MOSTLY TESTED QUESTIONS AND ANSWERS 2025-2026| GET
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Terms in this set (27)
What vital sign assessments Increased SBP w/widening pulse pressure, changes in respirations, and
herald impending brainstem bradycardia
herniation?
A patient is admitted after Prior to placement of an ICP monitoring catheter, a
sustaining neurologic assessment is performed in order to have a
traumatic brain injury in a baseline assessment to compare to the postinsertion
motorcycle crash. The patent's assessment.
GCS score on admission is E 2,
M 3, V 1T = 6T. Which of the
following
should the nurse perform to
prepare the patient for ICP
monitoring?
A patient is admitted following a Responsive to painful stimuli
drug
overdose. The patient does not
open eyes upon verbal request
but localizes to a
trapezius muscle squeeze
without opening eyes. The
nurse should document the
patient's mental status as:
, You are caring for an Abnormal flexor posturing
unconscious patient with
traumatic brain injury from a
motor vehicle crash. His
alcohol and toxicology screen
are negative, he has no facial
fractures, and he's not receiving
pain or
sedation medication. Vital
signs: BP 100/70 (80), HR 86
sinus rhythm, SpO2 95% with
endotracheal tube secured. Upon
application of painful stimuli
with
supraorbital notch pressure, the
patient
clenches fists, holds legs
straight out, and bends arms
inward toward the body.
Fingers are bent and held on the
chest. The
nurse should document this
response as:
Measure blood flow velocity to assess for vasospasm.
In a patient with a subarachnoid
hemorrhage, what is the Transcranial Doppler (TCD) uses ultrasound technology to
purpose of a transcranial evaluate cerebral blood flow and arterial narrowing in the
Doppler (TCD) test? major cerebral vessels. If arterial passages have narrowed, as
in vasospasm, blood flow velocity is increased.
Which of the following Two days post severe traumatic brain injury
patients should the nurse
anticipate as most likely to
develop hyponatremia and
hypo-osmolality? A patient:
A nurse finds that a patient does Apply peripheral pain stimulus
not move spontaneously or
follow commands. To assess
the patient's motor function,
the
nurse applies a central pain
stimulus,