe tbi classified as?
4. Question:
open-skull is fractured
closed-blunt force trauma, integrity of skull isnt compromised
closed is worse ?
Answer:
difference between open and closed tbi
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5. Question:
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?
6. Question:
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?
7. Question:
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 ?
8. Question:
1.assess ABC's
2.implement spine precautions
3.)vital signs
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4.)neuro assessment
*report any GCS point change of 2 or more ?
Answer:
assessment for TBI
9. Question:
-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?
10. Question:
-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
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- collab with rehab for cognitive rehab ?
Answer:
nursing interventions for TBI
11. Question:
-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)
12. Question:
- dazed and confused
-inability to concentrate
-amnesia
-mental fog
-irritable
-N/V
-gait changes
-visual changes
dizziness
-sleeping more or less
NUR 265 EXAM 3 2025/2026 WITH DETAILED
QUESTIONS AND COREECT ANSWERS | GRADED A+
1. Question:
GCS of 13-15, difficulty to concentrate, (concussion), loss of consciousness up to 30min ?
Answer:
what is a mild TBI classified as ?
2. Question:
gcs of 9-12, loss of consciousness 30min-6hrs ?
Answer:
what is a moderate tbi classified as?
3. Question:
gcs 3-8, loss of consciousness more than 6hrs ?
Answer:
what is a severe tbi classified as?
4. Question:
open-skull is fractured
closed-blunt force trauma, integrity of skull isnt compromised
closed is worse ?
Answer:
difference between open and closed tbi
, Page |2
5. Question:
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?
6. Question:
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?
7. Question:
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 ?
8. Question:
1.assess ABC's
2.implement spine precautions
3.)vital signs
, Page |3
4.)neuro assessment
*report any GCS point change of 2 or more ?
Answer:
assessment for TBI
9. Question:
-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?
10. Question:
-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
, Page |4
- collab with rehab for cognitive rehab ?
Answer:
nursing interventions for TBI
11. Question:
-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)
12. Question:
- dazed and confused
-inability to concentrate
-amnesia
-mental fog
-irritable
-N/V
-gait changes
-visual changes
dizziness
-sleeping more or less
