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A-level
ENA Emergency Nursing: Head Trauma – A+ Graded End Term Exam with Verified
Answers
Time allowed: 3 hours
Materials
For this paper you must have: For Examiner’s Use
• a calculator. Section Mark
A
Instructions
• Use black ink or black ball-point pen. B
• Fill in the boxes at the top of this page. C
• Answer all questions.
TOTAL
• You must answer the questions in the spaces provided. Do not write
outside the box around each page or on blank pages.
• If you need extra space for your answer(s), use the lined pages at the end
of this book. Write the question number against your answer(s).
• Do all rough work in this answer book. Cross through any
work you do not want to be marked.
Information
• The marks for each question are shown in brackets.
• The maximum mark for this paper is 120.
IB/G/Jun21/E8
, In a patient who is unconscious after sustaining a head injury, which cranial nerve should you test first? - ✔✔In an
unconscious patient, however, you should first test cranial nerves III (oculomotor nerve), IV (trochlear nerve), IX
(glossopharyngeal nerve), and X (vagus nerve).
Which injury is most likely to become more pronounced 12 to 24 hours after the event?
A. Scalp laceration
B. Linear skull fracture
C. Mild traumatic brain injury
D. Contusion - ✔✔a
What is the purpose of intracranial pressure monitoring? - ✔✔To decrease the risk of secondary brain injury
Which finding requires treatment first?
A. Dilated right pupil
B. Bradypnea
C. Bleeding from a mouth wound
D. Abnormal motor posturing - ✔✔c
Which event occurs first when the intracranial volume increases? - ✔✔Cerebrospinal fluid production decreases.
In a patient with a temporal lobe injury, you should expect a deficit in which area?
A. Balance
B. Memory
C. Temperature sensation
D. Judgment - ✔✔b
Centre number Candidate number
Surname
Forename(s)
Candidate
signature
I declare this is my own work.
A-level
ENA Emergency Nursing: Head Trauma – A+ Graded End Term Exam with Verified
Answers
Time allowed: 3 hours
Materials
For this paper you must have: For Examiner’s Use
• a calculator. Section Mark
A
Instructions
• Use black ink or black ball-point pen. B
• Fill in the boxes at the top of this page. C
• Answer all questions.
TOTAL
• You must answer the questions in the spaces provided. Do not write
outside the box around each page or on blank pages.
• If you need extra space for your answer(s), use the lined pages at the end
of this book. Write the question number against your answer(s).
• Do all rough work in this answer book. Cross through any
work you do not want to be marked.
Information
• The marks for each question are shown in brackets.
• The maximum mark for this paper is 120.
IB/G/Jun21/E8
, In a patient who is unconscious after sustaining a head injury, which cranial nerve should you test first? - ✔✔In an
unconscious patient, however, you should first test cranial nerves III (oculomotor nerve), IV (trochlear nerve), IX
(glossopharyngeal nerve), and X (vagus nerve).
Which injury is most likely to become more pronounced 12 to 24 hours after the event?
A. Scalp laceration
B. Linear skull fracture
C. Mild traumatic brain injury
D. Contusion - ✔✔a
What is the purpose of intracranial pressure monitoring? - ✔✔To decrease the risk of secondary brain injury
Which finding requires treatment first?
A. Dilated right pupil
B. Bradypnea
C. Bleeding from a mouth wound
D. Abnormal motor posturing - ✔✔c
Which event occurs first when the intracranial volume increases? - ✔✔Cerebrospinal fluid production decreases.
In a patient with a temporal lobe injury, you should expect a deficit in which area?
A. Balance
B. Memory
C. Temperature sensation
D. Judgment - ✔✔b
