NRSG 421 Neurological: Comprehensive
Questions & Solutions Guide
Save
Terms in this set (143)
What does GCS stand Glasgow Coma Scale
for?
Eye opening
3 parts of GCS Best verbal response
Best Motor response
What is NIHSS? National Institute of Health Stroke Scale
1-no movement
2-extension (extends at elbow)
What are the 6 motor
3-abnormal flexion
responses from worst to
4-normal flexion
best?
5-localizing
obey commands
What is the NIHSS used To determine severity of stroke
for?
1-no eye opening at anytime to stimulus
What are 4 responses of
2-pressure (finger tip stimulus)
eye opening from worst
3-to sound
to best?
4-spontaneous (before stimulus)
not testable (closed due to limiting factors such as
What's NT in GCS?
factors related to paralysis or communication)
, edema
tracheostomy
sedated
refused
What are a few examples ET tube
of non testable factors? jaw wired
language barrier
neuromuscular blockade
trauma
other
1-none
2-sounds (moans/groans)
What are 5 responses of
3-words (intelligible single words)
verbal response from
44-confused (not oriented but communicates
worst to best?
coherently)
5-oriented (correct name, place, date)
Is withdrawing or localizing
localizing better?
The nurse is assessing B (peripheral and sternal rubs are not used
motor and sensory anymore)
function of an
unconscious client with a
head injury. The nurse
should use which
technique to test the
client's peripheral
response to pain?
A.Sternal rub
B.Nail bed pressure
C.Pressure on the orbital
rim
D.Squeeze the
sternocleidomastoid
muscle
Why?
, TRIAD
****What are 3 early tremors at rest
Parkinson's symptoms? bradykinesia
rigidity
slowing down in initiation and execution of
What is bradykinesia?
movement
What is rigidity? Increased muscle tone
At least 2 out of 3 of the triad (tremors,
How is Parkinson's
bradykinesia, rigidity)
diagnosed (2)?
positive response from medications
dysphagia
What are some late
weight loss
Parkinson's symptoms
blank expression
(4)?
depression
What is Parkinsons? Basal ganglia CNS degeneration
Parkinsons is what most 2nd
common
neurodegenerative
disease?
Shuffling
What are 4 other propulsive gait
symptoms of Parkinson's? impaired postural reflexes
impaired speech pattern
Parkinsons occurs in male
which gender more?
What is the cause of no known cause
Parkinson's disease?
What is otorrhea? ear discharge
What is rhinorrhea? nasal discharge
T/F C3-5 keeps you alive T
Questions & Solutions Guide
Save
Terms in this set (143)
What does GCS stand Glasgow Coma Scale
for?
Eye opening
3 parts of GCS Best verbal response
Best Motor response
What is NIHSS? National Institute of Health Stroke Scale
1-no movement
2-extension (extends at elbow)
What are the 6 motor
3-abnormal flexion
responses from worst to
4-normal flexion
best?
5-localizing
obey commands
What is the NIHSS used To determine severity of stroke
for?
1-no eye opening at anytime to stimulus
What are 4 responses of
2-pressure (finger tip stimulus)
eye opening from worst
3-to sound
to best?
4-spontaneous (before stimulus)
not testable (closed due to limiting factors such as
What's NT in GCS?
factors related to paralysis or communication)
, edema
tracheostomy
sedated
refused
What are a few examples ET tube
of non testable factors? jaw wired
language barrier
neuromuscular blockade
trauma
other
1-none
2-sounds (moans/groans)
What are 5 responses of
3-words (intelligible single words)
verbal response from
44-confused (not oriented but communicates
worst to best?
coherently)
5-oriented (correct name, place, date)
Is withdrawing or localizing
localizing better?
The nurse is assessing B (peripheral and sternal rubs are not used
motor and sensory anymore)
function of an
unconscious client with a
head injury. The nurse
should use which
technique to test the
client's peripheral
response to pain?
A.Sternal rub
B.Nail bed pressure
C.Pressure on the orbital
rim
D.Squeeze the
sternocleidomastoid
muscle
Why?
, TRIAD
****What are 3 early tremors at rest
Parkinson's symptoms? bradykinesia
rigidity
slowing down in initiation and execution of
What is bradykinesia?
movement
What is rigidity? Increased muscle tone
At least 2 out of 3 of the triad (tremors,
How is Parkinson's
bradykinesia, rigidity)
diagnosed (2)?
positive response from medications
dysphagia
What are some late
weight loss
Parkinson's symptoms
blank expression
(4)?
depression
What is Parkinsons? Basal ganglia CNS degeneration
Parkinsons is what most 2nd
common
neurodegenerative
disease?
Shuffling
What are 4 other propulsive gait
symptoms of Parkinson's? impaired postural reflexes
impaired speech pattern
Parkinsons occurs in male
which gender more?
What is the cause of no known cause
Parkinson's disease?
What is otorrhea? ear discharge
What is rhinorrhea? nasal discharge
T/F C3-5 keeps you alive T
