Bonus Quiz - Traumatic Brain Injury
PURPOSE To provide student nurses with an understanding of the treatment of service members with severe traumatic brain injury (TBI). OBJECTIVES After reading the article and taking the test, you will be able to: Identify the mechanisms of injury and classification of TBIs. Describe the levels of acute care and the rehabilitation for a service member with a TBI.
- 1.Which of the following is not one of the factors that determine the type of TBI?
- A.
Genetic variations
- B.
Nature of the external force
- C.
Motivation of the patient
- D.
Strength of the force
- 2.What type of injury most often results from blunt force trauma?
- A.
Coup or coup-contra-coup
- B.
Epidural hematoma
- C.
Penetrating injury
- D.
Subarachnoid hemorrhage
- 3.A penetrating brain injury is defined by
- A.
A depressed skull fracture.
- B.
Foreign matter disrupting the dura.
- C.
Increased intracranial pressure.
- D.
A linear skull fracture.
- 4.What is the most common mechanism of brain injury on the Iraq and Afghanistan battlefields?
- A.
Blast/explosions
- B.
Falls
- C.
Gunshot wounds to the head or neck
- D.
Motor vehicle accidents
- 5.What causes secondary blast injury from an explosion?
- A.
Direct exposure to the overpressurization wave of the explosion
- B.
Inhalation of gases or other toxic substances
- C.
The body is displaced and impacts another object
- D.
Energized debris or explosive fragments impact the head
- 6.What is 1 indicator that characterizes moderate TBI?
- A.
Glasgow Coma Scale (GCS) score of 13 to 15
- B.
Loss of consciousness/alteration of consciousness between 1 and 24 hours
- C.
Posttraumatic amnesia >7 days
- D.
GCS score of 3 to 8
- E.
All of the above
- 7.If the patient has a mild TBI with positive radiologic findings, the patient has a
- A.
Moderate TBI.
- B.
Prognosis of a severe TBI.
- C.
Complicated mild TBI.
- D.
Simple severe TBI.
- 8.TBI is classified by
- A.
Functional status at 12 months.
- B.
Progress more than 6 months.
- C.
Severity of the initial injury.
- D.
Rate of recovery.
- 9.What type of care is included in “buddy aid”?
- A.
Cover fire and evacuation to a safe zone
- B.
Documentation of mental status
- C.
Prevention of hypoxia and hypothermia
- D.
Triagé
- 10.What type of care is provided at the Combat Support Hospital?
- A.
Aggressive intracranial pressure therapy
- B.
Emergent neurosurgical care
- C.
Field management of a TBI
- D.
Long-term intensive care
- 11.At Landstuhl Regional Medical Center, patients are treated and evacuated stateside, usually within
- A.
36 hours.
- B.
48 hours.
- C.
72 hours.
- D.
96 hours.
- 12.What special provision must be made during air transfer of a patient with a comorbid pulmonary injury?
- A.
Nonpressurized cabin
- B.
Presence of a physician on board
- C.
Shorter flight time
- D.
Lower flight altitude
- 13.The GCS is less strongly associated with
- A.
Acute morbidity.
- B.
Long-term functional outcome.
- C.
Acute mortality.
- D.
Neurologic status.
- 14.According to the Rancho Los Amigos Scale, Level VIII is reported as
- A.
Confused—appropriate.
- B.
Localized response.
- C.
No response.
- D.
Purposeful and appropriate response.
- 15.During rehabilitation at the polytrauma center, who coordinates and directs the rehabilitation team?
- A.
Case manager
- B.
Neuropsychologist
- C.
Physiatrist
- D.
Physical therapist
- 16.What is one of the ways that the Department of Veterans Affairs and Department of Defense communicate and coordinate care?
- A.
Secure records transfers
- B.
Teleconferencing
- C.
Through Department of Veterans Affairs social workers
- D.
Videoconferencing
- 17.According to I. Schwartz et al (2008), how many of the “terror victims” who suffer more severe TBI return to their previous work or school?
- A.
14%
- B.
22%
- C.
38%
- D.
47%
- 18.What is one of the biomarkers that shows promise in the evaluation of TBI?
- A.
Creatine kinase
- B.
Nitrotyrosine
- C.
Rubidium chloride
- D.
Troponin-I
- 19.How did you find this quiz
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