NCLEX CRUSADE ACADEMY TEST - 19 HEAD INJURY

1. Which brain lobe is primarily responsible for movement, reasoning, and personality?. Occipital lobe. Parietal lobe. Frontal lobe. Temporal lobe.

2. The occipital lobe of the brain is primarily responsible for which function?. Hearing. Vision. Memory. Sensation.

3. Which structure of the brain controls vital functions such as breathing and heart rate?. Cerebellum. Brainstem. Frontal lobe. Parietal lobe.

4. Closed head trauma is particularly dangerous because the skull becomes which type of environment?. Flexible chamber. Closed box. Fluid reservoir. Ventilated cavity.

5. What is the earliest indicator of increased intracranial pressure (ICP) in adults?. Hypertension. Bradycardia. Change in level of consciousness. Seizures.

6. Which late sign of increased ICP forms part of Cushing's triad?. Hypotension. Bradycardia. Tachycardia. Hyperthermia.

7. A patient with head trauma presents with flexion of arms toward the chest. This posturing is called: Decerebrate. Decorticate. Spastic. Flaccid.

8. Which pediatric finding may indicate increased intracranial pressure in infants?. Sunken fontanel. Bulging anterior fontanel. Small head circumference. Low cry tone.

9. Which sign indicates a possible basilar skull fracture?. Jaundice. Battle sign. Cyanosis. Edema.

10. Raccoon eyes are associated with which condition?. Stroke. Facial fracture. Basilar skull fracture. Sinus infection.

11. An epidural hematoma typically involves bleeding from which source?. Venous bleeding. Capillary bleeding. Arterial bleeding. Lymphatic bleeding.

12. Which clinical presentation is characteristic of epidural hematoma?. Immediate coma without recovery. Lucid interval followed by rapid deterioration. Gradual confusion over weeks. Chronic headache only.

13. Subdural hematomas are most commonly associated with which type of bleeding?. Arterial bleeding. Venous bleeding. Capillary rupture. Lymphatic leakage.

14. The recommended head-of-bed elevation for patients with increased ICP is: 0 degrees. 15 degrees. 3040 degrees. 60 degrees.

15. Which positioning action should be avoided in patients with increased ICP?. Neutral head alignment. Trendelenburg position. Quiet environment. Head elevation.

16. Which intervention should be minimized because it can spike ICP?. Oxygen therapy. Frequent suctioning. IV fluids. Temperature monitoring.

17. Which medication class helps decrease cerebral edema in head injury?. Beta blockers. Osmotic diuretics. Antihistamines. Antibiotics.

18. A head injury patient repeatedly asking for water may indicate which complication?. SIADH. Diabetes insipidus. Stroke. Sepsis.

19. Which diagnostic sign indicates possible cerebrospinal fluid leakage?. Halo sign. Babinski reflex. Romberg sign. Murphy sign.

20. Before administering contrast dye for CT imaging, the nurse should assess for which medication use?. Insulin. Metformin. Aspirin. Ibuprofen.