NSG 3280(Patho) Nclex Reviews For
Exam 3 QUESTIONS WITH CORRECT
ANSWERS GRADED A+ FOR 2026-
2027 ASSURED EXCEL!!
1. The physiologic change most likely to lead to an increase in intracranial pressure is
a. cerebral vasodilation.
b. hypernatremia.
c. respiratory hyperventilation.
d. REM sleep. - CORRECT ANSWERS-a. cerebral vasodilation
2. Manifestations of acute brain ischemia (Cushing reflex) are due primarily to
a. parasympathetic nervous system activation.
b. sympathetic nervous system activation.
c. autoregulation of body systems.
d. loss of brainstem reflexes. - CORRECT ANSWERS-b. sympathetic nervous system
activation.
3. Which group of clinical findings indicates the poorest neurologic functioning?
a. Spontaneous eye opening, movement to command, oriented to self only.
b. Eyes open to light touch on shoulder, pupils briskly reactive to light bilaterally.
c. Assumes decorticate posture with light touch, no verbal response.
d. No eye opening, responds to painful stimulus by withdrawing. - CORRECT
ANSWERS-c. Assumes decorticate posture with light touch, no verbal response.
4. Acceleration-deceleration movements of the head often result in polar injuries in which:
, a. injury is localized to the site of initial impact.
b. widespread neuronal damage is incurred.
c. bleeding from venules fills the subdural space.
d. focal injuries occur in two places at opposite poles. - CORRECT ANSWERS-d. focal
injuries occur in two places at opposite poles.
5. Secondary injury after head trauma refers to:
a. brain injury resulting from the initial trauma.
b. focal areas of bleeding.
c. brain injury resulting from the body's response to tissue damage.
d. injury as a result of medical therapy. - CORRECT ANSWERS-c. brain injury
resulting from the body's response to tissue damage.
6. An example of inappropriate treatment for head trauma would be:
a. head elevation.
b. free water restriction.
c. hypoventilation.
d. bed rest. - CORRECT ANSWERS-C. Hypoventilation
7. Risk factors for hemorrhagic stroke include:
a. atherosclerosis.
b. dysrhythmias.
c. acute hypertension.
d. sedentary lifestyle. - CORRECT ANSWERS-c. acute hypertension.
8. The stroke etiology with the highest morbidity and mortality is:
, a. intracranial hemorrhage.
b. intracranial thrombosis.
c. intracranial embolization.
d. cardiac arrest. - CORRECT ANSWERS-a. intracranial hemorrhage
9. Clinical manifestations of a stroke within the right cerebral hemisphere include:
a. corticalgblindness.
b. rightgvisualgfieldgblindness.
c. expressivegandgreceptivegaphasia.
d. left-sidedgmusclegweaknessgandgneglect.g-ggCORRECTgANSWERS-d.gleft-
sidedgmusclegweaknessgandgneglect.
10. Thegmostgimportantgpreventivegmeasuregforghemorrhagicgstrokegis:
a. anticoagulation.
b. bloodgpressuregcontrol.
c. thrombolytics.
d. managementgofgdysrhythmias.g-ggCORRECTgANSWERS-B.gbloodgpressuregcontrol.
11. Ingthegacutegphasegofgstroke,gtreatmentgisgfocusedgon:
a. stabilizationgofgrespiratorygandgcardiovasculargfunction.
b. riskgfactorgmodification.
c. preventiongofgandgcontracturesgspasticity.
d. neurologicgrehabilitation.g-ggCORRECTgANSWERS-
a.gstabilizationgofgrespiratorygandgcardiovasculargfunction.
12. Cerebralganeurysmgisgmostgfrequentlygthegresultgof:g
, a. embolicgstroke.
b. subarachnoidghemorrhage.
c. subduralghemorrhage.
d. meningitis.g-ggCORRECTgANSWERS-B.gSubarachnoidghemorrhage
13. LeakagegofgCSgfromgthegnosegorgearsgisgcommonlygassociatedgwith:
a. epiduralghematoma.
b. temporalgskullgfracture.
c. basilargskullgfracture.
d. cerebralganeurysm.g-ggCORRECTgANSWERS-c.gbasilargskullgfracture.
14. Rupturegofgagcerebralganeurysmgshouldgbegsuspectedgifgthegpatientgreports:
a. ringinggingthegears.
b. transientgepisodesgofgnumbness.
c. transientgepisodesgofgvertigo.
d. sudden,gseveregheadache.g-ggCORRECTgANSWERS-D.gsudden,gseveregheadache
15. Subarachnoidghemorrhagegisgusuallygmanagedgwithgvolumegexpansiongandgbloodgpressur
egsupportgtogenhancegcerebralgperfusion.gThisgisgnecessarygbecausegsubarachnoidghemorr
hagegpredisposesgto:
a. cerebralgvasospasm.
b. hypotension.
c. excessivegvolumegloss.
d. decreasedgintracranialgpressure.g-ggCORRECTgANSWERS-a.gcerebralgvasospasm.
16. Agcollegegstudentglivinggingagdormitorygreportsgagstiffgneckgandgheadachegandgisgfoundgtogh
avegagfevergofg102°F.gThisginformationgisgmostgconsistentgwith:g
Exam 3 QUESTIONS WITH CORRECT
ANSWERS GRADED A+ FOR 2026-
2027 ASSURED EXCEL!!
1. The physiologic change most likely to lead to an increase in intracranial pressure is
a. cerebral vasodilation.
b. hypernatremia.
c. respiratory hyperventilation.
d. REM sleep. - CORRECT ANSWERS-a. cerebral vasodilation
2. Manifestations of acute brain ischemia (Cushing reflex) are due primarily to
a. parasympathetic nervous system activation.
b. sympathetic nervous system activation.
c. autoregulation of body systems.
d. loss of brainstem reflexes. - CORRECT ANSWERS-b. sympathetic nervous system
activation.
3. Which group of clinical findings indicates the poorest neurologic functioning?
a. Spontaneous eye opening, movement to command, oriented to self only.
b. Eyes open to light touch on shoulder, pupils briskly reactive to light bilaterally.
c. Assumes decorticate posture with light touch, no verbal response.
d. No eye opening, responds to painful stimulus by withdrawing. - CORRECT
ANSWERS-c. Assumes decorticate posture with light touch, no verbal response.
4. Acceleration-deceleration movements of the head often result in polar injuries in which:
, a. injury is localized to the site of initial impact.
b. widespread neuronal damage is incurred.
c. bleeding from venules fills the subdural space.
d. focal injuries occur in two places at opposite poles. - CORRECT ANSWERS-d. focal
injuries occur in two places at opposite poles.
5. Secondary injury after head trauma refers to:
a. brain injury resulting from the initial trauma.
b. focal areas of bleeding.
c. brain injury resulting from the body's response to tissue damage.
d. injury as a result of medical therapy. - CORRECT ANSWERS-c. brain injury
resulting from the body's response to tissue damage.
6. An example of inappropriate treatment for head trauma would be:
a. head elevation.
b. free water restriction.
c. hypoventilation.
d. bed rest. - CORRECT ANSWERS-C. Hypoventilation
7. Risk factors for hemorrhagic stroke include:
a. atherosclerosis.
b. dysrhythmias.
c. acute hypertension.
d. sedentary lifestyle. - CORRECT ANSWERS-c. acute hypertension.
8. The stroke etiology with the highest morbidity and mortality is:
, a. intracranial hemorrhage.
b. intracranial thrombosis.
c. intracranial embolization.
d. cardiac arrest. - CORRECT ANSWERS-a. intracranial hemorrhage
9. Clinical manifestations of a stroke within the right cerebral hemisphere include:
a. corticalgblindness.
b. rightgvisualgfieldgblindness.
c. expressivegandgreceptivegaphasia.
d. left-sidedgmusclegweaknessgandgneglect.g-ggCORRECTgANSWERS-d.gleft-
sidedgmusclegweaknessgandgneglect.
10. Thegmostgimportantgpreventivegmeasuregforghemorrhagicgstrokegis:
a. anticoagulation.
b. bloodgpressuregcontrol.
c. thrombolytics.
d. managementgofgdysrhythmias.g-ggCORRECTgANSWERS-B.gbloodgpressuregcontrol.
11. Ingthegacutegphasegofgstroke,gtreatmentgisgfocusedgon:
a. stabilizationgofgrespiratorygandgcardiovasculargfunction.
b. riskgfactorgmodification.
c. preventiongofgandgcontracturesgspasticity.
d. neurologicgrehabilitation.g-ggCORRECTgANSWERS-
a.gstabilizationgofgrespiratorygandgcardiovasculargfunction.
12. Cerebralganeurysmgisgmostgfrequentlygthegresultgof:g
, a. embolicgstroke.
b. subarachnoidghemorrhage.
c. subduralghemorrhage.
d. meningitis.g-ggCORRECTgANSWERS-B.gSubarachnoidghemorrhage
13. LeakagegofgCSgfromgthegnosegorgearsgisgcommonlygassociatedgwith:
a. epiduralghematoma.
b. temporalgskullgfracture.
c. basilargskullgfracture.
d. cerebralganeurysm.g-ggCORRECTgANSWERS-c.gbasilargskullgfracture.
14. Rupturegofgagcerebralganeurysmgshouldgbegsuspectedgifgthegpatientgreports:
a. ringinggingthegears.
b. transientgepisodesgofgnumbness.
c. transientgepisodesgofgvertigo.
d. sudden,gseveregheadache.g-ggCORRECTgANSWERS-D.gsudden,gseveregheadache
15. Subarachnoidghemorrhagegisgusuallygmanagedgwithgvolumegexpansiongandgbloodgpressur
egsupportgtogenhancegcerebralgperfusion.gThisgisgnecessarygbecausegsubarachnoidghemorr
hagegpredisposesgto:
a. cerebralgvasospasm.
b. hypotension.
c. excessivegvolumegloss.
d. decreasedgintracranialgpressure.g-ggCORRECTgANSWERS-a.gcerebralgvasospasm.
16. Agcollegegstudentglivinggingagdormitorygreportsgagstiffgneckgandgheadachegandgisgfoundgtogh
avegagfevergofg102°F.gThisginformationgisgmostgconsistentgwith:g
