Neuro Assessment ,
Neuro Assessment
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1. 3 (Possible scores on the GCS range A score of 6 on the GCS indicates:
from 3 to 15. A score of 7 or less indi- 1. a vegetative state.
cates coma.) 2. paraplegia.
3. coma.
4. obtundation.
2. 4 (The GCS is not a valid measure and The GCS is an invalid measure for the patient
must not be used for children, intoxicat- with:
ed patients, or patients with spinal cord 1. hemiplegia.
injury.) 2. Parkinson's disease.
3. mental retardation.
4. intoxication.
3. 2 (Nailbed pressure and trapezius pinch Which of the following choices is an acceptable
are acceptable methods of noxious and recommended method of noxious stimula-
stimulation. Nailbed pressure allows tion?
evaluation of individual extremity func- 1. Nipple pinch
tion. Trapezius pinch is difficult to per- 2. Nailbed pressure
form on large or obese adults. Repeat- 3. Supraorbital pressure
ed sternal rub can cause the sternum to 4. Sternal rub
become excoriated, open, and infected.
Supraorbital pressure must be avoided
in patients with head injuries, frontal
craniotomies, or facial surgery. Nipple
and testicle pinching are inappropriate
and unnecessary.)
4. 2 (Abnormal extension, decerebrate Which of the following denotes a more serious
posturing, has a more ominous prog- prognosis?
nosis than abnormal flexion, decorti- 1. Decorticate posturing
cate posturing. The Babinski reflex is a 2. Decerebrate posturing
pathologic finding; absence of this re-
1/8
1 of 8
, Neuro Assessment ,
Neuro Assessment
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flex is a normal neurologic finding. The 3. Absence of Babinski reflex
range of scores for the GCS is 3-15. A 4. GCS score of 14
score of 14 denotes minimal deficit.)
5. 3 (Asking the patient to smile allows Which cranial nerve is being tested when the
evaluation of the motor component of nurse asks the patient to smile?
the facial nerve, cranial nerve VII.) 1. I
2. III
3. VII
4. IX
6. 1 (Pupillary reactivity is relatively resis- Which of the following assessments can be used
tant to metabolic dysfunction and can to differentiate between coma due to hepatic
be used to differentiate between meta- encephalopathy and coma due to a mass lesion?
bolic and structural causes of decreased 1. Pupillary reactivity
levels of consciousness.) 2. Pronator drift
3. Babinski reflex
4. Plantar flexion
7. 1 (The pupils of most people are equal How much of a size difference between the two
in size, but a discrepancy of up to 1 pupils is still considered normal?
mm between the two pupils is nor- 1. 0.5 mm
mal. 15%-17% of the population have 2. 1.5 mm
unequal pupils, a condition known as 3. 2 mm
anisocoria.) 4. 2.5 mm
8. 2 (An oval pupil is indicative of elevated An oval pupil is indicative of:
intracranial pressure and can indicate 1. cortical dysfunction.
the initial stages of CN III compression. 2. intracranial hypertension.
An oval pupil almost always is associat- 3. hydrocephalus.
ed with an ICP between 18 and 35.) 4. metabolic coma.
9.
2/8
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Neuro Assessment
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1. 3 (Possible scores on the GCS range A score of 6 on the GCS indicates:
from 3 to 15. A score of 7 or less indi- 1. a vegetative state.
cates coma.) 2. paraplegia.
3. coma.
4. obtundation.
2. 4 (The GCS is not a valid measure and The GCS is an invalid measure for the patient
must not be used for children, intoxicat- with:
ed patients, or patients with spinal cord 1. hemiplegia.
injury.) 2. Parkinson's disease.
3. mental retardation.
4. intoxication.
3. 2 (Nailbed pressure and trapezius pinch Which of the following choices is an acceptable
are acceptable methods of noxious and recommended method of noxious stimula-
stimulation. Nailbed pressure allows tion?
evaluation of individual extremity func- 1. Nipple pinch
tion. Trapezius pinch is difficult to per- 2. Nailbed pressure
form on large or obese adults. Repeat- 3. Supraorbital pressure
ed sternal rub can cause the sternum to 4. Sternal rub
become excoriated, open, and infected.
Supraorbital pressure must be avoided
in patients with head injuries, frontal
craniotomies, or facial surgery. Nipple
and testicle pinching are inappropriate
and unnecessary.)
4. 2 (Abnormal extension, decerebrate Which of the following denotes a more serious
posturing, has a more ominous prog- prognosis?
nosis than abnormal flexion, decorti- 1. Decorticate posturing
cate posturing. The Babinski reflex is a 2. Decerebrate posturing
pathologic finding; absence of this re-
1/8
1 of 8
, Neuro Assessment ,
Neuro Assessment
Study online at https://quizlet.com/_34o73v
flex is a normal neurologic finding. The 3. Absence of Babinski reflex
range of scores for the GCS is 3-15. A 4. GCS score of 14
score of 14 denotes minimal deficit.)
5. 3 (Asking the patient to smile allows Which cranial nerve is being tested when the
evaluation of the motor component of nurse asks the patient to smile?
the facial nerve, cranial nerve VII.) 1. I
2. III
3. VII
4. IX
6. 1 (Pupillary reactivity is relatively resis- Which of the following assessments can be used
tant to metabolic dysfunction and can to differentiate between coma due to hepatic
be used to differentiate between meta- encephalopathy and coma due to a mass lesion?
bolic and structural causes of decreased 1. Pupillary reactivity
levels of consciousness.) 2. Pronator drift
3. Babinski reflex
4. Plantar flexion
7. 1 (The pupils of most people are equal How much of a size difference between the two
in size, but a discrepancy of up to 1 pupils is still considered normal?
mm between the two pupils is nor- 1. 0.5 mm
mal. 15%-17% of the population have 2. 1.5 mm
unequal pupils, a condition known as 3. 2 mm
anisocoria.) 4. 2.5 mm
8. 2 (An oval pupil is indicative of elevated An oval pupil is indicative of:
intracranial pressure and can indicate 1. cortical dysfunction.
the initial stages of CN III compression. 2. intracranial hypertension.
An oval pupil almost always is associat- 3. hydrocephalus.
ed with an ICP between 18 and 35.) 4. metabolic coma.
9.
2/8
2 of 8
