NUR 2755
Exam 3 Final: Neurology and Trauma
50 Questions | 2026/2027 Aligned | Complete Solutions
Business Professional Edition
May 2026
, NUR 2755 - Exam 3 Final | Neurology & Trauma | Business Professional Edition
Table of Contents
Section 1: Neurological Assessment Foundations & Neuroanatomy Review (Questions 1–10)
Section 2: Acute Neurological Emergencies (Questions 11–20)
Section 3: Trauma Assessment & Primary Survey (Questions 21–30)
Section 4: Critical Care Interventions (Questions 31–40)
Section 5: Integrated Clinical Judgment & Interprofessional Coordination (Questions 41–50)
Section 1: Neurological Assessment Foundations & Neuroanatomy Review
Questions 1–10
Q1: A nurse is assessing a patient who opens eyes only to painful stimulus, makes incomprehensible sounds, and
withdraws from pain. What is the Glasgow Coma Scale (GCS) score?
A. 6
B. 8 [CORRECT]
C. 10
D. 12
Correct Answer: B
Rationale: Eye opening to pain=2, verbal=incomprehensible sounds=2, motor=withdrawal=4, total=8. A GCS of 8 indicates severe
TBI; 6 would require no verbal response and abnormal flexion.
Q2: When assessing cranial nerve function, a nurse notes that the patient is unable to adduct the left eye when looking right
and presents with horizontal diplopia. Which cranial nerve is most likely affected?
A. Cranial nerve II (Optic)
B. Cranial nerve III (Oculomotor)
C. Cranial nerve VI (Abducens) [CORRECT]
D. Cranial nerve IV (Trochlear)
Correct Answer: C
Rationale: CN VI controls lateral rectus muscle responsible for eye abduction; inability to adduct contralaterally indicates abducens
palsy. CN III affects medial rectus, CN II is vision, CN IV affects superior oblique.
Q3: A patient presents with unequal pupils: the right pupil is 3 mm reactive and the left is 6 mm and fixed. Which term
correctly documents this finding?
A. Anisocoria with afferent defect
B. Unilateral mydriasis with absent light reflex [CORRECT]
C. Bilateral miosis with consensual response
D. Horner syndrome with ptosis
Correct Answer: B
Rationale: A fixed dilated pupil (6 mm, non-reactive) is mydriasis, suggesting CN III compression or increasing ICP. Anisocoria
describes unequal pupils generally; Horner syndrome presents with miosis and ptosis.
Q4: A nurse performs the finger-to-nose test and observes intention tremor that worsens as the finger approaches the target.
Which brain region is responsible for this dysfunction?
A. Frontal lobe
Page 2
Exam 3 Final: Neurology and Trauma
50 Questions | 2026/2027 Aligned | Complete Solutions
Business Professional Edition
May 2026
, NUR 2755 - Exam 3 Final | Neurology & Trauma | Business Professional Edition
Table of Contents
Section 1: Neurological Assessment Foundations & Neuroanatomy Review (Questions 1–10)
Section 2: Acute Neurological Emergencies (Questions 11–20)
Section 3: Trauma Assessment & Primary Survey (Questions 21–30)
Section 4: Critical Care Interventions (Questions 31–40)
Section 5: Integrated Clinical Judgment & Interprofessional Coordination (Questions 41–50)
Section 1: Neurological Assessment Foundations & Neuroanatomy Review
Questions 1–10
Q1: A nurse is assessing a patient who opens eyes only to painful stimulus, makes incomprehensible sounds, and
withdraws from pain. What is the Glasgow Coma Scale (GCS) score?
A. 6
B. 8 [CORRECT]
C. 10
D. 12
Correct Answer: B
Rationale: Eye opening to pain=2, verbal=incomprehensible sounds=2, motor=withdrawal=4, total=8. A GCS of 8 indicates severe
TBI; 6 would require no verbal response and abnormal flexion.
Q2: When assessing cranial nerve function, a nurse notes that the patient is unable to adduct the left eye when looking right
and presents with horizontal diplopia. Which cranial nerve is most likely affected?
A. Cranial nerve II (Optic)
B. Cranial nerve III (Oculomotor)
C. Cranial nerve VI (Abducens) [CORRECT]
D. Cranial nerve IV (Trochlear)
Correct Answer: C
Rationale: CN VI controls lateral rectus muscle responsible for eye abduction; inability to adduct contralaterally indicates abducens
palsy. CN III affects medial rectus, CN II is vision, CN IV affects superior oblique.
Q3: A patient presents with unequal pupils: the right pupil is 3 mm reactive and the left is 6 mm and fixed. Which term
correctly documents this finding?
A. Anisocoria with afferent defect
B. Unilateral mydriasis with absent light reflex [CORRECT]
C. Bilateral miosis with consensual response
D. Horner syndrome with ptosis
Correct Answer: B
Rationale: A fixed dilated pupil (6 mm, non-reactive) is mydriasis, suggesting CN III compression or increasing ICP. Anisocoria
describes unequal pupils generally; Horner syndrome presents with miosis and ptosis.
Q4: A nurse performs the finger-to-nose test and observes intention tremor that worsens as the finger approaches the target.
Which brain region is responsible for this dysfunction?
A. Frontal lobe
Page 2
