True or false: A single Glasgow Coma Scale (GCS) score is enough to identify neurologic change, so repeated GCS assessments are unnecessary.
3 Head Injuries Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Head Injuries, test your knowledge, and prepare for your next test or exam.
In severe traumatic brain injury, avoid and because they can worsen secondary brain injury.
Which neurologic assessment domain describes how awake or responsive a patient is?
After a fall with suspected head injury, which initial action best helps the care team recognize later neurologic deterioration?
- A
Record only whether the patient is awake or asleep.
- B
Assess and document GCS components, pupil size and reaction, speech, and limb movement.
- C
Wait for imaging before performing a neurologic assessment.
- D
Ask for a headache rating and reassess only if it worsens.
Repeated GCS assessments help identify changes; a single score does not replace .
True or false: After a head injury, a change from the patient’s baseline is important and should be reported promptly.
- A
True
- B
False
An adult’s GCS decreases from 15 to 12, and the patient is increasingly confused. What is the nurse’s priority?
- A
Document the change and reassess in one hour.
- B
Notify the responsible clinician or activate the emergency response, while reassessing airway, breathing, circulation, and neurologic status.
- C
Offer oral fluids and encourage the patient to sleep.
- D
Wait until the patient develops unequal pupils.
A patient with a suspected head injury becomes more confused and less responsive than at baseline. Describe the immediate nursing response, including what to reassess and what precautions to maintain.
When interpreting a new neurologic finding after a head injury, what patient reference should the nurse compare it with?
True or false: When assessing a patient with a head injury, document the GCS components as well as the total score.
- A
True
- B
False
A patient arrives after a fall with a suspected head injury. Which initial assessment approach best prioritizes immediate threats?
- A
Complete a detailed neurologic assessment before checking vital functions.
- B
Assess airway, breathing, circulation, oxygenation, and blood pressure, maintaining cervical-spine precautions if injury is possible.
- C
Wait for imaging before assessing oxygenation and blood pressure.
- D
Offer oral fluids and allow the patient to rest before beginning an assessment.
Which oxygen-related physiologic threat should clinicians avoid to reduce the risk of secondary brain injury?
Which new finding after a head injury warrants immediate emergency evaluation?
- A
The patient reports mild tiredness that has not changed.
- B
The patient has repeated vomiting.
- C
The patient has a stable headache that is not worsening.
- D
The patient asks to rest after the initial assessment.
A patient with a head injury becomes less responsive and develops a newly enlarged, poorly reactive pupil. What should the nurse do?
- A
Treat the finding as an urgent neurologic change and escalate immediately.
- B
Record it as an expected effect of fatigue and reassess later.
- C
Offer food and fluids, then repeat the pupil check.
- D
Wait until the end of the shift to report the change.
After a head injury, a patient becomes less responsive and develops a newly enlarged, poorly reactive pupil. What is the priority response?
- A
Treat the finding as an urgent neurologic change and escalate immediately.
- B
Record it as an expected effect of fatigue and recheck at the end of the shift.
- C
Give food and fluids, then reassess the pupil response.
- D
Wait to act unless the patient develops repeated vomiting.
A patient with head trauma has a GCS of 7 and cannot maintain an open airway. Which action is the priority?
- A
Complete the secondary survey before intervening.
- B
Support airway and ventilation immediately, summon qualified assistance, and maintain spinal precautions.
- C
Give oral medication for headache.
- D
Place the patient in a chair to improve alertness.
While caring for a patient with a head injury, which approach best helps limit secondary brain injury?
- A
Prioritize headache relief and allow blood pressure to fall if the patient is resting.
- B
Focus on pupil checks while postponing assessment of circulation.
- C
Support oxygenation and circulation, avoiding hypoxemia and hypotension.
- D
Delay reassessment of vital signs until the patient’s confusion resolves.
After a fall, a patient has a suspected head injury and a possible cervical injury. Which actions are appropriate during immediate assessment? Select all that apply.
- A
Assess airway, breathing, and circulation.
- B
Check oxygenation and blood pressure.
- C
Maintain cervical-spine precautions while cervical injury is possible.
- D
Wait for imaging before assessing the patient.
- E
Assess only if the patient reports worsening pain.
A patient arrives after a blow to the head. Which elements belong in an immediate assessment of the patient’s condition? Select all that apply.
- A
Assess airway, breathing, and circulation.
- B
Assess oxygenation.
- C
Check blood pressure.
- D
Defer assessment until imaging is complete.
- E
Assess only the patient’s headache severity.
A patient has a suspected head injury, and a cervical injury has not been ruled out. What precautions should be maintained during assessment?
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