TNCC Neurological Assessment 2

Question 1

A trauma patient has a GCS score of 8. Which component breakdown best fits this score?

Accepted Answer

Eye 3, Verbal 2, Motor 3

Answer

E3+V2+M3=8 is one valid combination; multiple breakdowns can sum to 8, but E3V2M3 represents a common clinical presentation.

Question 2

Which finding during pupillary assessment most strongly suggests uncal herniation?

Accepted Answer

Unilateral fixed and dilated pupil ipsilateral to injury

Answer

Uncal herniation compresses CN III on the same side as the expanding lesion, causing an ipsilateral fixed dilated pupil.

Question 3

A patient with a brain injury begins posturing with arms flexed and legs extended. This is classified as:

Accepted Answer

Decerebrate posturing

Answer

Decerebrate (extensor) posturing involves extension of all extremities and indicates brainstem dysfunction at the midbrain-pons level.

Question 4

The Cushing's triad is a late sign of increased ICP. Which combination correctly identifies all three components?

Accepted Answer

Hypertension, bradycardia, irregular respirations

Answer

Cushing's triad consists of hypertension with widened pulse pressure, bradycardia, and irregular respirations, indicating imminent brainstem herniation.

Question 5

When assessing a trauma patient's best motor response on the GCS, nail bed pressure is applied and the patient withdraws. This scores as:

Accepted Answer

4

Answer

Withdrawal from pain scores a 4 on the motor component of the GCS scale.

(TNCC) Trauma Nursing Core Course Certified Practice Test

(TNCC) Trauma Nursing Core Course Certified Practice Test

TNCC Neurological Assessment 2