NUR 145 Final Exam Questions and
Complete Solutions
Broca's aphasia ✅unable to create sentences
Wernicke's aphasia ✅speech is meaningless; unaware
Glasgow Coma Scale measurement ✅eye opening, motor response, verbal response
3 to 15. 7 or lower means coma
Used in ED, scene of accident, or on the floor
Perform every hour (-2 call doctor)
EEG ✅before:
Clean hair no crap
No sedatives
EAT
Continuous monitoring - tell fam
After:
Pt. Can't drive themselves
Wash hair
Lumbar puncture ✅before:
Explain
Place pt in fetal position
After:
Vitals and neuro checks
Bedrest / remain flat
Increase fluids
Monitor for comp. Of increased pressure (ha, nv, LOC changes)
Observe insertion site for leakage
Contrast dye precautions ✅serum creatinine >1.5 puts at r/f kidney damage
NO METFORMIN (lactic acidosis)
Dc metformin and NSAIDS 48 hr after
Obtain consent for procedure
CT, angiogram, PET
, Cerebral angiogram ✅before:
NPO
After:
Monitor catheter site for bleeding
Keep leg straight and immobile
Pressure dressing for 2 hours
Check extremities for circulation
Increase fluids
CT ✅before:
Remove metal
Loud noise warning
After:
All for contrast dye
PET ✅before:
No caffeine, alcohol, tobacco for 24h
NPO
Hold insulin
Hold glucose
Need 2 IV lines
After:
Fluids
MRI ✅before:
No metal anything, anywhere
Ask about tattoo dates and pacemakers
After:
Sheet to sign
Carotid ultrasound ✅wear comfortable clothes and no jewlery
Neuro changes assoc. With aging ✅slow processing time
Recent memory loss
Decreased sensory perception
Change in pain perception
Change in sleep patterns
Altered balance/coordination
Increased risk for infection
Headaches ✅migraine and cluster
Complete Solutions
Broca's aphasia ✅unable to create sentences
Wernicke's aphasia ✅speech is meaningless; unaware
Glasgow Coma Scale measurement ✅eye opening, motor response, verbal response
3 to 15. 7 or lower means coma
Used in ED, scene of accident, or on the floor
Perform every hour (-2 call doctor)
EEG ✅before:
Clean hair no crap
No sedatives
EAT
Continuous monitoring - tell fam
After:
Pt. Can't drive themselves
Wash hair
Lumbar puncture ✅before:
Explain
Place pt in fetal position
After:
Vitals and neuro checks
Bedrest / remain flat
Increase fluids
Monitor for comp. Of increased pressure (ha, nv, LOC changes)
Observe insertion site for leakage
Contrast dye precautions ✅serum creatinine >1.5 puts at r/f kidney damage
NO METFORMIN (lactic acidosis)
Dc metformin and NSAIDS 48 hr after
Obtain consent for procedure
CT, angiogram, PET
, Cerebral angiogram ✅before:
NPO
After:
Monitor catheter site for bleeding
Keep leg straight and immobile
Pressure dressing for 2 hours
Check extremities for circulation
Increase fluids
CT ✅before:
Remove metal
Loud noise warning
After:
All for contrast dye
PET ✅before:
No caffeine, alcohol, tobacco for 24h
NPO
Hold insulin
Hold glucose
Need 2 IV lines
After:
Fluids
MRI ✅before:
No metal anything, anywhere
Ask about tattoo dates and pacemakers
After:
Sheet to sign
Carotid ultrasound ✅wear comfortable clothes and no jewlery
Neuro changes assoc. With aging ✅slow processing time
Recent memory loss
Decreased sensory perception
Change in pain perception
Change in sleep patterns
Altered balance/coordination
Increased risk for infection
Headaches ✅migraine and cluster
