TNCC Practice Exam 2026 – Complete Guide for Trauma Nurse Core Course Prep

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Which assessment tool is used to determine the severity of a traumatic brain injury?

Ranchos Los Amigos Scale

Modified Rankin Scale

Glasgow Coma Scale

The Glasgow Coma Scale (GCS) is specifically designed to assess a patient's level of consciousness following a traumatic brain injury (TBI) and thus determine the severity of the injury. The scale evaluates three aspects of a patient's responsiveness: eye opening, verbal response, and motor response. Each category is scored, yielding a total score that ranges from 3 to 15, where lower scores indicate more severe impairment of consciousness.

The GCS is widely utilized in clinical settings because it provides a quick and standardized way to gauge a patient's neurological status, enabling healthcare providers to monitor changes over time and make crucial decisions regarding management and treatment. Effective communication about a patient’s condition among medical teams relies heavily on the standardized nature of the GCS score.

While other assessment tools can measure different aspects of health and recovery, such as the Ranchos Los Amigos Scale (focused on cognitive recovery), the Modified Rankin Scale (used to measure disability), and the Trauma Injury Severity Score (which assesses overall trauma severity including multiple injuries), none are dedicated to specifically assessing the level of consciousness and neurological function in the context of TBI like the GCS.

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Trauma Injury Severity Score

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