4/26/25, 6:18 AM NURS 247 EXAM 4
NURS 247 ACTUAL EXAM 4 2025 NEWEST VERSION! REAL EXAM
WITH COMPLETE 300 QUESTIONS AND ACCURATE DETAILED
ANSWERS \LATEST UPDATE WITH VERIFIED ANSWERS
\GUARANTEED PASS ALREADY GRADED A+
slower reaction time/response describe common neuro findings in an aging adult
time,
slowing of motor system,
neuron loss leads to loss of
muscle bulk and
decreased
muscle strength, loss of
vibratory sense, senile
tremors (tongue protrusion,
head nodding, intension
tremor, difficulty
performing rapid alternating
movements, reflexes are
less brisk, reduced balance
with position changes (risk
for falls)
LOC, motor function, what is included in a neuro recheck
pupillary response, vital
signs
/ 1/39
,4/26/25, 6:18 AM NURS 247 EXAM 4
1. name called and use what are the 5 steps to assessing LOC
louder voice if no
response
2. light touch on the arm
3. vigorous shake of shoulder
4. pain applied
5. document stimulus used
and patient's reponse
MAE, symmetry (lifts what needs to be assessed to determine motor function
eyebrows, frown, show
teeth), strength of grip,
check for pronator drift,
straight leg raises,
dorsiflexion, and plantar
flexion
measure in MM, shape, what needs to be assessed to determine pupillary response
symmetry, bilateral, note
direct and consensual
reflex, and accommodation
measure pulse, RR, BP, and O2 what needs to be assessed to determine vital signs
sats
standardized/objective, accurate and reliable
Glasgow coma scale
quantitative tool to assess eye opening, verbal and
motor response
slowly draw an arc on the what is the findings of a positive Babinski test?
sole of the foot with a blunt
object and the big toe will
go up and the rest of the
toes will fan out
(dorsiflexion of the big toe)
olfactory CN1
CN 1 assessed by occluding one nostril and presenting a familiar
aromatic substance
optic-visual acuity CN II
CN II assessed by confrontation and the acuity snellen
oculomotor trochlear CN III, IV, and VI
abducens
assessed by determining pupil size, shape, direct and
CN III, IV, and VI
consensual light reaction, accommodation, and use
/ 2/39
,4/26/25, 6:18 AM NURS 247 EXAM 4
cardinals positions of gaze
trigeminal CN V
assessed by palpating muscles as the patient clenches
CN V
their teeth, try to separate the jaw, test sensation with
the patient's eyes closed with a cotton swap
facial CN VII
assessed as the patient smiles, frowns, lifts eyebrows,
CN VII
shows teeth, and puffs out cheeks, closes eyes lightly
acoustic vestibulocochlear CN VIII
CN VIII assessed by the whisper test and ability to have a normal
conversation
glossopharyngeal and vagus CN IX and X
assessed when the patient says "ahh" and check
CN IX and X
movement of the uvula and soft palate, touch tongue
blade posterior pharyngeal wall and assess for gag
reflex
spinal accessory CN XI
assessed by examining sterno-mastoid and trapezius
CN XI muscles for equal size; check equal strength by asking
patient to rotate head against resistance and shrug
against resistance
hypoglossal CN XII
CN XII assessed by asking the patient to stick out tongue and say light
tight dynamite
/ 3/39
, 4/26/25, 6:18 AM NURS 247 EXAM 4
an involuntary defense mechanism such as deep
arc reflex tendon reflexes (knee jerk), superficial (corneal
reflexes, abdominal), visceral (pupillary reaction to
light), pathological (abnormal- Babinski)
areas of skin on your body that rely on specific nerve
dermatome connections to your spine; circumscribed skin area
that is supplied mainly from one spinal cord segment
through a particular spinal nerve
clonus involuntary and rhythmic muscle contractions
hyperreflexia hyperactive stretch reflexes of the muscles
hyporeflexia skeletal muscles decreased or muscle reflex absent
headache, previous head subjective data of a neuro exam
injury, dizziness/vertigo,
tremors and weakness,
incoordination, Hx of
seizures, numbness,
tingling, difficult
swallowing or speaking
screening neurologic exam, objective data of a neuro exam
complete neurologic exam,
neurological recheck
alert and oriented x 4, no what are normal findings of a neuro exam?
weakness, MAE, no fall
history
"worst headache of my life", what are abnormal findings of a neuro exam?
concussion, syncope, vertigo,
seizures, dysphagia,
tremors/senile tremors,
dysarthria,
dysphasia, dizziness,
weakness, need for assistive
devices, falls, symptoms of
stroke, memory loss, paresis,
paralysis, dysmetria,
paresthesia, anosmia,
dysgeusia
/ 4/39
NURS 247 ACTUAL EXAM 4 2025 NEWEST VERSION! REAL EXAM
WITH COMPLETE 300 QUESTIONS AND ACCURATE DETAILED
ANSWERS \LATEST UPDATE WITH VERIFIED ANSWERS
\GUARANTEED PASS ALREADY GRADED A+
slower reaction time/response describe common neuro findings in an aging adult
time,
slowing of motor system,
neuron loss leads to loss of
muscle bulk and
decreased
muscle strength, loss of
vibratory sense, senile
tremors (tongue protrusion,
head nodding, intension
tremor, difficulty
performing rapid alternating
movements, reflexes are
less brisk, reduced balance
with position changes (risk
for falls)
LOC, motor function, what is included in a neuro recheck
pupillary response, vital
signs
/ 1/39
,4/26/25, 6:18 AM NURS 247 EXAM 4
1. name called and use what are the 5 steps to assessing LOC
louder voice if no
response
2. light touch on the arm
3. vigorous shake of shoulder
4. pain applied
5. document stimulus used
and patient's reponse
MAE, symmetry (lifts what needs to be assessed to determine motor function
eyebrows, frown, show
teeth), strength of grip,
check for pronator drift,
straight leg raises,
dorsiflexion, and plantar
flexion
measure in MM, shape, what needs to be assessed to determine pupillary response
symmetry, bilateral, note
direct and consensual
reflex, and accommodation
measure pulse, RR, BP, and O2 what needs to be assessed to determine vital signs
sats
standardized/objective, accurate and reliable
Glasgow coma scale
quantitative tool to assess eye opening, verbal and
motor response
slowly draw an arc on the what is the findings of a positive Babinski test?
sole of the foot with a blunt
object and the big toe will
go up and the rest of the
toes will fan out
(dorsiflexion of the big toe)
olfactory CN1
CN 1 assessed by occluding one nostril and presenting a familiar
aromatic substance
optic-visual acuity CN II
CN II assessed by confrontation and the acuity snellen
oculomotor trochlear CN III, IV, and VI
abducens
assessed by determining pupil size, shape, direct and
CN III, IV, and VI
consensual light reaction, accommodation, and use
/ 2/39
,4/26/25, 6:18 AM NURS 247 EXAM 4
cardinals positions of gaze
trigeminal CN V
assessed by palpating muscles as the patient clenches
CN V
their teeth, try to separate the jaw, test sensation with
the patient's eyes closed with a cotton swap
facial CN VII
assessed as the patient smiles, frowns, lifts eyebrows,
CN VII
shows teeth, and puffs out cheeks, closes eyes lightly
acoustic vestibulocochlear CN VIII
CN VIII assessed by the whisper test and ability to have a normal
conversation
glossopharyngeal and vagus CN IX and X
assessed when the patient says "ahh" and check
CN IX and X
movement of the uvula and soft palate, touch tongue
blade posterior pharyngeal wall and assess for gag
reflex
spinal accessory CN XI
assessed by examining sterno-mastoid and trapezius
CN XI muscles for equal size; check equal strength by asking
patient to rotate head against resistance and shrug
against resistance
hypoglossal CN XII
CN XII assessed by asking the patient to stick out tongue and say light
tight dynamite
/ 3/39
, 4/26/25, 6:18 AM NURS 247 EXAM 4
an involuntary defense mechanism such as deep
arc reflex tendon reflexes (knee jerk), superficial (corneal
reflexes, abdominal), visceral (pupillary reaction to
light), pathological (abnormal- Babinski)
areas of skin on your body that rely on specific nerve
dermatome connections to your spine; circumscribed skin area
that is supplied mainly from one spinal cord segment
through a particular spinal nerve
clonus involuntary and rhythmic muscle contractions
hyperreflexia hyperactive stretch reflexes of the muscles
hyporeflexia skeletal muscles decreased or muscle reflex absent
headache, previous head subjective data of a neuro exam
injury, dizziness/vertigo,
tremors and weakness,
incoordination, Hx of
seizures, numbness,
tingling, difficult
swallowing or speaking
screening neurologic exam, objective data of a neuro exam
complete neurologic exam,
neurological recheck
alert and oriented x 4, no what are normal findings of a neuro exam?
weakness, MAE, no fall
history
"worst headache of my life", what are abnormal findings of a neuro exam?
concussion, syncope, vertigo,
seizures, dysphagia,
tremors/senile tremors,
dysarthria,
dysphasia, dizziness,
weakness, need for assistive
devices, falls, symptoms of
stroke, memory loss, paresis,
paralysis, dysmetria,
paresthesia, anosmia,
dysgeusia
/ 4/39
