UPDATE 2026
What is a typical clinical manifestation of an alteration in arousal? - Answers
Vomiting without nausea
What is the onset of an acute confusional state? - Answers Sudden
What initiates seizures? - Answers Hyperexcitability of neurons
What can cause increased intracranial pressure? - Answers Cerebral edema
What does areflexic mean? - Answers No tendon reflexes
What condition is suspected in an unconscious person with a lucid period after a
motorcycle accident? - Answers Extradural hematoma
What results from spinal shock? - Answers Poor venous circulation
What are fusiform aneurysms due to? - Answers Arteriosclerotic changes
What does the APRN suspect with a unilateral headache that worsens with
movement? - Answers Migraine Headache
What can increased intracranial pressure with hydrocephalus result from? - Answers
Reduced reabsorption of CSF
What sign is positive when a child shows flexion of the knees and hips when the neck
is flexed forward? - Answers Brudzinski Sign
What finding indicates a simple febrile seizure? - Answers The convulsion is
generalized
What is the most useful treatment for brain tumors in children? - Answers Surgical
therapy
Which vaccine may have prevented a child's bacterial meningitis? - Answers H.
Influenzae
What sign shows resistance to knee extension with knees and hips flexed? - Answers
Kernig sign
What is confusion? - Answers Loss of the ability to think rapidly and clearly;
impaired judgement and decision making
What is disorientation? - Answers Beginning loss of consciousness, disorientation to
time, followed by disorientation to place and impaired memory
What is lethargy? - Answers Limited spontaneous movement or speech, easy arousal
with normal speech or touch
What is obtundation? - Answers Mild to moderate reduction in arousal with limited
response to the environment
What is stupor? - Answers Condition of deep sleep or unresponsiveness, aroused only
by vigorous stimulation
What is coma? - Answers No verbal response to the external environment or stimuli
What is light coma associated with? - Answers Purposeful movement on stimulation
What is deep coma associated with? - Answers Unresponsiveness or no response to
any stimulus
What are apneustic respirations? - Answers Prolonged inspiratory and expiratory
phases caused by injury to the pons or upper medulla
What are cluster respirations? - Answers Periods of rapid respirations of near equal
depth from trauma or chronic opioid abuse
What are ataxic respirations? - Answers Irregular respirations with prolonged periods
of apnea associated with damage to the medulla
What is associated with ischemia/hypoxia? - Answers Dilated, fixed pupils
What is associated with opiates? - Answers Pinpoint pupils