NU 110 Exam 2 Questions and Answers;
Neuro-Sensory Assessment
What to check for on a mental status assessment ? - Answer-Level of Consciousness
Orientation
Memory
Abstract reasoning
Language
1-2 Step commands
Higher level cognitive function
What is Level of Consciousness - Answer-Degree of wakefulness
Glasgow Coma Scale (GCS) - Answer-Eye opening, best verbal & motor response.
Scale is 3-15
Stuporous ; partial or nearly complete unconsciousness
Lethargic; sluggish, showing no interest
, Full Outline of Un-Responsive (FOUR) Coma Scale - Answer-Decreasing levels of consciousness
Respiration
Motor
Opening (eyes)
Brain Stem reflexes
Orientation - Answer-Check if they know person, place, time, circumstances
Memory - Answer-Short term; immediate
Long term; Not immediate, like a phone number
Abstract Reasoning - Answer-Thinking outside the box
1-2 step commands - Answer-Doing two step commands
EX:Pick up piece of paper, fold it in half
Sternum Rub - Answer-Wakes patient up, painful stimuli (Stuporous)
How do you assess the 12 cranial nerves ? - Answer-Nerve 9 (Gag Reflex) Tongue depressor
How to assess for pupillary reaction ? - Answer-Make sure it's a dark room, with pen light start from
side go over eyes then go around the chin to the other side of the eyes and go over the other eye. Pupils
should constrict
How do you assess for accommodation ? - Answer-Close to object; eyes constrict
Far from object; eyes dilate
Neuro-Sensory Assessment
What to check for on a mental status assessment ? - Answer-Level of Consciousness
Orientation
Memory
Abstract reasoning
Language
1-2 Step commands
Higher level cognitive function
What is Level of Consciousness - Answer-Degree of wakefulness
Glasgow Coma Scale (GCS) - Answer-Eye opening, best verbal & motor response.
Scale is 3-15
Stuporous ; partial or nearly complete unconsciousness
Lethargic; sluggish, showing no interest
, Full Outline of Un-Responsive (FOUR) Coma Scale - Answer-Decreasing levels of consciousness
Respiration
Motor
Opening (eyes)
Brain Stem reflexes
Orientation - Answer-Check if they know person, place, time, circumstances
Memory - Answer-Short term; immediate
Long term; Not immediate, like a phone number
Abstract Reasoning - Answer-Thinking outside the box
1-2 step commands - Answer-Doing two step commands
EX:Pick up piece of paper, fold it in half
Sternum Rub - Answer-Wakes patient up, painful stimuli (Stuporous)
How do you assess the 12 cranial nerves ? - Answer-Nerve 9 (Gag Reflex) Tongue depressor
How to assess for pupillary reaction ? - Answer-Make sure it's a dark room, with pen light start from
side go over eyes then go around the chin to the other side of the eyes and go over the other eye. Pupils
should constrict
How do you assess for accommodation ? - Answer-Close to object; eyes constrict
Far from object; eyes dilate
