PN3 Final UPDATED ACTUAL Exam
Questions and CORRECT Answers
Glascow Coma Scale - CORRECT ANSWER - Objective assessment that defines the level
of consciousness
Decordicate - CORRECT ANSWER - flex to the core
Decerebrate - CORRECT ANSWER - extension away from body
Glascow coma scale - SCORE of 15 - CORRECT ANSWER - Fully oriented
Glascow coma scale - SCORE of 7 or less - CORRECT ANSWER - Considered state of
coma
Glascow coma scale - SCORE of 3 - CORRECT ANSWER - Lowest score possible
If changes in LOC - CORRECT ANSWER - Notify provider right away
Care for Skull Fracture - CORRECT ANSWER - Monitor LOC
Eye Movement
Pupil Changes
VS
I and O
oximetry
glascow coma scale
Internal Cranial Pressure (ICP) S/S - CORRECT ANSWER - Headache
,Confusion
Vomiting
Nausea
Ocular Palsies
Altered LOC
Back Pain
ICP with NG tube - CORRECT ANSWER - ** DO NOT SUCTION**
Miniere's Disease - CORRECT ANSWER - disease of the inner ear
SS: vertigo, tinnitus, nerve deafness
Ringing of the ear
** UNILATERAL HEARING LOSS** (one sided)
Care for Miniere's Disease - CORRECT ANSWER - Adequate periods of rest
room dim and quiet
sympathetic nervous system - CORRECT ANSWER - fight or flight
parasympathetic nervous system - CORRECT ANSWER - rest and digest
Parkinson's disease - Safety Factors - CORRECT ANSWER - 2000 ML of liquid daily
watch for falls - gait shuffle
swallow is impacted
watch feet when walking
sign on Parkinson's is pill rolling tremors.
, detached retina nursing care - CORRECT ANSWER - Level of activity - ocular rest
Bilateral eye patching
Post-op position - Supine with small pillow
Ambulation with assistance
** Photopobia- Light sensitivity **
Care for client with seizures - CORRECT ANSWER - Primary method: Control Seizures
Pharmacological: Anti-convulsant
Nursing Care:
Monitor for toxic signs of anticonvulsant meds.
stress compliance of meds
encourage scrupulous oral hygiene
No alcohol
Check Blood levels
Hemipalegia - CORRECT ANSWER - paralysis of one side of the body
Parapalegia - CORRECT ANSWER - Bottom limbs; both legs
quadraplegia - CORRECT ANSWER - paralysis of all four limbs
Autonomic Dysreflexia - CORRECT ANSWER - sudden onset of high blood pressure.
Hypersensitive to Stimuli
Lights down
Questions and CORRECT Answers
Glascow Coma Scale - CORRECT ANSWER - Objective assessment that defines the level
of consciousness
Decordicate - CORRECT ANSWER - flex to the core
Decerebrate - CORRECT ANSWER - extension away from body
Glascow coma scale - SCORE of 15 - CORRECT ANSWER - Fully oriented
Glascow coma scale - SCORE of 7 or less - CORRECT ANSWER - Considered state of
coma
Glascow coma scale - SCORE of 3 - CORRECT ANSWER - Lowest score possible
If changes in LOC - CORRECT ANSWER - Notify provider right away
Care for Skull Fracture - CORRECT ANSWER - Monitor LOC
Eye Movement
Pupil Changes
VS
I and O
oximetry
glascow coma scale
Internal Cranial Pressure (ICP) S/S - CORRECT ANSWER - Headache
,Confusion
Vomiting
Nausea
Ocular Palsies
Altered LOC
Back Pain
ICP with NG tube - CORRECT ANSWER - ** DO NOT SUCTION**
Miniere's Disease - CORRECT ANSWER - disease of the inner ear
SS: vertigo, tinnitus, nerve deafness
Ringing of the ear
** UNILATERAL HEARING LOSS** (one sided)
Care for Miniere's Disease - CORRECT ANSWER - Adequate periods of rest
room dim and quiet
sympathetic nervous system - CORRECT ANSWER - fight or flight
parasympathetic nervous system - CORRECT ANSWER - rest and digest
Parkinson's disease - Safety Factors - CORRECT ANSWER - 2000 ML of liquid daily
watch for falls - gait shuffle
swallow is impacted
watch feet when walking
sign on Parkinson's is pill rolling tremors.
, detached retina nursing care - CORRECT ANSWER - Level of activity - ocular rest
Bilateral eye patching
Post-op position - Supine with small pillow
Ambulation with assistance
** Photopobia- Light sensitivity **
Care for client with seizures - CORRECT ANSWER - Primary method: Control Seizures
Pharmacological: Anti-convulsant
Nursing Care:
Monitor for toxic signs of anticonvulsant meds.
stress compliance of meds
encourage scrupulous oral hygiene
No alcohol
Check Blood levels
Hemipalegia - CORRECT ANSWER - paralysis of one side of the body
Parapalegia - CORRECT ANSWER - Bottom limbs; both legs
quadraplegia - CORRECT ANSWER - paralysis of all four limbs
Autonomic Dysreflexia - CORRECT ANSWER - sudden onset of high blood pressure.
Hypersensitive to Stimuli
Lights down
