NUR 202 - NEURO EXAM
(DISEASES)EXAM QUESTION AND
ACCURATE ANSWERS
What.are.the.12.cranial.nerves.and.their.functions?.-.ans-✔✔1-.*O*lfactory.-.(S).-.smell
2-.*O*ptic.-.(S).-.vision
3-.*O*culomotor.-.(M).-.pupil.response.
4-.*T*rochlear.-.(M).-eye.muscle.movement
5-.*T*rigeminal.-.(B).-.facial.sensation.&.mastication.
6-.*A*bducens.-.(M).-.eye.muscle.movement
7-.*F*acial.-.(B).-.facial.movement/taste
8-.*A*coustic.-.(S).-.hearing
9-.*G*lossopharyngeal.-.(B).-.gag/swallow
10-.*V*agus.-.(B).-.gag/swallow.&.VS
11-.*S*pinal.Accessory.-.(M).-shoulder/head.movement
12-.*H*ypoglossal.-.(M).-.tongue.movement
Which.CNs.are.tested.together?.-.ans-✔✔3,.4,.6.-.eye.muscle.movement.
(cardinal.fields.of.gaze)
&
9,.10.-.speaking/swallowing/gag.reflex
Which.CNs.are.involved.with.the.neuromuscular.disorders.discussed.in.class?.-.ans-✔✔-
*5*.-.*Trigeminal*.(TN.=.*sensory*.problem)
-*7*.-.*Facial*.(BP.=.*motor*.problem)
What.are.the.3.branches.of.the.*trigeminal.nerve*?.-.ans-✔✔1-.forehead
2-.cheek
3-.jaw/chin
If.CN.*10*.was.damaged.due.to.demyelination,.what.would.happen?.-.ans-✔✔impaired/
altered.*VS*.(esp..HR)
,True.or.False:
You.can.only.document.that.a.patient.was.*unresponsive*.if.you.*tried.to.elicit.a.response.
with.a.painful.stimuli*.-.ans-✔✔true
(first.*alert*,.then.*lethargic*,.then.*unresponsive*)
True.or.False:
Checking.a.patient's.responsiveness.goes.from.*verbal.stimuli*.to.*tactile.stimuli*,.then.to.*
painful.stimuli*..If.there.is.still.no.response,.then.you.assess.*reflexes*.and.then.*breathing
*.-.ans-✔✔true
(reflexes.are.the.last.thing.to.go.before.brain.death)
What.are.*abnormal*.pain.responses*?.-.ans-✔✔*posturing*.or.*flaccid*
-*decorticate*.-.inward.posturing
-*decerebrate*.-.outward.posturing.(*WORSE*)
What.kind.of.response.does.tapping.on.the.forehead.elicit?.-.ans-✔✔*blink*.response.
(tested.last.after.verbal,.tactile,.and.painful.stimuli.have.failed.to.elicit.a.response)
--->.also.test.*gag*.reflex.(make.sure.nothing.is.in.their.mouth).&.*tear*.reflex
If.painful.stimuli.has.failed.to.elicit.a.response.in.a.patient,.why.might.the.nurse.try.to.brush.t
he.cornea.with.gauze?.-.ans-✔✔to.elicit.*tearing*.or.*twitching*.or.*blinking*.reflex.
(not.done.on.patients.with.contacts)
What.is.an.example.of.using.a.verbal.stimulus.to.assess.responsiveness.in.a.patient?.-.ans
-✔✔stating.your.name.(*alert*.if.they.respond)
What.are.examples.of.using.*tactile*.stimuli.to.assess.the.responsiveness.of.a.patient?.-.a
ns-✔✔-touching.arm.("alert.w/.tactile")
-then.lightly.patting.arm.(*lethargic*)
-then.shaking.the.arm.(*lethargic*)
If.using.tactile.stimuli.to.elicit.a.response.has.failed,.what.are.examples.of.using.*painful*.sti
muli.that.you.would.try.next?.-.ans-✔✔-pinching.arm.(or.large.muscles)
-then.sternal.rub.or.nail.bed.pressure
(if.no.response,.considered.*unresponsive*)
What.are.the.4.*primary*.types.of.headaches?.-.ans-✔✔-tension.HA
, -cluster.HA
-cranial.arteritis.HA
-migraines
*secondary*.HAs.are.caused.*by*.something.(tumor,.aneurysm,.etc.)
Who.is.responsible.for.determining.what.patients.at.risk.for.aspiration.can/
cannot.eat?.-.ans-✔✔speech.therapy
What.is.the.main.*cause*.of.a.*tension.HA*?.-.ans-✔✔stress
If.a.patient.comes.in.complaining.of.pain.behind.the.eyes,.in.the.front/
back.of.the.head,.and/or.in.the.neck/
shoulders,.you.know.that.this.is.probably.what.type.of.*HA*?.-.ans-✔✔*tension*.HA.
(pain.really.depends.on.the.activity.---
>.ex..staring.at.screens.=.pain.behind.eyes.//.studying.=.pain.in.neck/shoulders)
What.are.ways.in.which.*tension*.HA's.could.be.prevented?.-.ans-✔✔-*decrease.stress*
-lifestyle.changes
-coping.mechanisms.to.deal.w/.stress.(meditate,.exercise,.etc.)
-relaxation.techniques
What.type.of.medications.are.used.to.Tx.a.*tension*.HA?.-.ans-✔✔-*ibuprofen*.
(OTC.meds)
-muscle.relaxers.(if.stiff.muscles)
-heat.therapy
What.population.are.tension.HA's.most.common.among?.-.ans-
✔✔they.happen.to.*everyone*.(doesn't.discriminate;.no.specific.age,.race,.sex,.etc.)
Which.type.of.HA.usually.causes.significant.*eye-watering*?.-.ans-✔✔cluster.HA
If.a.patient.complains.of.having.several.HA's.a.day.(4-5x/
day).that.usually.last.between.15min.-1.hr,.you.know.that.this.is.what.type.of.HA?.-.ans-
✔✔*cluster*.HA.(short.span.HA's.that.occur.in.a.cluster.-.recurrent/routine)
-several.in.a.row.(on.&.off)
What.type.of.pain.is.usually.seen.with.*cluster.HAs*?.-.ans-✔✔-
*UNILATERAL*.specific.pain
-pain.behind.the.eye.&.travels.over.back.of.head.(comes.&.goes)
-*eye-watering*
Your.patient.is.*pacing/
rocking.back.&.forth*.and.is.complaining.of.pain.on.one.side.of.the.head.and.watery.eyes;.y
(DISEASES)EXAM QUESTION AND
ACCURATE ANSWERS
What.are.the.12.cranial.nerves.and.their.functions?.-.ans-✔✔1-.*O*lfactory.-.(S).-.smell
2-.*O*ptic.-.(S).-.vision
3-.*O*culomotor.-.(M).-.pupil.response.
4-.*T*rochlear.-.(M).-eye.muscle.movement
5-.*T*rigeminal.-.(B).-.facial.sensation.&.mastication.
6-.*A*bducens.-.(M).-.eye.muscle.movement
7-.*F*acial.-.(B).-.facial.movement/taste
8-.*A*coustic.-.(S).-.hearing
9-.*G*lossopharyngeal.-.(B).-.gag/swallow
10-.*V*agus.-.(B).-.gag/swallow.&.VS
11-.*S*pinal.Accessory.-.(M).-shoulder/head.movement
12-.*H*ypoglossal.-.(M).-.tongue.movement
Which.CNs.are.tested.together?.-.ans-✔✔3,.4,.6.-.eye.muscle.movement.
(cardinal.fields.of.gaze)
&
9,.10.-.speaking/swallowing/gag.reflex
Which.CNs.are.involved.with.the.neuromuscular.disorders.discussed.in.class?.-.ans-✔✔-
*5*.-.*Trigeminal*.(TN.=.*sensory*.problem)
-*7*.-.*Facial*.(BP.=.*motor*.problem)
What.are.the.3.branches.of.the.*trigeminal.nerve*?.-.ans-✔✔1-.forehead
2-.cheek
3-.jaw/chin
If.CN.*10*.was.damaged.due.to.demyelination,.what.would.happen?.-.ans-✔✔impaired/
altered.*VS*.(esp..HR)
,True.or.False:
You.can.only.document.that.a.patient.was.*unresponsive*.if.you.*tried.to.elicit.a.response.
with.a.painful.stimuli*.-.ans-✔✔true
(first.*alert*,.then.*lethargic*,.then.*unresponsive*)
True.or.False:
Checking.a.patient's.responsiveness.goes.from.*verbal.stimuli*.to.*tactile.stimuli*,.then.to.*
painful.stimuli*..If.there.is.still.no.response,.then.you.assess.*reflexes*.and.then.*breathing
*.-.ans-✔✔true
(reflexes.are.the.last.thing.to.go.before.brain.death)
What.are.*abnormal*.pain.responses*?.-.ans-✔✔*posturing*.or.*flaccid*
-*decorticate*.-.inward.posturing
-*decerebrate*.-.outward.posturing.(*WORSE*)
What.kind.of.response.does.tapping.on.the.forehead.elicit?.-.ans-✔✔*blink*.response.
(tested.last.after.verbal,.tactile,.and.painful.stimuli.have.failed.to.elicit.a.response)
--->.also.test.*gag*.reflex.(make.sure.nothing.is.in.their.mouth).&.*tear*.reflex
If.painful.stimuli.has.failed.to.elicit.a.response.in.a.patient,.why.might.the.nurse.try.to.brush.t
he.cornea.with.gauze?.-.ans-✔✔to.elicit.*tearing*.or.*twitching*.or.*blinking*.reflex.
(not.done.on.patients.with.contacts)
What.is.an.example.of.using.a.verbal.stimulus.to.assess.responsiveness.in.a.patient?.-.ans
-✔✔stating.your.name.(*alert*.if.they.respond)
What.are.examples.of.using.*tactile*.stimuli.to.assess.the.responsiveness.of.a.patient?.-.a
ns-✔✔-touching.arm.("alert.w/.tactile")
-then.lightly.patting.arm.(*lethargic*)
-then.shaking.the.arm.(*lethargic*)
If.using.tactile.stimuli.to.elicit.a.response.has.failed,.what.are.examples.of.using.*painful*.sti
muli.that.you.would.try.next?.-.ans-✔✔-pinching.arm.(or.large.muscles)
-then.sternal.rub.or.nail.bed.pressure
(if.no.response,.considered.*unresponsive*)
What.are.the.4.*primary*.types.of.headaches?.-.ans-✔✔-tension.HA
, -cluster.HA
-cranial.arteritis.HA
-migraines
*secondary*.HAs.are.caused.*by*.something.(tumor,.aneurysm,.etc.)
Who.is.responsible.for.determining.what.patients.at.risk.for.aspiration.can/
cannot.eat?.-.ans-✔✔speech.therapy
What.is.the.main.*cause*.of.a.*tension.HA*?.-.ans-✔✔stress
If.a.patient.comes.in.complaining.of.pain.behind.the.eyes,.in.the.front/
back.of.the.head,.and/or.in.the.neck/
shoulders,.you.know.that.this.is.probably.what.type.of.*HA*?.-.ans-✔✔*tension*.HA.
(pain.really.depends.on.the.activity.---
>.ex..staring.at.screens.=.pain.behind.eyes.//.studying.=.pain.in.neck/shoulders)
What.are.ways.in.which.*tension*.HA's.could.be.prevented?.-.ans-✔✔-*decrease.stress*
-lifestyle.changes
-coping.mechanisms.to.deal.w/.stress.(meditate,.exercise,.etc.)
-relaxation.techniques
What.type.of.medications.are.used.to.Tx.a.*tension*.HA?.-.ans-✔✔-*ibuprofen*.
(OTC.meds)
-muscle.relaxers.(if.stiff.muscles)
-heat.therapy
What.population.are.tension.HA's.most.common.among?.-.ans-
✔✔they.happen.to.*everyone*.(doesn't.discriminate;.no.specific.age,.race,.sex,.etc.)
Which.type.of.HA.usually.causes.significant.*eye-watering*?.-.ans-✔✔cluster.HA
If.a.patient.complains.of.having.several.HA's.a.day.(4-5x/
day).that.usually.last.between.15min.-1.hr,.you.know.that.this.is.what.type.of.HA?.-.ans-
✔✔*cluster*.HA.(short.span.HA's.that.occur.in.a.cluster.-.recurrent/routine)
-several.in.a.row.(on.&.off)
What.type.of.pain.is.usually.seen.with.*cluster.HAs*?.-.ans-✔✔-
*UNILATERAL*.specific.pain
-pain.behind.the.eye.&.travels.over.back.of.head.(comes.&.goes)
-*eye-watering*
Your.patient.is.*pacing/
rocking.back.&.forth*.and.is.complaining.of.pain.on.one.side.of.the.head.and.watery.eyes;.y
