NUR 101/ NUR101 Exam 2: (Latest 2025/ 2026 Update) Health Assessment Guide| Qs & As| Grade A| 100% Correct (Verified Answers)- Fortis

NURl 101/l NUR101l Examl 2:l (Latestl
2025/l 2026l Update)l Healthl Assessmentl
Guide|l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Fortis

QUESTION
suspectedl deepl tissuel injury

Answer:
localizedl areal ofl discoloredl (purple/maroon)l intactl skinl orl bloodl filledl blisterl causedl byl
underlyingl softl tissuel damagel resultingl froml pressurel orl shearl forcel injuryl difficultl tol
detectl onl darkerl skin



QUESTION
sloughl is

Answer:
comprisesl deadl cells,l fibrin,l andl otherl substances



QUESTION
escharl is

Answer:
deadl tissuel overl healthyl tissue



QUESTION
MINOR-1stl phasel ofl alcoholl withdrawall syndrome

Answer:
diarrhea,l nausea/vomiting,l handl tremors,l insomnia,l headachel withinl 6hrsl ofl alcoholl
cessationl lastingl 4-48hrs.

,QUESTION
MODERATE-2ndl phasel ofl alcoholl withdrawall syndrome

Answer:
hallucinationsl ofl visual,l tactile,l auditoryl qualities,l illusionsl whilel conscious,l seizuresl 6-
48hrsl afterl lastl drinkl lastl upl tol 6l days.



QUESTION
SEVERE-l 3rdl phasel ofl alcoholl withdrawall syndrome

Answer:
deliriuml tremorsl (DT)l thatl involvel vividl hallucinations,l delusions,l confusion,l highl bloodl
pressurel beginningl 48-72l hrsl afterl lastl drinkl lastingl upl tol 2l wks



QUESTION
craniall nervel I

Answer:
Olfactoryl sensoryl
nosel functionl tol smelll
assessedl byl askingl ptl tol smelll somethingl iel alcoholl swab



QUESTION
craniall nervel II

Answer:
opticl sensoryl eyesl visuall acuity/visuall fieldsl physicall perception/judgel distancel
assessedl byl watchingl ptl sitl inl chairl w/ol missing



QUESTION
craniall nervel III

Answer:
Oculomotorl motorl eyesl raisel eyelidsl laterl &l up/downl movement
parasympatheticl changesl lens(nearl vision)shapel &l pupill sizel assessl byl ckingl cardinall
gaze

,QUESTION
craniall nervel IV

Answer:
Trochlearl motorl
eyesl downward/inwardl eye(crossl eyed)l movement
assessl byl ckingl cardinall gaze



QUESTION
craniall nervel V

Answer:
Trigeminall motorl jawl chewing/masticationl clench/openingl ofl jawl
sensory/sensationl tol cornea/iris/lacrimall glands/conjunctive/eyelids/forehead/nose/nasal,orall
mucosa/teeth/tongue/ear/faciall
assessl byl havingl ptl clenchl jaw



QUESTION
craniall nervel VI

Answer:
Abducensl motorl
eyesl laterall movement
assessl byl checkingl cardinall gaze



QUESTION
craniall nervel VII

Answer:
Faciall motorl facel symmetry/faciall expressionl
sensoryl tastel frontl ofl tongue/sensationl tol throatl
Parasym.l secretionl ofl saliva/tearsl
assessl byl askingl ptl tol smile/raisel eyebrows/puffl cheeks



QUESTION
craniall nervel VIII

, Answer:
Acoustics/vestibulocochlearl sensoryl
earsl hearing/equilibriuml
assessl withl weber(tuningl forkl topl ofl skull)/rinne(sidel ofl skulll awayl froml ear)



QUESTION
craniall nervel IX

Answer:
Glossopharyngeall motorl swallowing/speechl soundsl
sensoryl sensationl nasopharynx/gagl reflexl tastel backl ofl tongue
parasym.l salivaryl glandl secretionl
assesl ptl gagl reflexl withl tonguel depressor



QUESTION
craniall nervel X

Answer:
Vargusl motorl swallowingl
parasym.l involuntaryl actionsl ofl heart/lungs/digestivel tractl bringsl HR/BPl downl faintingl
spellsl
assessl ptl byl askingl theml tol bearl downl likel havingl al bowell movement



QUESTION
craniall nervel XI

Answer:
Spinall accessoryl motor
turnl headl shrugl shoulders
assessl byl askingl ptl tol shrugl shouldersl againstl ourl handsl placedl onl saidl shoulders



QUESTION
craniall nervel XII

Answer:
Hypoglossall motor