NSG 3250 Advanced Adult Health – Neurological
Disorders Final Exam Review & Comprehensive
Question Bank
SECTION I: NEURO-ASSESSMENT & DIAGNOSTICS (Sample Q&A)
**Q1: A nurse is performing a Glasgow Coma Scale (GCS) assessment on a patient
who opens eyes to pain, produces incomprehensible sounds, and withdraws from pain.
What is the GCS score?**
* **Answer:** 8. (Eye: 2, Verbal: 2, Motor: 4).
* **Clinical Note:** Any score of 8 or less indicates severe brain injury; the mnemonic
"GCS 8, intubate" is the standard of care.
**Q2: A patient is scheduled for a Lumbar Puncture (LP). Why is it critical for the nurse
to review the patient’s latest CT scan before the procedure?**
* **Answer:** If the patient has evidence of increased ICP or a large mass, the
pressure change during an LP can cause **Brain Stem Herniation**.
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SECTION II: CEREBROVASCULAR ACCIDENTS (STROKE)
*(Expand this section by detailing the differences between Ischemic/Hemorrhagic
management)*
Disorders Final Exam Review & Comprehensive
Question Bank
SECTION I: NEURO-ASSESSMENT & DIAGNOSTICS (Sample Q&A)
**Q1: A nurse is performing a Glasgow Coma Scale (GCS) assessment on a patient
who opens eyes to pain, produces incomprehensible sounds, and withdraws from pain.
What is the GCS score?**
* **Answer:** 8. (Eye: 2, Verbal: 2, Motor: 4).
* **Clinical Note:** Any score of 8 or less indicates severe brain injury; the mnemonic
"GCS 8, intubate" is the standard of care.
**Q2: A patient is scheduled for a Lumbar Puncture (LP). Why is it critical for the nurse
to review the patient’s latest CT scan before the procedure?**
* **Answer:** If the patient has evidence of increased ICP or a large mass, the
pressure change during an LP can cause **Brain Stem Herniation**.
---
SECTION II: CEREBROVASCULAR ACCIDENTS (STROKE)
*(Expand this section by detailing the differences between Ischemic/Hemorrhagic
management)*
