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NR 341/ NR341 COMPLEX ADULT HEALTH EXAM 1 AND EXAM 2 PACKAGE DEAL
LATEST REAL EXAM 190 QUESTIONS AND CORRECT ANSWERS 2025/2026
|A+GRADE
Ways to avoid increased ICP - ......ANSWER........*Prevent increased CO2 (mechanical
ventilation, PaCo2 26-30)
*Mechanical ventilation (controls CO2)
*Keep neck mid-line, neutral position
*HOB at 30 degrees
*Hyper oxygenate prior to suctioning
*Suppress cough *Prevent shivering *Control body temp *Maintain CPP
What medications are used for increased ICP? - ......ANSWER........*Corticosteroids (brain)
*Oxygen
*BP meds (Labetalol & Nicardipine)
*IV fluids (NS/Hypertonic)
*Diuretics (Mannitol, Furosemide)
What is Cushing's triad? - ......ANSWER........*HTN with widened pulse pressure
*Bradycardia *Irregular breathing (Cheyene)
What is Cerebral Perfusion Pressure - ......ANSWER........*CPP = MAP - ICP
*60-100mg HH
*Determines Cerebral blood flow (CBF)
*Less than 50 = ischemia & neuronal death
*Raising MAP increases CPP
*Raising ICP decreases CPP
What is Decorticate Posturing? - ......ANSWER........Decorticate Posturing
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*Flexor Posturing
*Damage to the cervical spinal tract/cerebral hemisphere
*Suggests cerebral cortex involvement
*To the core
*Hands turned inward
*Arms folded in
*Feet and legs extended out
What is Decerebrate Posturing? - ......ANSWER........Decerebrate Posturing -Extensor
Posturing -Damage to brain stem -Arms extended -Wrist rotated -Legs extended -Feet
internally rotated
What is Flaccid Posturing? - ......ANSWER........*No motor response display in any
extremity
*Compression of medulla
*Injury to the deep brain stem lesions
*Ominous sign
*No response to painful stimulation
What is the Glasgow Coma Scale scoring for eye opining response?
- ......ANSWER........*Open spontaneously = 4 points
*Open to verbal command/speech/shout = 3
*Open to pain = 2 points
*No eye opening = 1 point
What is the Glasgow Coma Scale scoring for verbal response?
- ......ANSWER........*Oriented = 5 points
*Confused but can answer questions = 4 points
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*Inappropriate responses = 3 points
*Incomprehensible speech/sound = 2 points
*No verbal response = 1 point
What is the Glasgow Coma Scale scoring for motor response? - ......ANSWER........*Obeys
commands for movement = 6 points
*Purposeful movement to pain = 5 points
*Withdraws from pain = 4 points
*Decorticate posture = 3 points
*Decerebrate posture = 2 points
*No motor response = 1 point
Summarize total scoring for Glasgow Coma Scale - ......ANSWER........*13-15 = Minor brain
injury
*9-12 = Moderate brain injury
*3-8 = Severe brain injury
What are warning signs after a head injury? - ......ANSWER........*Changes in LOC
(drowsiness, confusion)
*Seizures
*Bleeding or Water Drainage from nose or ears
*Blurred vision
*Pupils slow to react or unequal
*Loss of sensation to extremity
*Projectile vomiting
*Slurred speech.
What is Autonomic Dysreflexia? - ......ANSWER........*Disregulation of nervous system
NR 341/ NR341 COMPLEX ADULT HEALTH EXAM 1 AND EXAM 2 PACKAGE DEAL
LATEST REAL EXAM 190 QUESTIONS AND CORRECT ANSWERS 2025/2026
|A+GRADE
Ways to avoid increased ICP - ......ANSWER........*Prevent increased CO2 (mechanical
ventilation, PaCo2 26-30)
*Mechanical ventilation (controls CO2)
*Keep neck mid-line, neutral position
*HOB at 30 degrees
*Hyper oxygenate prior to suctioning
*Suppress cough *Prevent shivering *Control body temp *Maintain CPP
What medications are used for increased ICP? - ......ANSWER........*Corticosteroids (brain)
*Oxygen
*BP meds (Labetalol & Nicardipine)
*IV fluids (NS/Hypertonic)
*Diuretics (Mannitol, Furosemide)
What is Cushing's triad? - ......ANSWER........*HTN with widened pulse pressure
*Bradycardia *Irregular breathing (Cheyene)
What is Cerebral Perfusion Pressure - ......ANSWER........*CPP = MAP - ICP
*60-100mg HH
*Determines Cerebral blood flow (CBF)
*Less than 50 = ischemia & neuronal death
*Raising MAP increases CPP
*Raising ICP decreases CPP
What is Decorticate Posturing? - ......ANSWER........Decorticate Posturing
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*Flexor Posturing
*Damage to the cervical spinal tract/cerebral hemisphere
*Suggests cerebral cortex involvement
*To the core
*Hands turned inward
*Arms folded in
*Feet and legs extended out
What is Decerebrate Posturing? - ......ANSWER........Decerebrate Posturing -Extensor
Posturing -Damage to brain stem -Arms extended -Wrist rotated -Legs extended -Feet
internally rotated
What is Flaccid Posturing? - ......ANSWER........*No motor response display in any
extremity
*Compression of medulla
*Injury to the deep brain stem lesions
*Ominous sign
*No response to painful stimulation
What is the Glasgow Coma Scale scoring for eye opining response?
- ......ANSWER........*Open spontaneously = 4 points
*Open to verbal command/speech/shout = 3
*Open to pain = 2 points
*No eye opening = 1 point
What is the Glasgow Coma Scale scoring for verbal response?
- ......ANSWER........*Oriented = 5 points
*Confused but can answer questions = 4 points
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*Inappropriate responses = 3 points
*Incomprehensible speech/sound = 2 points
*No verbal response = 1 point
What is the Glasgow Coma Scale scoring for motor response? - ......ANSWER........*Obeys
commands for movement = 6 points
*Purposeful movement to pain = 5 points
*Withdraws from pain = 4 points
*Decorticate posture = 3 points
*Decerebrate posture = 2 points
*No motor response = 1 point
Summarize total scoring for Glasgow Coma Scale - ......ANSWER........*13-15 = Minor brain
injury
*9-12 = Moderate brain injury
*3-8 = Severe brain injury
What are warning signs after a head injury? - ......ANSWER........*Changes in LOC
(drowsiness, confusion)
*Seizures
*Bleeding or Water Drainage from nose or ears
*Blurred vision
*Pupils slow to react or unequal
*Loss of sensation to extremity
*Projectile vomiting
*Slurred speech.
What is Autonomic Dysreflexia? - ......ANSWER........*Disregulation of nervous system
