NSG-316 Exam 2 Review
If a patient answers yes to any screening question you need to do what assessment? ANS: Complete
neurological assessment
What is the sequence of a complete neuro assessment? ANS: - start with mental status
- cranial nerves
- motor and sensory, then reflexes
If you have a patient that is unconscious, and he wakes up 3-4 days after and you try to assess mental
status. The patient states he is at the beach. His level of consciousness is? ANS: decreased
What is the test used to assess level of consciousness? ANS: GCS - Glasgow Coma Scale
What score on the GCS is normal? ANS: Score of 15 is normal and means that patient is alert and
oriented times 4
What does a positive romberg test mean? what does a negative romberg test mean? ANS: positive:
swaying signals cerebellar ataxia (MS), lowered proprioception and lowered vestibular function
(cerebellum and proprioception not intact, ability of vestibular apparatus in inner ear not able to
maintain standing balance)
negative: normal (ability of the vestibular apparatus in the inner ear to maintain standing balance,
cerebellum and proprioception intact)
If there is damage to trigeminal nerve, what affect will it cause to the face? ANS: decreases sensation to
the face
Which cranial nerve stimulates the eyes? ANS: CN 3, 4, 6
, How are you going to do visual accommodation? ANS: by asking the patient to focus on a distant object
(this process dilates the pupils) then have the person shift the gaze to a near object such as your finger
held about 7 to 8 cm (3 inches) from the persons nose
- a normal response includes (1) pupillary constriction (2) convergence of the axes of the eyes
What does PERRLA stand for? ANS: Pupils Equal,
Round,
Reactive to Light,
and Accommodation
How are you going to test cranial nerve number 12? ANS: - stick the tongue out
- no tremors or deviation if intact
What does the term Presbyopia mean? ANS: - difficulty seeing with old age
- they lose their lens elasticity as they age
What does anisocoria mean? ANS: unequal pupils
If you use the Snellen chart and see something like 20/30. what do the numbers mean? ANS: The first
number is what the patient can read from or visualize from
- second number is where a normal person can see it from
How are you going to inspect the nasal cavity? ANS: lift tip of the nose with finger while head is tilted
What is rhinitis? ANS: allergy reaction
What is tinnitus? ANS: ringing of the ears (bleeding in the ear?)
If a patient answers yes to any screening question you need to do what assessment? ANS: Complete
neurological assessment
What is the sequence of a complete neuro assessment? ANS: - start with mental status
- cranial nerves
- motor and sensory, then reflexes
If you have a patient that is unconscious, and he wakes up 3-4 days after and you try to assess mental
status. The patient states he is at the beach. His level of consciousness is? ANS: decreased
What is the test used to assess level of consciousness? ANS: GCS - Glasgow Coma Scale
What score on the GCS is normal? ANS: Score of 15 is normal and means that patient is alert and
oriented times 4
What does a positive romberg test mean? what does a negative romberg test mean? ANS: positive:
swaying signals cerebellar ataxia (MS), lowered proprioception and lowered vestibular function
(cerebellum and proprioception not intact, ability of vestibular apparatus in inner ear not able to
maintain standing balance)
negative: normal (ability of the vestibular apparatus in the inner ear to maintain standing balance,
cerebellum and proprioception intact)
If there is damage to trigeminal nerve, what affect will it cause to the face? ANS: decreases sensation to
the face
Which cranial nerve stimulates the eyes? ANS: CN 3, 4, 6
, How are you going to do visual accommodation? ANS: by asking the patient to focus on a distant object
(this process dilates the pupils) then have the person shift the gaze to a near object such as your finger
held about 7 to 8 cm (3 inches) from the persons nose
- a normal response includes (1) pupillary constriction (2) convergence of the axes of the eyes
What does PERRLA stand for? ANS: Pupils Equal,
Round,
Reactive to Light,
and Accommodation
How are you going to test cranial nerve number 12? ANS: - stick the tongue out
- no tremors or deviation if intact
What does the term Presbyopia mean? ANS: - difficulty seeing with old age
- they lose their lens elasticity as they age
What does anisocoria mean? ANS: unequal pupils
If you use the Snellen chart and see something like 20/30. what do the numbers mean? ANS: The first
number is what the patient can read from or visualize from
- second number is where a normal person can see it from
How are you going to inspect the nasal cavity? ANS: lift tip of the nose with finger while head is tilted
What is rhinitis? ANS: allergy reaction
What is tinnitus? ANS: ringing of the ears (bleeding in the ear?)
