2026-2027 Actual Complete Real Exam Questions And Correct
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1
Q
What is the most sensitive indicator of neuro status?
A
Level of consciousness.
Assess for restlessness, irritability, and confusion.
2
Q
What is the highest score on the Glasgow coma score?
A
15
At 15, the client is completely alert and oriented
eyes open spontaneously
verbalizes pain
oriented and converses
3
Q
What is the lowest score on the Glasgow coma scale?
A
3
At 3, the client is not responsive
eyes have no response
no response to pain
, no verbal response
4
Q
At what Glasgow coma score is the client typically intubated?
(Immediate complication)
A
“Less than 8, intubate”
8 indicates a coma.
,
, 5
Q
Unconscious clients are completely dependent on caregivers. What are
the priority safety concerns?
A
assure an airway: may be on a ventilator
tube feedings: prevent aspiration
turn every 2 hours: to prevent pressure ulcers
prevent falls: by keeping side rails up and bed in low position
6
Q
What is decorticate and decerebrate posturing?
A
Both postures indicate a deteriorating condition in the brain.