2024/2025. NURSING STUDY GUIDE FOR EXAM PREP
1. A patient has suffered a traumatic head injury. Given an initial
clearance, the patient is asked to return in two days. Which of
the following may develop over several days? Subdural
hematoma
2. A patient suffers a spinal cord injury at T4. Vital signs reveal
bradycardia and hypotension. What does the nurse suspect?
The patient is experiencing dysfunction of sympathetic nervous
system
3. A patient suffers severe head trauma from a motorcycle
accident. Intracranial pressure (ICP) is increasing. Which of the
following may the clinician consider for reducing ICP?
Administration of IV mannitol solution
4. An adult patient with a head injury is assessed and found to
have a positive Babinski reflex. Which of the following is the
correct association? the patients toes flared outwards when
the sole of the foot was stimulated
5. A patient has suffered a spinal cord injury. Which level of injury
would most likely compromise phrenic nerve function? C4 and
above
6. An initial assessment of a patient with a spinal cord injury
reveals an absent anal reflex. What is the correct
interpretation? The patient is experiencing spinal shock
7. A patient has suffered a tear in the middle meningeal artery
due to skull fracture. Which of the following is likely to be
diagnosed? epidural hematoma
8. A patient suffering from a head injury is observed to have
"Battle's sign." What is apparent to the clinician? Bruising behind
the ears