NUR 254 EXAM #2 FINAL AND UPDATED 2025
COMPLETE QUESTIONS WITH WELL DETAILED
ANSWERS FOR A GUARANTEED PASS
What is cranial nerve XII? - ✅✅Hypoglossal
assess tongue deviation, (pt sticks tongue out and goes from side to side)
if there is weakness, tongue will move towards the stronger side
What is a cold caloric test? - ✅✅tests VIII
assesses for brainstem death
insert ice cold water into pt ear, their eyes should wander towards the ear you
injected into and then have a sharp return to midline
What is Doll's eye test? - ✅✅assess for brain death
,move pt head from side to side, eyes SHOULD go to the opposite side they're
being turned to
if eyes move with the movement of their head, they are brain dead.
What is dysarhthria? - ✅✅slurred speech
What is expressive aphasia? - ✅✅inability to produce language
What is receptive aphasia? - ✅✅inability to understand written or spoken
language
What is global aphasia? - ✅✅Both receptive and expressive
What is a lumbar puncture? - ✅✅colorless, odorless, no blood or bac in normal
CSF, we are looking for outliers
3rd and 4th space
have pt side lying, knees bent up
,watch for CSF leakage postop
keep pt flat after procedure 4-8 hrs
force fluids
depressed skull fracture - ✅✅surgery is required
break in crnial bone with depression towards the brain
watch for CSF leakage out of the nose or ears
Linear or hairline fracture - ✅✅watch for swelling, change in LOC
doesn't require surgery
basilar skull fracture - ✅✅Raccoon eyes (periorbital ecchymosis) and Battle's
sign (around the ear ecchymosis)
watch for CSF leakage
, What is a cerebral contusion? - ✅✅brain bruise
s/s: change in LOC
a: worsening s/s
What is a concussion? - ✅✅temporary loss of neuro function without damage to
brain
repetitive concussions can lead to traumatic encephalophathy (alzheimers pt
basically)
Epidural hematoma - ✅✅EMERGENCY
from tear in meningeal artery
rapidly expanding bleed, rapid deterioration in neuro status
s/s: pupillary changes, loss of consciousness with lucid intervals (compensation),
agitation, confusion
COMPLETE QUESTIONS WITH WELL DETAILED
ANSWERS FOR A GUARANTEED PASS
What is cranial nerve XII? - ✅✅Hypoglossal
assess tongue deviation, (pt sticks tongue out and goes from side to side)
if there is weakness, tongue will move towards the stronger side
What is a cold caloric test? - ✅✅tests VIII
assesses for brainstem death
insert ice cold water into pt ear, their eyes should wander towards the ear you
injected into and then have a sharp return to midline
What is Doll's eye test? - ✅✅assess for brain death
,move pt head from side to side, eyes SHOULD go to the opposite side they're
being turned to
if eyes move with the movement of their head, they are brain dead.
What is dysarhthria? - ✅✅slurred speech
What is expressive aphasia? - ✅✅inability to produce language
What is receptive aphasia? - ✅✅inability to understand written or spoken
language
What is global aphasia? - ✅✅Both receptive and expressive
What is a lumbar puncture? - ✅✅colorless, odorless, no blood or bac in normal
CSF, we are looking for outliers
3rd and 4th space
have pt side lying, knees bent up
,watch for CSF leakage postop
keep pt flat after procedure 4-8 hrs
force fluids
depressed skull fracture - ✅✅surgery is required
break in crnial bone with depression towards the brain
watch for CSF leakage out of the nose or ears
Linear or hairline fracture - ✅✅watch for swelling, change in LOC
doesn't require surgery
basilar skull fracture - ✅✅Raccoon eyes (periorbital ecchymosis) and Battle's
sign (around the ear ecchymosis)
watch for CSF leakage
, What is a cerebral contusion? - ✅✅brain bruise
s/s: change in LOC
a: worsening s/s
What is a concussion? - ✅✅temporary loss of neuro function without damage to
brain
repetitive concussions can lead to traumatic encephalophathy (alzheimers pt
basically)
Epidural hematoma - ✅✅EMERGENCY
from tear in meningeal artery
rapidly expanding bleed, rapid deterioration in neuro status
s/s: pupillary changes, loss of consciousness with lucid intervals (compensation),
agitation, confusion
