NR 265: NEURO SAMPLE EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT)/A+ GRADE ASSURED
A nursing student studying traumatic brain injuries (TBIs) should recognize which facts about
thesedisorders? (Select all that apply.)
• A client with a moderate trauma may need hospitalization.
• A Glasgow Coma Scale score of 10 indicates a mild brain injury.
• Only open head injuries can cause a severe TBI.
• A client with a Glasgow Coma Scale score of 3 has severe TBI.
E. The terms “mild TBI” and “concussion” have similar meanings.
• A nurse cares for older clients who have traumatic brain injury. What should the nurse
understandabout this population? (Select all that apply.)
• Admission can overwhelm the coping mechanisms for older clients.
• Alcohol is typically involved in most traumatic brain injuries for this age group.
• These clients are more susceptible to systemic and wound infections.
D. Other medical conditions can complicate treatment for these clients.
E. Very few traumatic brain injuries occur in this age group.
,After brain surgery, one of the clients developed meningitis. To which unlicensed assistive
personnel (UAP) may the nurse assign comfort measures? Choose all that pertain.
A. applying a cool towel to their head
B. Helping the person find a comfortable position
C. Speaking in a soft, comforting tone
D. Keeping the room's illumination low
E. Providing antipyretics for fever
• A client has a small-bore feeding tube (Dobhoff tube) inserted for continuous enteral
feedings while recovering from a traumatic brain injury. What actions should the nurse
include in the client’s care? (Select all that apply.)
• Assess tube placement per agency policy.
B. Keep the head of the bed elevated at least 30 degrees.
C. Listen to lung sounds at least every 4 hours
D. Run continuous feedings on a feeding pump.
E. Use blue dye to determine proper placement.
• A nurse is dismissing a client from the emergency department who has a mild traumatic
brain injury. What information obtained from the client represents a possible barrier to self-
management? (Select all that apply.)
• Does not want to purchase a thermometer
• Is allergic to acetaminophen (Tylenol) Correct
, • Laughing, says “Strenuous? What’s that?”
• Lives alone and is new in town with no friends Correct
• Plans to have a beer and go to bed once home Correct
The client's collaborative care for a traumatic brain injury (TBI) is being assessed by the
nurse. For this client, what is the most crucial goal?
Reaching the maximal functional capacity
Increasing cerebral perfusion
Keeping injuries from getting worse
Keeping the respiratory system from becoming distressed
• The nurse is assessing a client with a traumatic brain injury after a skateboarding
accident. Whichsymptom is the nurse most concerned about?
• Amnesia
• Head laceration
• Asymmetric pupils
• Restlessness
VERIFIED ANSWERS (100% CORRECT)/A+ GRADE ASSURED
A nursing student studying traumatic brain injuries (TBIs) should recognize which facts about
thesedisorders? (Select all that apply.)
• A client with a moderate trauma may need hospitalization.
• A Glasgow Coma Scale score of 10 indicates a mild brain injury.
• Only open head injuries can cause a severe TBI.
• A client with a Glasgow Coma Scale score of 3 has severe TBI.
E. The terms “mild TBI” and “concussion” have similar meanings.
• A nurse cares for older clients who have traumatic brain injury. What should the nurse
understandabout this population? (Select all that apply.)
• Admission can overwhelm the coping mechanisms for older clients.
• Alcohol is typically involved in most traumatic brain injuries for this age group.
• These clients are more susceptible to systemic and wound infections.
D. Other medical conditions can complicate treatment for these clients.
E. Very few traumatic brain injuries occur in this age group.
,After brain surgery, one of the clients developed meningitis. To which unlicensed assistive
personnel (UAP) may the nurse assign comfort measures? Choose all that pertain.
A. applying a cool towel to their head
B. Helping the person find a comfortable position
C. Speaking in a soft, comforting tone
D. Keeping the room's illumination low
E. Providing antipyretics for fever
• A client has a small-bore feeding tube (Dobhoff tube) inserted for continuous enteral
feedings while recovering from a traumatic brain injury. What actions should the nurse
include in the client’s care? (Select all that apply.)
• Assess tube placement per agency policy.
B. Keep the head of the bed elevated at least 30 degrees.
C. Listen to lung sounds at least every 4 hours
D. Run continuous feedings on a feeding pump.
E. Use blue dye to determine proper placement.
• A nurse is dismissing a client from the emergency department who has a mild traumatic
brain injury. What information obtained from the client represents a possible barrier to self-
management? (Select all that apply.)
• Does not want to purchase a thermometer
• Is allergic to acetaminophen (Tylenol) Correct
, • Laughing, says “Strenuous? What’s that?”
• Lives alone and is new in town with no friends Correct
• Plans to have a beer and go to bed once home Correct
The client's collaborative care for a traumatic brain injury (TBI) is being assessed by the
nurse. For this client, what is the most crucial goal?
Reaching the maximal functional capacity
Increasing cerebral perfusion
Keeping injuries from getting worse
Keeping the respiratory system from becoming distressed
• The nurse is assessing a client with a traumatic brain injury after a skateboarding
accident. Whichsymptom is the nurse most concerned about?
• Amnesia
• Head laceration
• Asymmetric pupils
• Restlessness
