NUR176 Exam 1 questions WITH ACTUAL CORRECT DETAILED
ANSWERS
The Glasgow coma scale measures responses in what three categories - ANSWER-Eye-opening response
Verbal response
Motor response
A semi comatose patient would score What on the Glasgow Coma scale ? - ANSWER-Eight or less
You walk into a patient room and find them totally unresponsive. The chart notes that they've been in a
coma for at least three days. What would be their score on the Glasgow Coma Scale - ANSWER-Totally
unresponsive patients score 3 whiskey
Patient has been admitted with multiple sclerosis. What is this? - ANSWER-A chronic progressive and
degenerative disease of the Myelin sheath. This disrupts electrical impulses and creates a distorted
message.
What are the three S's and why are they important? - ANSWER-Sickness, stress and sleep deprivation.
They can cause exacerbations in anyone who has an auto immune disorder.
Patience with MS should avoid what type of weather - ANSWER-Hot weather. It causes exacerbations.
Signs of stroke : BEFAST : B - ANSWER-Balance - Watch for sudden loss of balance
Signs of stroke : BEFAST : E - ANSWER-Eyes - has the patient experience any loss of vision or changes in
vision
, Signs of stroke : BEFAST : F - ANSWER-Face - is the patient displaying one sided weakness? Ptosis
What does ptosis mean? - ANSWER-drooping eyelid. Abnormal low-lying or drooping upper eyelid.
Signs of stroke : BEFAST : A - ANSWER-Arm. Is the patient displaying one sided weakness in the arm or
presenting with c/o numbness
Signs of stroke : BEFAST : S - ANSWER-Speech - Listen for slurred speech
Signs of stroke : BEFAST : T - ANSWER-Time: Call 9-1-1 right away
What are the two types of strokes? - ANSWER-ischemic and hemorrhagic
Hemorrhagic stroke (aneurysm) rupture of a vessel: S/s - ANSWER-BP decreases, Nucal Rigidity, loss of
consciousness and seizures
Ischemic stroke (thrombolic/embolic) S/s - ANSWER-BP increases, PT may present with dysphasia,
headache, visual issues, one sided weakness, hemiparesis and hemiplegia
What is hemi-paresis? - ANSWER-partial paralysis which results in decreased strength, muscle weakness,
or reduced motor control
What is hemiplegia? - ANSWER-paralysis of one side of the body
A patient is displaying unilateral neglect. What sided stroke causes this and what is this - ANSWER-A right
sided stroke. Unilateral neglect is usually caused by right hemisphere damage from stroke, leading to
difficulties in attending to stimuli in the left perceptual hemifield. As an example, a patient suffering from
neglect may read only the right part of a word or the right part of sentences, or eat only from the right
side his plate.
ANSWERS
The Glasgow coma scale measures responses in what three categories - ANSWER-Eye-opening response
Verbal response
Motor response
A semi comatose patient would score What on the Glasgow Coma scale ? - ANSWER-Eight or less
You walk into a patient room and find them totally unresponsive. The chart notes that they've been in a
coma for at least three days. What would be their score on the Glasgow Coma Scale - ANSWER-Totally
unresponsive patients score 3 whiskey
Patient has been admitted with multiple sclerosis. What is this? - ANSWER-A chronic progressive and
degenerative disease of the Myelin sheath. This disrupts electrical impulses and creates a distorted
message.
What are the three S's and why are they important? - ANSWER-Sickness, stress and sleep deprivation.
They can cause exacerbations in anyone who has an auto immune disorder.
Patience with MS should avoid what type of weather - ANSWER-Hot weather. It causes exacerbations.
Signs of stroke : BEFAST : B - ANSWER-Balance - Watch for sudden loss of balance
Signs of stroke : BEFAST : E - ANSWER-Eyes - has the patient experience any loss of vision or changes in
vision
, Signs of stroke : BEFAST : F - ANSWER-Face - is the patient displaying one sided weakness? Ptosis
What does ptosis mean? - ANSWER-drooping eyelid. Abnormal low-lying or drooping upper eyelid.
Signs of stroke : BEFAST : A - ANSWER-Arm. Is the patient displaying one sided weakness in the arm or
presenting with c/o numbness
Signs of stroke : BEFAST : S - ANSWER-Speech - Listen for slurred speech
Signs of stroke : BEFAST : T - ANSWER-Time: Call 9-1-1 right away
What are the two types of strokes? - ANSWER-ischemic and hemorrhagic
Hemorrhagic stroke (aneurysm) rupture of a vessel: S/s - ANSWER-BP decreases, Nucal Rigidity, loss of
consciousness and seizures
Ischemic stroke (thrombolic/embolic) S/s - ANSWER-BP increases, PT may present with dysphasia,
headache, visual issues, one sided weakness, hemiparesis and hemiplegia
What is hemi-paresis? - ANSWER-partial paralysis which results in decreased strength, muscle weakness,
or reduced motor control
What is hemiplegia? - ANSWER-paralysis of one side of the body
A patient is displaying unilateral neglect. What sided stroke causes this and what is this - ANSWER-A right
sided stroke. Unilateral neglect is usually caused by right hemisphere damage from stroke, leading to
difficulties in attending to stimuli in the left perceptual hemifield. As an example, a patient suffering from
neglect may read only the right part of a word or the right part of sentences, or eat only from the right
side his plate.
