CHILDHOOD NURSING NURS 2356 ACTUAL EXAM LATEST
2024/2025 QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A++
What does the brainstem control? - ANSWER All basic systems that are
required to sustain life
HR
Breathing
What does the cerebellum control? - ANSWER balance
speech
Injury- slurred speech, dizziness, fine tremors in hands
What is the frontal lobe responsible for? - ANSWER Consciousness
Allows you to be aware of yourself, your surrounds, your personality
Word association
Injury- personality, word association, expressive speech, problems to
perform complex tasks, perisistence of a single thought, changes in social
behavior, inability to express language
What is the parietal lobe responsible for? - ANSWER Touch
objects/coordinate eye-hand coordination
Perform abstract thinking
Injury- ability to read, write and math, perception of touch, pressure, temp &
pain
What is the temporal lobe responsible for? - ANSWER Hearing
,Injury- decrease in sexual behavior and/or increase in aggressive behavior,
hearing, memory
What is the occiptal lobe responsible for? - ANSWER Vision
What structure protects the brain? - ANSWER Cranium; egg-shaped
*What does it mean to have full consciousness? - ANSWER Awake & alert
Orientated to time, place, person
*What does it mean to be confused?- ANSWER impaired decision making
lacks ability to think clearly or rapidly
Orientated to person
*What does it mean to be disorientated?* - ANSWER disorientation to time
& place, decreased LOC
lacks ability to recognize place or person
*What does it mean to be lethargic?* ANSWER Limited sponatenous
movement, sluggish speech
Awakens w/ speech then back to bed
*What does it mean to be obtunded?* - ANSWER Arousable w/ stimulation
*What does it mean to be in a stupor?* - ANSWER In deep sleep,
responsivle only to vigorous & repeated stimulation
*What does it mean to be in a coma?* - ANSWER No motor or verbal
response to painful stimuli
Do sternal rub, eye socket
*What does is mean to be in a persistent vegetative state?* - ANSWER
Permanently lost fx of the cerebral cortex
,Eyes follow objects only by reflex or when attracted to the direction of loud
sounds
All limbs are spastic but can withdraw from pain
Hand show reflextive grasping & groping
Face can grimace
Some food can be swallowed
Child may groan or cry but no words
Neuro Exam - ANSWER VS
Skin
Eyes; pupils & reactivity
Motor Fxn; spontaneous activity, posture, response to pain
Posturing; decorticate, decerebrate
Reflexes
When are pinpoint pupils commonly seen? - ANSWER Poisonings, some
ODs
When are widely dialted pupils commonly seen? - ANSWER seizures or
brainstem dysfunction
When are pupils widely dilated & fixed? - ANSWER pressure from
herniation
What does the sudden appearance of fixed & dilated pupils mean? -
ANSWER NEURO EMERGENCY
Decorticate posturing - ANSWER Adduction of arms at the shoulders
Flexion of arms on the chest w/ wrist flexed & hands fisted
, Extension & adduction of the lower extremities
*severe dysfunction of cerebral cortex*
"To the core"
Decerebrate Posturing - ANSWER Rigid extension & pronation of arms &
legs
*Dysfunction at level of midbrain*
"Away from the core"
What reflexes are absent in a deep coma patient? - ANSWER Corneal
Pupillary
Muscle-stretch
Superficial
Plantar
Abscence of corneal & tonic neck reflex are assocaited with? - ANSWER
severe brain damage
What is the doll's head maneuver? - ANSWER Rotating head quickly to
one side and then to the other
Paired movement of the eyes in the opposite direction that the head is
moved
Infant Neuro Exam - ANSWER Moro-sudden jarring; sudden extension &
abduction of extremities & fanning of fingers w/ index finger & thumb
forming a c-shape, followed by flexion & adduction. Disappears 3-4 months
Tonic neck; infants head turned to one side, arm & leg extend on that side
& opposite arm & leg is expected, Disappears 3-4 months
2024/2025 QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A++
What does the brainstem control? - ANSWER All basic systems that are
required to sustain life
HR
Breathing
What does the cerebellum control? - ANSWER balance
speech
Injury- slurred speech, dizziness, fine tremors in hands
What is the frontal lobe responsible for? - ANSWER Consciousness
Allows you to be aware of yourself, your surrounds, your personality
Word association
Injury- personality, word association, expressive speech, problems to
perform complex tasks, perisistence of a single thought, changes in social
behavior, inability to express language
What is the parietal lobe responsible for? - ANSWER Touch
objects/coordinate eye-hand coordination
Perform abstract thinking
Injury- ability to read, write and math, perception of touch, pressure, temp &
pain
What is the temporal lobe responsible for? - ANSWER Hearing
,Injury- decrease in sexual behavior and/or increase in aggressive behavior,
hearing, memory
What is the occiptal lobe responsible for? - ANSWER Vision
What structure protects the brain? - ANSWER Cranium; egg-shaped
*What does it mean to have full consciousness? - ANSWER Awake & alert
Orientated to time, place, person
*What does it mean to be confused?- ANSWER impaired decision making
lacks ability to think clearly or rapidly
Orientated to person
*What does it mean to be disorientated?* - ANSWER disorientation to time
& place, decreased LOC
lacks ability to recognize place or person
*What does it mean to be lethargic?* ANSWER Limited sponatenous
movement, sluggish speech
Awakens w/ speech then back to bed
*What does it mean to be obtunded?* - ANSWER Arousable w/ stimulation
*What does it mean to be in a stupor?* - ANSWER In deep sleep,
responsivle only to vigorous & repeated stimulation
*What does it mean to be in a coma?* - ANSWER No motor or verbal
response to painful stimuli
Do sternal rub, eye socket
*What does is mean to be in a persistent vegetative state?* - ANSWER
Permanently lost fx of the cerebral cortex
,Eyes follow objects only by reflex or when attracted to the direction of loud
sounds
All limbs are spastic but can withdraw from pain
Hand show reflextive grasping & groping
Face can grimace
Some food can be swallowed
Child may groan or cry but no words
Neuro Exam - ANSWER VS
Skin
Eyes; pupils & reactivity
Motor Fxn; spontaneous activity, posture, response to pain
Posturing; decorticate, decerebrate
Reflexes
When are pinpoint pupils commonly seen? - ANSWER Poisonings, some
ODs
When are widely dialted pupils commonly seen? - ANSWER seizures or
brainstem dysfunction
When are pupils widely dilated & fixed? - ANSWER pressure from
herniation
What does the sudden appearance of fixed & dilated pupils mean? -
ANSWER NEURO EMERGENCY
Decorticate posturing - ANSWER Adduction of arms at the shoulders
Flexion of arms on the chest w/ wrist flexed & hands fisted
, Extension & adduction of the lower extremities
*severe dysfunction of cerebral cortex*
"To the core"
Decerebrate Posturing - ANSWER Rigid extension & pronation of arms &
legs
*Dysfunction at level of midbrain*
"Away from the core"
What reflexes are absent in a deep coma patient? - ANSWER Corneal
Pupillary
Muscle-stretch
Superficial
Plantar
Abscence of corneal & tonic neck reflex are assocaited with? - ANSWER
severe brain damage
What is the doll's head maneuver? - ANSWER Rotating head quickly to
one side and then to the other
Paired movement of the eyes in the opposite direction that the head is
moved
Infant Neuro Exam - ANSWER Moro-sudden jarring; sudden extension &
abduction of extremities & fanning of fingers w/ index finger & thumb
forming a c-shape, followed by flexion & adduction. Disappears 3-4 months
Tonic neck; infants head turned to one side, arm & leg extend on that side
& opposite arm & leg is expected, Disappears 3-4 months
