NUR 265 Exam 3: (Latest 2026/2027 Update) Neurologic,
Musculoskeletal & Cardiac Assessment | Q&A | Grade A | 100%
Correct (Verified Answers)
Complete Review: Glasgow Coma Scale, Range of Motion, Heart Sounds, Pulse Points, Body Mechanics, Positioning &
Peripheral Vascular Assessment
SUBJECT SOURCE FORMAT
Medical-Surgical Nursing / NUR 265 Galen Exam 3 Study Guide 2026/2027 Q&A Guide with Rationale
Q1
What is the Glasgow Coma Scale (GCS) used for, and what are its three components?
CORRECT ANSWER
Neurologic assessment of eye opening, verbal response, and motor response; score 3 (deep coma) to 15
(fully conscious)
RATIONALE
• Eye response (1‑4), verbal (1‑5), motor (1‑6).
• GCS ≤8 indicates severe brain injury and need for intubation.
• Document individual scores (e.g., E3 V4 M5).
Q2
A nurse closes one of the patient's eyes and asks the patient to identify a number traced on the palm. This
tests:
CORRECT ANSWER
Graphesthesia (ability to recognize symbols written on skin)
RATIONALE
• Stereognosis: identifying objects by touch (e.g., key, coin).
• Two‑point discrimination: distinguishing two separate points on skin.
• These are cortical sensory functions; abnormalities suggest parietal lobe lesion.
, Q3
A patient reports "pins and needles" sensation in the hands. This is called:
CORRECT ANSWER
Paresthesia (abnormal sensation without obvious stimulus)
RATIONALE
• Dysesthesia: burning or electric shock sensation (neuropathic pain).
• Crepitation: crackling sound in joints (arthritis).
• Paresthesia common in diabetes, B12 deficiency, nerve compression.
Q4
A patient is able to move their arms without assistance. This is called:
CORRECT ANSWER
Active range of motion (AROM)
RATIONALE
• Passive ROM (PROM) is performed by the nurse with patient relaxed.
• Active ROM indicates intact neuromuscular function.
• Ergonomics = designing work to reduce strain and injury.
Q5
The patient turns the sole of the foot inward. This movement is:
CORRECT ANSWER
Inversion (eversion = outward)
RATIONALE
• Dorsiflexion = toes up; plantar flexion = toes down (gas pedal).
• Inversion sprains are the most common ankle injury.
• Pronation = palm down; supination = palm up.
Musculoskeletal & Cardiac Assessment | Q&A | Grade A | 100%
Correct (Verified Answers)
Complete Review: Glasgow Coma Scale, Range of Motion, Heart Sounds, Pulse Points, Body Mechanics, Positioning &
Peripheral Vascular Assessment
SUBJECT SOURCE FORMAT
Medical-Surgical Nursing / NUR 265 Galen Exam 3 Study Guide 2026/2027 Q&A Guide with Rationale
Q1
What is the Glasgow Coma Scale (GCS) used for, and what are its three components?
CORRECT ANSWER
Neurologic assessment of eye opening, verbal response, and motor response; score 3 (deep coma) to 15
(fully conscious)
RATIONALE
• Eye response (1‑4), verbal (1‑5), motor (1‑6).
• GCS ≤8 indicates severe brain injury and need for intubation.
• Document individual scores (e.g., E3 V4 M5).
Q2
A nurse closes one of the patient's eyes and asks the patient to identify a number traced on the palm. This
tests:
CORRECT ANSWER
Graphesthesia (ability to recognize symbols written on skin)
RATIONALE
• Stereognosis: identifying objects by touch (e.g., key, coin).
• Two‑point discrimination: distinguishing two separate points on skin.
• These are cortical sensory functions; abnormalities suggest parietal lobe lesion.
, Q3
A patient reports "pins and needles" sensation in the hands. This is called:
CORRECT ANSWER
Paresthesia (abnormal sensation without obvious stimulus)
RATIONALE
• Dysesthesia: burning or electric shock sensation (neuropathic pain).
• Crepitation: crackling sound in joints (arthritis).
• Paresthesia common in diabetes, B12 deficiency, nerve compression.
Q4
A patient is able to move their arms without assistance. This is called:
CORRECT ANSWER
Active range of motion (AROM)
RATIONALE
• Passive ROM (PROM) is performed by the nurse with patient relaxed.
• Active ROM indicates intact neuromuscular function.
• Ergonomics = designing work to reduce strain and injury.
Q5
The patient turns the sole of the foot inward. This movement is:
CORRECT ANSWER
Inversion (eversion = outward)
RATIONALE
• Dorsiflexion = toes up; plantar flexion = toes down (gas pedal).
• Inversion sprains are the most common ankle injury.
• Pronation = palm down; supination = palm up.
