NURA 1100 TEST 1 EXAM QUESTIONS
AND ANSWERS. VERIFIED 2026.
GCS Eye Response - ANS Spontaneously - 4
To speech - 3
To pain - 2
None - 1
GCS Verbal Response - ANS Oriented - 5
Confused - 4
Inappropriate words - 3
Incomprensible sounds - 2
No response - 1
GCS Motor Response - ANS Obeys command - 6
Localized pain - 5
Flexion withdrawal - 4
Abnormal flexion - 3
Abnormal extension - 2
None - 1
Oriented X4 - ANS Person, place, time, situation. If not all 4, write out each single one out.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Subjective Data - ANS Information reported to you; what patient or family member says.
Objective Data - ANS Information you can see and gather through your senses.
Nursing Process ADPIE - ANS Assessment
Diagnosis
Planning
Implement
Evaluate
Body Mass Index Equation - ANS Wt. x 704.5 / Ht(2)
BMI ranges - ANS BMI < 18.5 = underweight
BMI 18.5-24.9 = healthy
BMI 25-29 = overweight
BMI 30-39 = obese
BMI 40 ^ = morbid obesity
Order of Gathering Data - ANS Chief Complaint (CC)
History of present illness (HPI)
Past health/medical history
Social/family history (SH/FH)
Review of Systems (ROS)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Anisocoria - ANS Difference in pupil size
Presbyopia - ANS diminished near vision in adults 45 ^ (reading glasses)
CN II - ANS Optic nerve, visual acuity.
Strabismus - ANS abnormal alignment of one or both eyes (Lazy eye)
CN VIII - ANS Auditory, Hearing; Whisper, Weber and Rinne test.
CN I - ANS Olfactory, nose/smell
CN III, CN IV, CN VI - ANS Oculomotor, Trochlear, Abducens.
Extraocular eye movement, Pupil constriction and dilation, lateral movement of eyeballs
CN V - ANS Trigeminal; sensory nerve to skin and face and motor nerve to jaw muscles. To
asses motor (move jaw side to side), to assess sensory ( sweep cotton ball across face )
CN VII - ANS Facial, motor function; smile, frown. Sensory function, taste (salty & sweet).
CN IX and CN X - ANS Glossopharyngeal and Vagus. Ability to swallow, talk, and gag reflex
CN XI - ANS Spinal accessory; shrug shoulders and turn head side to side against resistance.
CN XII - ANS Hypoglossal; position of tongue, move tongue side to side.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Vitligo - ANS skin disease; patches of unpigmented skin
Pallor - ANS Extremely pale
Cyanosis - ANS Ashy, bluish discoloration of the skin and mucous membranes
Acrocyanosis - ANS Blue hands or feet
Ecchymosis - ANS the purple or black-and-blue area resulting from a bruise
Petechiae - ANS Bleeding under the skin
Jaundice - ANS Yellowing of the skin, liver failure.
Erythema - ANS Abnormal redness of skin.
Shiny, thin skin - ANS Pale, Ages 50 & ^ .
Pitting edema - ANS indentation
Edema - ANS swelling from excessive accumulation of serous fluid in tissue
S1 - ANS Lub sound, located @ apex; mitral and tricuspid closing
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
AND ANSWERS. VERIFIED 2026.
GCS Eye Response - ANS Spontaneously - 4
To speech - 3
To pain - 2
None - 1
GCS Verbal Response - ANS Oriented - 5
Confused - 4
Inappropriate words - 3
Incomprensible sounds - 2
No response - 1
GCS Motor Response - ANS Obeys command - 6
Localized pain - 5
Flexion withdrawal - 4
Abnormal flexion - 3
Abnormal extension - 2
None - 1
Oriented X4 - ANS Person, place, time, situation. If not all 4, write out each single one out.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Subjective Data - ANS Information reported to you; what patient or family member says.
Objective Data - ANS Information you can see and gather through your senses.
Nursing Process ADPIE - ANS Assessment
Diagnosis
Planning
Implement
Evaluate
Body Mass Index Equation - ANS Wt. x 704.5 / Ht(2)
BMI ranges - ANS BMI < 18.5 = underweight
BMI 18.5-24.9 = healthy
BMI 25-29 = overweight
BMI 30-39 = obese
BMI 40 ^ = morbid obesity
Order of Gathering Data - ANS Chief Complaint (CC)
History of present illness (HPI)
Past health/medical history
Social/family history (SH/FH)
Review of Systems (ROS)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Anisocoria - ANS Difference in pupil size
Presbyopia - ANS diminished near vision in adults 45 ^ (reading glasses)
CN II - ANS Optic nerve, visual acuity.
Strabismus - ANS abnormal alignment of one or both eyes (Lazy eye)
CN VIII - ANS Auditory, Hearing; Whisper, Weber and Rinne test.
CN I - ANS Olfactory, nose/smell
CN III, CN IV, CN VI - ANS Oculomotor, Trochlear, Abducens.
Extraocular eye movement, Pupil constriction and dilation, lateral movement of eyeballs
CN V - ANS Trigeminal; sensory nerve to skin and face and motor nerve to jaw muscles. To
asses motor (move jaw side to side), to assess sensory ( sweep cotton ball across face )
CN VII - ANS Facial, motor function; smile, frown. Sensory function, taste (salty & sweet).
CN IX and CN X - ANS Glossopharyngeal and Vagus. Ability to swallow, talk, and gag reflex
CN XI - ANS Spinal accessory; shrug shoulders and turn head side to side against resistance.
CN XII - ANS Hypoglossal; position of tongue, move tongue side to side.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Vitligo - ANS skin disease; patches of unpigmented skin
Pallor - ANS Extremely pale
Cyanosis - ANS Ashy, bluish discoloration of the skin and mucous membranes
Acrocyanosis - ANS Blue hands or feet
Ecchymosis - ANS the purple or black-and-blue area resulting from a bruise
Petechiae - ANS Bleeding under the skin
Jaundice - ANS Yellowing of the skin, liver failure.
Erythema - ANS Abnormal redness of skin.
Shiny, thin skin - ANS Pale, Ages 50 & ^ .
Pitting edema - ANS indentation
Edema - ANS swelling from excessive accumulation of serous fluid in tissue
S1 - ANS Lub sound, located @ apex; mitral and tricuspid closing
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
