TNCC TEST 2023-2024 ACTUAL FINAL EXAM TEST BANK 300 QUESTIONS AND CORRET DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

TNCC TEST 2023-2024 ACTUAL FINAL EXAM TEST BANK 300

QUESTIONS AND CORRET DETAILED ANSWERS WITH

RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

What are signs of Compensated shock? - ANSWER- Anxiety as blood is

shunted from areas responsible for higher brain function, normal systolic

BP, elevated diastolic BP, increased RR, bounding pulse, decreased

urinary output.

What are signs of Decompensated or Progressive shock? - ANSWERDecreased LOC, decreased systolic BP, narrowing pulse pressure,

tachycardia, weak pulses, rapid shallow respirations, cool and cyanotic

skin, increased lactic acid levels.

What are signs of Irreversible shock? - ANSWER- Obtunded, marked

hypotension and heart failure, bradycardia, bradypnea, organ failure,

acidosis.

What pain scale is used for the infant and pediatric patients and what

does it stand for? - ANSWER- F- Facial expression

L- Leg position

A- Activity

C- Crying

C- Consolability

CO2 is a primary regulator of blood flow to the brain and a strong

vasoconstrictor or vasodilator? - ANSWER- Vasodilator

What is a normal ICP level? - ANSWER- 10-20 mmHg

A sustained ICP over what level is considered abnormal? - ANSWER20 mmHg

Cerebral autoregulation maintains a constant cerebral vascular blood

flow as long as the MAP is in what range? - ANSWER- 50-150 mmHg

Normal cerebral perfusion pressure is what? - ANSWER- 60-100 mmHg

Autoregulation maintains a steady state when the CPP is between what?

- ANSWER- 50 - 160 mmHg

When cerebral autoregulation fails, perfusion is dependent on what and

what conditions would complicate this? - ANSWER- MAP, hemorrhage

and hypovolemia

Early assessment findings of ICP include. - ANSWER- Headache,

N&V, amnesia, behavior changes, altered loc

Late assessment findings of ICP include. - ANSWER- Dilated

nonreactive pupils, unresponsive to stimuli, abnormal posturing,

widening pulse pressure, reflex bradycardia, decreased respiratory effort.

How long does it take for symptoms to manifest in both acute and

chronic subdural hematomas? - ANSWER- Acute- within 72 hours

Chronic- up to 2 weeks

Assessment findings of chronic subdural hematomas include. -

ANSWER- Altered or steady decline in LOC, headache, loss of

memory, altered reasoning, motor deficit, aphasia, ipsilateral unilateral

fixed adn dilated pupil, incontinence, seizures

What is the GCS score for mild traumatic brain injury? - ANSWER- 13-

15

What is the GCS score for moderate traumatic brain injury? -

ANSWER- 9-12

What is the GCS score for severe traumatic brain injury? - ANSWER- 8

or less

What is second impact syndrome? - ANSWER- When a patient suffers a

2nd mild TBI before recovery from the first. The 2nd impact causes a

loss of autoregulation leading to cerebral edema.

What is diffuse axonal injury? - ANSWER- Widespread microscopic

damage, primarily to the axons. Depending on severity can lead to

persistent vegetative state.

How should a patient with head trauma be positioned? - ANSWEREither with the head of the bed elevated 30 deg or or reverse

Trendelenberg 30 deg if boarded.

What medications can be administered with traumatic brain injury and

when would it be contraindicated? - ANSWER- Mannitolcontraindicated if active intracranial bleed.

Anticonvulsant

Assessment findings for corneal abrasions include. - ANSWERPhotophobia, pain, redness, lid swelling

Assessment findings for corneal lacerations include. - ANSWER- Pain,

decreased vision

What is hyphema? - ANSWER- Hyphema is a collection of blood in the

anterior chamber of the eye.

What assessment finding is indicative of retrobulbar hematoma? -

ANSWER- IOP greater than 40 mmHg

What is a normal intraoccular pressure? - ANSWER- 10-20 mmHg