NURS424 Chapter 19, Traumatic Brain Injury Questions
With Complete Solutions
A 16-year-old football player sustained a mild concussion and
was brought to the ED. Loss of consciousness lasted about 5
minutes. Which interventions would the nurse plan to provide
for this client? Correct Answers observing the client in the ED
for 1 to 2 hours
Providing the parents with brain injury observation instructions
before discharge
Discussing the possibility of postconcussive syndrome with the
client and parents.
A 42-year-old client with a severe acute traumatic brain injury
has developed a fever. The nurse is aware that the fever should
be reversed quickly for which reason? Correct Answers It
increases the brain's metabolic needs
A 67-year-old client who is an alcoholic and smokes two
packages of cigarettes a day sustained a skull fracture when he
passed out and struck his head on a sidewalk. The client was
released from the hospital 3 weeks ago with some lingering
neurological deficits after having a seizure. The nurse admitting
this client identifies which risk factors for late-seizure
development in this client's history? Correct Answers
alcoholism, skull fracture, neurological deficit from the accident
A brief loss of consciousness followed by a period of being alert
and oriented and then a loss of consciousness again is a typical
presentation for which condition? Correct Answers Epidural
hematoma
, A client fell on an icy sidewalk a week ago, striking the head on
the curb. The CT scan reveals an accumulation of blood between
the dura and the arachnoid covering of the brain. The nurse
would prepare to care for a client with which diagnosis? Correct
Answers subdural hematoma
A client has an expanding epidural hematoma and is taken to the
OR to have it evacuated. The client returns to the ICU ventilated
and with an intraventricular catheter in place. According to the
American College of Surgeons Guidelines, what is the minimal
cerebral perfusion pressure (CPP) desired to reduce secondary
injury to this client? Correct Answers 60 mmHg
A client in the ICU who sustained a traumatic brain injury is
being mechanically ventilated. which nursing interventions
should be implemented to manage increased ICP? Correct
Answers Preoxygenate the client if suctioning is needed
Keep the client's neck in a neutral position
Elevate the head of the bed by 30 degrees
Provide pain medication
A client is admitted after being struck in the right side of the
head with a baseball bat. An MRI shows the presence of focal
injury and diffuse axonal injury (DAI). which mechanism of
injury is likely to have occurred? Correct Answers rotation
A client is admitted to the ED after a traumatic brain injury.
Current assessment included a decrease in GCS by 1 point and
development of a fixed and dilated pupil. What should the nurse
With Complete Solutions
A 16-year-old football player sustained a mild concussion and
was brought to the ED. Loss of consciousness lasted about 5
minutes. Which interventions would the nurse plan to provide
for this client? Correct Answers observing the client in the ED
for 1 to 2 hours
Providing the parents with brain injury observation instructions
before discharge
Discussing the possibility of postconcussive syndrome with the
client and parents.
A 42-year-old client with a severe acute traumatic brain injury
has developed a fever. The nurse is aware that the fever should
be reversed quickly for which reason? Correct Answers It
increases the brain's metabolic needs
A 67-year-old client who is an alcoholic and smokes two
packages of cigarettes a day sustained a skull fracture when he
passed out and struck his head on a sidewalk. The client was
released from the hospital 3 weeks ago with some lingering
neurological deficits after having a seizure. The nurse admitting
this client identifies which risk factors for late-seizure
development in this client's history? Correct Answers
alcoholism, skull fracture, neurological deficit from the accident
A brief loss of consciousness followed by a period of being alert
and oriented and then a loss of consciousness again is a typical
presentation for which condition? Correct Answers Epidural
hematoma
, A client fell on an icy sidewalk a week ago, striking the head on
the curb. The CT scan reveals an accumulation of blood between
the dura and the arachnoid covering of the brain. The nurse
would prepare to care for a client with which diagnosis? Correct
Answers subdural hematoma
A client has an expanding epidural hematoma and is taken to the
OR to have it evacuated. The client returns to the ICU ventilated
and with an intraventricular catheter in place. According to the
American College of Surgeons Guidelines, what is the minimal
cerebral perfusion pressure (CPP) desired to reduce secondary
injury to this client? Correct Answers 60 mmHg
A client in the ICU who sustained a traumatic brain injury is
being mechanically ventilated. which nursing interventions
should be implemented to manage increased ICP? Correct
Answers Preoxygenate the client if suctioning is needed
Keep the client's neck in a neutral position
Elevate the head of the bed by 30 degrees
Provide pain medication
A client is admitted after being struck in the right side of the
head with a baseball bat. An MRI shows the presence of focal
injury and diffuse axonal injury (DAI). which mechanism of
injury is likely to have occurred? Correct Answers rotation
A client is admitted to the ED after a traumatic brain injury.
Current assessment included a decrease in GCS by 1 point and
development of a fixed and dilated pupil. What should the nurse
