A newly licensed nurse is learning about coup and contrecoup injuries.
Which statement by the newly licensed nurse demonstrates a clear understanding of the topic?

A contrecoup injury is not viewed as a “true” injury, while a coup injury can have more severe consequences.

Contrecoup injuries are generally less severe and heal more quickly over time.

The coup injury is the primary point of injury, with the contrecoup injury occurring on the brain’s opposite side.

The coup injury happens secondary to the contrecoup injury but does not impact the brain’s blood supply.

Answer and Explanation

The Correct Answer is C

Choice A rationale
A contrecoup injury is indeed a “true” injury. It occurs on the side of the brain opposite to the point of impact and can have severe consequences, including brain damage. Therefore, this statement is incorrect.
Choice B rationale
The severity and healing time of contrecoup injuries can vary greatly depending on the force and location of the impact, as well as individual health factors. It’s not accurate to say that contrecoup injuries are generally less severe and heal more quickly over time.
Choice C rationale
This statement is correct. A coup injury refers to the brain damage that occurs directly under the point of impact, while a contrecoup injury occurs on the opposite side of the brain from

where the head is struck. These injuries can occur separately or together, but if the blow is strong enough, they usually appear together.
Choice D rationale
The sequence of coup and contrecoup injuries is not as this choice describes. The coup injury happens at the point of impact, and the contrecoup injury happens when the brain rebounds and hits the opposite side of the skull. Both types of injuries can impact the brain’s blood supply.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale
Assessing muscle strength is important after a fall as it can help determine if the fall was due to muscle weakness or other neurological issues.
Choice B rationale
Checking for facial symmetry is crucial as asymmetry may indicate a stroke or other serious neurological condition.
Choice C rationale
While checking peripheral pulses is important in general, it may not be the top priority in this case unless there is a specific reason to suspect circulatory issues.
Choice D rationale
Evaluating vision changes is important as sudden vision loss or changes could indicate a serious condition such as a stroke.
Choice E rationale
Checking for aphasia, or difficulty with language, is crucial as it can be a sign of a stroke or other serious neurological condition.
Choice F rationale
Asking about smoking history may not be a priority in the immediate assessment of a patient who has just fallen.

A. Vision loss and depression B. Seizures and weakness in the extremities C. Persistent headache and aggressive behavior D. Headache and confusion

Correct Answer is D

Explanation

Choice A rationale
Vision loss and depression are not typically symptoms of a mild traumatic brain injury (TBI). Vision loss could be a symptom of a more severe TBI or other neurological conditions.
Depression, while it can occur following a TBI, is not a direct symptom of the injury itself but rather a common psychological reaction to the changes and challenges that a person may face following the injury.
Choice B rationale

Seizures and weakness in the extremities can be symptoms of a TBI, but they are more commonly associated with moderate to severe TBIs. Mild TBIs do not typically cause seizures or weakness in the extremities.
Choice C rationale
Persistent headache can be a symptom of a mild TBI. However, aggressive behavior, while it can occur following a TBI, is not a direct symptom of the injury itself but rather a possible psychological reaction to the changes and challenges that a person may face following the injury.
Choice D rationale
Headache and confusion are common symptoms of a mild TBI. After a mild TBI, individuals may experience a headache or a feeling of pressure in the head. They may also experience confusion or feel as if in a fog.

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A newly licensed nurse is learning about coup and contrecoup injuries. Which statement by the newly licensed nurse demonstrates a clear understanding of the topic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is evaluating a client who was brought in by a neighbor after suddenly falling while walking. What assessments should the nurse prioritize?

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is caring for a client who had a traumatic brain injury (TBI). What symptoms indicate a mild TBI?

Correct Answer is D

Explanation

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A newly licensed nurse is learning about coup and contrecoup injuries.
Which statement by the newly licensed nurse demonstrates a clear understanding of the topic?