NURS 3320 EXAMS 2025 QUESTIONS WITH SOLUTIONS
RATED A+
✔✔Review different types of gaits - ✔✔1. cerebellar ataxia- cerebellar dz, acl, drugs
-wide based, staggering, unsteady
-ROMBERG +
2. parkinsonian gait: shuffling, stooped, over flexed hips and knees
-drug that affects basal ganglia
3. scissors gait: stiff, short gait, thighs overlap with each step, partial paralysis of leg
-
4. foot drop: cant walk on heels, lower motor neurons
-lifts foot high, slaps it down hard
5. Decorticate: elbows flexed, internal rotation of knees
6. decerebrate: elbows extended and wrist pronated
7. spastic hemiparesis: flexed arm held close to body, pt drags leg in circles stiffly
-lesions of upper motor neurons (cortical spinal tract) (stroke)
*seen with lesions on brain or upper pons
✔✔Subjective exam: Headaches - ✔✔1. COLDSPA
-L-where on head
-S-Interfere with ADL?
-P-What makes it better or worse
✔✔Subjective exam: seizures - ✔✔1. What happens before, triggers, balance loss,
meds?
-AURA: forewarns pt, auditory, visual, motor sensation
-Generalized: bladder incontinence
-Pt should wear a med id tag to see meds readily
✔✔Subjective exam: Dizziness - ✔✔1. carotid art dz, cerebellar abcess, meniere dz,
inner ear infections
2. diff coordination/control mvmts
-neuro dz in cerebellum, basal ganglia, extrapyramidal tracts, vestibular area of CN 8
(acoustic)
✔✔Subjective exam: Vision - ✔✔-Cn2 dysfunctions= increased ICP
-DMG to CN3,4,6= double vis, or blurred
-transient blind spots= CVA
,✔✔Subjective exam: Diff speaking - ✔✔1. dysarthia (diff understanding)/
2.Dysphagia (diff swallowing)
-inj to cerebral cortex
-cva, park, MG, guillian barre syn, CN 9, 10, 12 dysfunction
✔✔Subjective exam: Meds, alc, drugs, - ✔✔-peri neuro= decreased niacin, folic acid, vit
b12
✔✔EBP BOX: stroke - ✔✔1. Hemmorrhagic
-Causes: Brain aneu bursts or a weak blood vessel leaks
2. Ischemic stroke: embolic blocks blood flow to brain
TIA: small emboli passess, no symptoms, no damages, small stroke
✔✔EBP BOX: stroke (Risk Factors) - ✔✔age, elevated blood pressure, DM, hert dz,
smoking, infections that cause inflam, dx of cancer, ckd, arth, carotid art stenonsis,
weak art, valves, oral contaceptives, prolonged nsaid use, increased chol, drug and alc
use,
✔✔EBP BOX: stroke (PT education) - ✔✔-sudden numbness, weatk, of face arm leg
-confusion truble speaking, understanding,
-trouble seeing,
-trouble walking, diz, less balance
-headache with no cause
✔✔Objective Exam: CN1 (olfactory) (How to assess)(Abnorm) - ✔✔Assess:
-clear nose of mucus
-close eyes
-close one nostril
-ID secent
Abnormal
-Cant ID= olfact tract lesion, tumos, frontal lobe lesion
-cant smell= congenital, viral infections
✔✔Objective Exam: CN2 (optic) (How to assess)(Abnorm) - ✔✔1. Assess
-Snellen chart
-assess vis field by controntatoin
-opthalamuscope to view retina, optic disc
2. Abnorm
-low vis field: retinal dmg, lesion in parietal cortex
-Papiledema= blurred optic disk margins, dialated pulsating veins, IICP
, ✔✔Objective Exam: CN 3,4,6(Oculomotor, trochlear, abducens) (How to
assess)(Abnorm) - ✔✔1.
-inspect margins of eyelids
-assess extra ocular mvmts: nystagmus
-Pupillary response to light
2.
-Ptosis: drooping of eyelid, weak eye muscles
-Nystagmus: cerebellar dz, less mvmt thru cardinal feilds= IICP
*Paralytic strbismus: paralysis of oculomotor, troch, abducens
-dialted pupils: ocolomotor nerve paralysis
-ARGYLL TOBERTSON PUPILS: CNS syphylis, menegitis, brain tumor, alc
✔✔Objective Exam: CN5 (Trigeminal) (How to assess)(Abnorm) - ✔✔1.
-Clench teeth while palp Temporal and Masseter muscles
2.
-Asym strength= INj to CN5
-Bilat weak: peripheral or CNS dys
-UNI: Lesions toCN 5
✔✔Objective Exam: CN1 (olfactory) (How to assess)(Abnorm) - ✔✔
✔✔Chapter 15: head and neck - ✔✔
✔✔Review the subjective data - ✔✔1. trigeminal neuralgia- sharp shootin facial pain
✔✔What are the 8 cranial bones? Describe them. - ✔✔1. frontal (1)
2. Parietal (2)
3. Temporal (2)
4. occipital
5. ethmoid
6. sphenoid
*joined by sutures
✔✔What are the 14 facial bones? describe them. - ✔✔-maxilla (2)
-zygomatic(2)
-inferioir chonchae(2)
-nasal(2)
-palatine(2)
-lacrimal (2)
-vomer
-mandible
RATED A+
✔✔Review different types of gaits - ✔✔1. cerebellar ataxia- cerebellar dz, acl, drugs
-wide based, staggering, unsteady
-ROMBERG +
2. parkinsonian gait: shuffling, stooped, over flexed hips and knees
-drug that affects basal ganglia
3. scissors gait: stiff, short gait, thighs overlap with each step, partial paralysis of leg
-
4. foot drop: cant walk on heels, lower motor neurons
-lifts foot high, slaps it down hard
5. Decorticate: elbows flexed, internal rotation of knees
6. decerebrate: elbows extended and wrist pronated
7. spastic hemiparesis: flexed arm held close to body, pt drags leg in circles stiffly
-lesions of upper motor neurons (cortical spinal tract) (stroke)
*seen with lesions on brain or upper pons
✔✔Subjective exam: Headaches - ✔✔1. COLDSPA
-L-where on head
-S-Interfere with ADL?
-P-What makes it better or worse
✔✔Subjective exam: seizures - ✔✔1. What happens before, triggers, balance loss,
meds?
-AURA: forewarns pt, auditory, visual, motor sensation
-Generalized: bladder incontinence
-Pt should wear a med id tag to see meds readily
✔✔Subjective exam: Dizziness - ✔✔1. carotid art dz, cerebellar abcess, meniere dz,
inner ear infections
2. diff coordination/control mvmts
-neuro dz in cerebellum, basal ganglia, extrapyramidal tracts, vestibular area of CN 8
(acoustic)
✔✔Subjective exam: Vision - ✔✔-Cn2 dysfunctions= increased ICP
-DMG to CN3,4,6= double vis, or blurred
-transient blind spots= CVA
,✔✔Subjective exam: Diff speaking - ✔✔1. dysarthia (diff understanding)/
2.Dysphagia (diff swallowing)
-inj to cerebral cortex
-cva, park, MG, guillian barre syn, CN 9, 10, 12 dysfunction
✔✔Subjective exam: Meds, alc, drugs, - ✔✔-peri neuro= decreased niacin, folic acid, vit
b12
✔✔EBP BOX: stroke - ✔✔1. Hemmorrhagic
-Causes: Brain aneu bursts or a weak blood vessel leaks
2. Ischemic stroke: embolic blocks blood flow to brain
TIA: small emboli passess, no symptoms, no damages, small stroke
✔✔EBP BOX: stroke (Risk Factors) - ✔✔age, elevated blood pressure, DM, hert dz,
smoking, infections that cause inflam, dx of cancer, ckd, arth, carotid art stenonsis,
weak art, valves, oral contaceptives, prolonged nsaid use, increased chol, drug and alc
use,
✔✔EBP BOX: stroke (PT education) - ✔✔-sudden numbness, weatk, of face arm leg
-confusion truble speaking, understanding,
-trouble seeing,
-trouble walking, diz, less balance
-headache with no cause
✔✔Objective Exam: CN1 (olfactory) (How to assess)(Abnorm) - ✔✔Assess:
-clear nose of mucus
-close eyes
-close one nostril
-ID secent
Abnormal
-Cant ID= olfact tract lesion, tumos, frontal lobe lesion
-cant smell= congenital, viral infections
✔✔Objective Exam: CN2 (optic) (How to assess)(Abnorm) - ✔✔1. Assess
-Snellen chart
-assess vis field by controntatoin
-opthalamuscope to view retina, optic disc
2. Abnorm
-low vis field: retinal dmg, lesion in parietal cortex
-Papiledema= blurred optic disk margins, dialated pulsating veins, IICP
, ✔✔Objective Exam: CN 3,4,6(Oculomotor, trochlear, abducens) (How to
assess)(Abnorm) - ✔✔1.
-inspect margins of eyelids
-assess extra ocular mvmts: nystagmus
-Pupillary response to light
2.
-Ptosis: drooping of eyelid, weak eye muscles
-Nystagmus: cerebellar dz, less mvmt thru cardinal feilds= IICP
*Paralytic strbismus: paralysis of oculomotor, troch, abducens
-dialted pupils: ocolomotor nerve paralysis
-ARGYLL TOBERTSON PUPILS: CNS syphylis, menegitis, brain tumor, alc
✔✔Objective Exam: CN5 (Trigeminal) (How to assess)(Abnorm) - ✔✔1.
-Clench teeth while palp Temporal and Masseter muscles
2.
-Asym strength= INj to CN5
-Bilat weak: peripheral or CNS dys
-UNI: Lesions toCN 5
✔✔Objective Exam: CN1 (olfactory) (How to assess)(Abnorm) - ✔✔
✔✔Chapter 15: head and neck - ✔✔
✔✔Review the subjective data - ✔✔1. trigeminal neuralgia- sharp shootin facial pain
✔✔What are the 8 cranial bones? Describe them. - ✔✔1. frontal (1)
2. Parietal (2)
3. Temporal (2)
4. occipital
5. ethmoid
6. sphenoid
*joined by sutures
✔✔What are the 14 facial bones? describe them. - ✔✔-maxilla (2)
-zygomatic(2)
-inferioir chonchae(2)
-nasal(2)
-palatine(2)
-lacrimal (2)
-vomer
-mandible
