NSG 3280 Exam 3 Questions and Answers Practice Questions with Solutions Newest | Already Graded A+

NSG 3280 Exam 3 Questions and Answers
Practice Questions with Solutions Newest
2026-2027 | Already Graded A+

Question 1: A patient with increased intracranial pressure (ICP) presents with
hypertension, bradycardia, and irregular respirations. This triad is known as:
A) Kernig's sign
B) Brudzinski's sign
C) Cushing's triad
D) Battle's sign
Correct Answer: C


Question 2: Which of the following is the MOST sensitive early clinical
manifestation of increased ICP?
A) Headache
B) Vomiting
C) Change in level of consciousness (drowsiness)
D) Pupil dilation
Correct Answer: C


Question 3: A patient with increased ICP has a sluggish pupil response. This
indicates pressure on which cranial nerve?
A) CN II
B) CN III
C) CN IV
D) CN VI
Correct Answer: B


Question 4: Fixed and dilated pupils in a patient with head trauma suggest:
A) Early increased ICP

,B) Poor brain perfusion and possible herniation
C) Pontine hemorrhage
D) Normal finding
Correct Answer: B


Question 5: Small, pinpoint (1-2 mm) pupils that are reactive to light are most
commonly associated with:
A) Midbrain compression
B) Pontine lesion or opioid use
C) Uncal herniation
D) Subarachnoid hemorrhage
Correct Answer: B


Question 6: In a patient with suspected brain death, the doll's eye test
(oculocephalic reflex) is performed. An absent response means:
A) The eyes remain midline and do not move opposite to head rotation
B) The eyes move opposite to head rotation
C) The eyes move with head rotation
D) The eyes deviate conjugately
Correct Answer: A


Question 7: The normal response to the cold calories test (caloric irrigation with
cold water) is:
A) No eye movement
B) Eyes deviate toward the cold water side
C) Eyes deviate away from the cold water side
D) Nystagmus away from the cold water side
Correct Answer: B


Question 8: An absent response to cold calories test indicates:
A) Intact brainstem function

,B) Severe brainstem dysfunction or death
C) Vestibular neuritis
D) Normal variant
Correct Answer: B


Question 9: An injury localized only to the site of impact on the skull is called a:
A) Focal (coup) TBI
B) Polar (coup-contrecoup) TBI
C) Diffuse TBI
D) Penetrating TBI
Correct Answer: A


Question 10: An injury that occurs at the site of impact AND on the opposite side
of the brain due to forward-backward movement within the skull is called:
A) Focal TBI
B) Polar (coup-contrecoup) TBI
C) Diffuse axonal injury
D) Concussion
Correct Answer: B


Question 11: Widespread damage to the brain with stretching and shearing of
white matter due to rotational forces, often resulting in coma, is called:
A) Focal TBI
B) Coup injury
C) Diffuse TBI (diffuse axonal injury)
D) Epidural hematoma
Correct Answer: C


Question 12: The initial injury resulting from the traumatic event itself is called:
A) Secondary injury
B) Primary injury

, C) Tertiary injury
D) Reperfusion injury
Correct Answer: B


Question 13: Which type of cerebral edema is caused by a failure of the Na+/K+
pump leading to cellular swelling?
A) Vasogenic edema
B) Cytotoxic edema (intracellular)
C) Interstitial edema
D) Hydrostatic edema
Correct Answer: B


Question 14: Which type of cerebral edema is caused by disruption of the blood-
brain barrier allowing fluid to leak into the extracellular space?
A) Vasogenic edema
B) Cytotoxic edema
C) Intracellular edema
D) Osmotic edema
Correct Answer: A


Question 15: A patient with increased ICP exhibits a wide pulse pressure. This
means:
A) Decreased systolic and increased diastolic
B) Increased systolic and decreased diastolic
C) Decreased systolic and decreased diastolic
D) Increased systolic and increased diastolic
Correct Answer: B


Question 16: Cushing's triad includes all of the following EXCEPT:
A) Hypertension
B) Bradycardia