NUR 265 CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Complications of Craniotomy.
Answer: - IICP- Cushing triad*- meningitis- CSF leak- hydrocephalus -
seizures - resp issues- DI/SIADH
◍ internal genitalia of female.
Answer: vaginacervixuterusfallopian tubesovaries
◍ overflow incontinence.
Answer: state in which a person experiences an involuntary, unpredictable
passage of urine
◍ prostate cancer.
Answer: cancer of the prostate gland, usually occurring in men middle-aged
and older
◍ flexion/extension.
Answer: flexion: bending at the jointextension: straightening of a joint
◍ ICP.
Answer: Normal 10-15CPP= MAP-ICP (70-100)Sxs: change in LOC,
sluggish pupils, impaired eye movement, limb strength, HA, N/V, dilated
pupilsNI: LOC, neuro check, I/O, VS Complications: Cushing triad - HTN-
bradycardia - wide pulse pressure - change in RR
◍ allis test.
Answer: used to check for hip dislocation in infants by comparing leg
lengths. Place on back on the table with feet flat on the table and flex knees
up. Looking for uneven/even height of knees.
◍ Osteoporosis.
Answer: loss of bone densitywhite women/post menopausal
,◍ subjective data.
Answer: Things a person tells you about that you cannot observe through
your senses; symptoms
◍ Stage 1 Pressure Injury.
Answer: non-blanchable erythema of intact skin
◍ XII Hypoglossal.
Answer: tongue
◍ hydrocele.
Answer: scrotal swelling caused by a collection of fluid
◍ Stage 2 Pressure Injury.
Answer: partial-thickness skin loss with exposed dermis
◍ CN I Olfactory Nerve Test.
Answer: smell
◍ stages of breast development.
Answer: Stage 1: preadolecentStage 2: breast buddingStage 3: continued
enlargementStage 4: areola and papilla form secondary moundStage 5:
mature female breasts
◍ GCS Scale TBI.
Answer: Mild TBI (concussion): 13-15- normal to lethargic- LOC <30 mins
- amnesia - dizziness/ HA/ disoriented - irritability Moderate TBI: 9-12-
LOC 30min- 6hrs- lethargic to obtunded- follows commands w/ arousal -
confused Severe TBI: 3-8- memory loss 24hrs - must intubate- not able to
follow commands
◍ CN II Optic Nerve Test.
Answer: testing visual acuityperipheral vision
◍ Dementia.
Answer: a slowly progressive decline in mental abilities, including memory,
thinking, and judgment, that is often accompanied by personality changes
,◍ urge incontinence.
Answer: state in which a person experiences involuntary passage of urine
that occurs soon after a strong sense of urgency to void
◍ lymphedema interventions.
Answer: · No BP readings, venipunctures or injections on affected arm if
possible· Arm should not be dependent for long periods· COMPRESSION
bandaging· Intermittent pneumatic compression sleeve· Elevating arm at
heath level· Performing isometric exercises
◍ flexion/extension.
Answer: flexion: bending at the jointextension: straightening of a joint
◍ Palpate abdomen for what organs.
Answer: liver, spleen, kidneys, aorta
◍ Skull fracture.
Answer: Sxs: leaking CSF (rhinorrhea), CSF leak from ear (otorrhea), halos
test, raccoon eyes, battles sign (bruise behind the ear) change in pupils
◍ AP:Lateral ratio.
Answer: the lateral view should be half of the anterior/posterior view
◍ edema of breast.
Answer:
◍ inguinal lymph nodes.
Answer: groin
◍ elderly perianal inspection findings.
Answer: decreased sphincter tone
◍ high risk of breast cancer.
Answer: - female- age 65+- 2 or more relatives w/ breast cancer at early age-
personal hx of breast cancer younger than 40- dense breasts- biopsy
confirmed atypical hyperplasia- genetic mutations (BRCA1, BRCA2,
HER2)
◍ incisional hernia.
, Answer: postoperative hernia caused by a weakness in the abdominal wall
from the incision or postoperative complications
◍ gender role.
Answer: a set of expected behaviors for males or for females
◍ steatorrhea.
Answer: feces containing fat
◍ Palmar grasp reflex (baby).
Answer: in response to stroking a baby's palm, the baby's hand will grasp.
◍ external genitalia of female.
Answer: vulvamons pubislabia majoralabia minora
◍ Screening for cervical cancer.
Answer: Pap smearHPV vaccine
◍ eversion/inversion.
Answer: eversion: turning outwardinversion: turning inward
◍ Spinal cord injury.
Answer: know level of injuryNI: airway managementTx: steroids,
decompression Complications: Neurogenic Shock- hypotension (systolic
<90), bradycardia, hypothermia, dec O2 <95% (RRT)Autonomic
Dysreflexia- HTN, diaphoresis, flushing, goose bumps, blurred vision,
severe HA, bradycardia (T6 above)Spinal Shock- temprorary loss of motor/
sensory reflex
◍ Mental Status/Function: Older Adults.
Answer: - speed slowed- minimal decline in cognitive and daily functioning
◍ myopia.
Answer: nearsightedness
◍ DTR: Triceps.
Answer: - Abduct patient's arm and flex it at the elbow. Support it with
non-dominant hand. Strike tendon about 1-2 inches above olecranon process
approaching it from directly behind- Contraction of triceps with extension at
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Complications of Craniotomy.
Answer: - IICP- Cushing triad*- meningitis- CSF leak- hydrocephalus -
seizures - resp issues- DI/SIADH
◍ internal genitalia of female.
Answer: vaginacervixuterusfallopian tubesovaries
◍ overflow incontinence.
Answer: state in which a person experiences an involuntary, unpredictable
passage of urine
◍ prostate cancer.
Answer: cancer of the prostate gland, usually occurring in men middle-aged
and older
◍ flexion/extension.
Answer: flexion: bending at the jointextension: straightening of a joint
◍ ICP.
Answer: Normal 10-15CPP= MAP-ICP (70-100)Sxs: change in LOC,
sluggish pupils, impaired eye movement, limb strength, HA, N/V, dilated
pupilsNI: LOC, neuro check, I/O, VS Complications: Cushing triad - HTN-
bradycardia - wide pulse pressure - change in RR
◍ allis test.
Answer: used to check for hip dislocation in infants by comparing leg
lengths. Place on back on the table with feet flat on the table and flex knees
up. Looking for uneven/even height of knees.
◍ Osteoporosis.
Answer: loss of bone densitywhite women/post menopausal
,◍ subjective data.
Answer: Things a person tells you about that you cannot observe through
your senses; symptoms
◍ Stage 1 Pressure Injury.
Answer: non-blanchable erythema of intact skin
◍ XII Hypoglossal.
Answer: tongue
◍ hydrocele.
Answer: scrotal swelling caused by a collection of fluid
◍ Stage 2 Pressure Injury.
Answer: partial-thickness skin loss with exposed dermis
◍ CN I Olfactory Nerve Test.
Answer: smell
◍ stages of breast development.
Answer: Stage 1: preadolecentStage 2: breast buddingStage 3: continued
enlargementStage 4: areola and papilla form secondary moundStage 5:
mature female breasts
◍ GCS Scale TBI.
Answer: Mild TBI (concussion): 13-15- normal to lethargic- LOC <30 mins
- amnesia - dizziness/ HA/ disoriented - irritability Moderate TBI: 9-12-
LOC 30min- 6hrs- lethargic to obtunded- follows commands w/ arousal -
confused Severe TBI: 3-8- memory loss 24hrs - must intubate- not able to
follow commands
◍ CN II Optic Nerve Test.
Answer: testing visual acuityperipheral vision
◍ Dementia.
Answer: a slowly progressive decline in mental abilities, including memory,
thinking, and judgment, that is often accompanied by personality changes
,◍ urge incontinence.
Answer: state in which a person experiences involuntary passage of urine
that occurs soon after a strong sense of urgency to void
◍ lymphedema interventions.
Answer: · No BP readings, venipunctures or injections on affected arm if
possible· Arm should not be dependent for long periods· COMPRESSION
bandaging· Intermittent pneumatic compression sleeve· Elevating arm at
heath level· Performing isometric exercises
◍ flexion/extension.
Answer: flexion: bending at the jointextension: straightening of a joint
◍ Palpate abdomen for what organs.
Answer: liver, spleen, kidneys, aorta
◍ Skull fracture.
Answer: Sxs: leaking CSF (rhinorrhea), CSF leak from ear (otorrhea), halos
test, raccoon eyes, battles sign (bruise behind the ear) change in pupils
◍ AP:Lateral ratio.
Answer: the lateral view should be half of the anterior/posterior view
◍ edema of breast.
Answer:
◍ inguinal lymph nodes.
Answer: groin
◍ elderly perianal inspection findings.
Answer: decreased sphincter tone
◍ high risk of breast cancer.
Answer: - female- age 65+- 2 or more relatives w/ breast cancer at early age-
personal hx of breast cancer younger than 40- dense breasts- biopsy
confirmed atypical hyperplasia- genetic mutations (BRCA1, BRCA2,
HER2)
◍ incisional hernia.
, Answer: postoperative hernia caused by a weakness in the abdominal wall
from the incision or postoperative complications
◍ gender role.
Answer: a set of expected behaviors for males or for females
◍ steatorrhea.
Answer: feces containing fat
◍ Palmar grasp reflex (baby).
Answer: in response to stroking a baby's palm, the baby's hand will grasp.
◍ external genitalia of female.
Answer: vulvamons pubislabia majoralabia minora
◍ Screening for cervical cancer.
Answer: Pap smearHPV vaccine
◍ eversion/inversion.
Answer: eversion: turning outwardinversion: turning inward
◍ Spinal cord injury.
Answer: know level of injuryNI: airway managementTx: steroids,
decompression Complications: Neurogenic Shock- hypotension (systolic
<90), bradycardia, hypothermia, dec O2 <95% (RRT)Autonomic
Dysreflexia- HTN, diaphoresis, flushing, goose bumps, blurred vision,
severe HA, bradycardia (T6 above)Spinal Shock- temprorary loss of motor/
sensory reflex
◍ Mental Status/Function: Older Adults.
Answer: - speed slowed- minimal decline in cognitive and daily functioning
◍ myopia.
Answer: nearsightedness
◍ DTR: Triceps.
Answer: - Abduct patient's arm and flex it at the elbow. Support it with
non-dominant hand. Strike tendon about 1-2 inches above olecranon process
approaching it from directly behind- Contraction of triceps with extension at
