NSG 3160 EXAM 2
NSG 3160 EXAM 2
Neurological Exam - CORRECT ANSWER --mental status
-cranial nerves
-motor system
-sensory system
-reflexes
CN I - CORRECT ANSWER --olfactory
CN II - CORRECT ANSWER --optic
CN III - CORRECT ANSWER --oculomotor
CN IV - CORRECT ANSWER --trochlear
CN V - CORRECT ANSWER --trigeminal
CN VII - CORRECT ANSWER --facial
CN VIII - CORRECT ANSWER --acoustic
CN IX - CORRECT ANSWER --glossopharyngeal
CN X - CORRECT ANSWER --vagus
, NSG 3160 EXAM 2
CN XI - CORRECT ANSWER --spinal accessory
CN XII - CORRECT ANSWER --hypoglossol
Objective Neuro - CORRECT ANSWER --inspect and palpate motor system
-balance test
-romberg test
-coordination and skilled movements (finger to finger, finger to nose, heal to shin)
-assess sensory
Objective Neuro Cont'd - CORRECT ANSWER --deep tendon reflexes
-4 poiny scale
-testing reflexes (biceps, triceps, brachioradialis, quadriceps, achilles)
-babinski (plantar): its superficial
Neurological Recheck - CORRECT ANSWER --level of consciousness
-motor function
-pupillary response
-vital signs
-glasgow coma scale
Level of Consciousness (LOC) - CORRECT ANSWER --a change in LOC is the single most
important factor in this examination
Motor Function - CORRECT ANSWER --check voluntary responses by giving simple
commands as this will also help to validate LOC
Pupillary Response - CORRECT ANSWER --note size and symmetry of both pupils
, NSG 3160 EXAM 2
Vital Signs - CORRECT ANSWER --monitor vitals to establish baseline
Glasgow Coma Scale - CORRECT ANSWER --eye opening: spontaneous(4), to sound(3), to
pressure(2), none(1)
-verbal response: oriented(5), confused(4), words(3), sounds(2), none(1)
-motor response: obey commands(6), localising(5), normal flexion(3). extension(2), none(1)
-mild: 13-15
-moderate: 9-12
-severe: 3-8
The Aging Adult - CORRECT ANSWER --atrophy
-nerve conduction decrease
-movement
-cerebral blood flow and oxygenation
Mental Status Assessment - CORRECT ANSWER --consiousness
-language
-mood and affect
-orientation
-attention
-memory
-abstract reasoning
-thought process
-thought content
, NSG 3160 EXAM 2
-perceptions
Age Related Changes - CORRECT ANSWER --slower response time
-recent memory
-sensory perception
-potential for loss
Components of Mental Status Exam - CORRECT ANSWER --health history
-appearance
-behavior
-cognition
-thought process
Appearance - CORRECT ANSWER --posture
-body movements
-dress
-grooming & hygiene
-pupils
Behavior - CORRECT ANSWER --level of consciousness
-facial expressions
-speech
-mood and affect
Cognitive Function - CORRECT ANSWER --orientation
-attention span
-recent memory
-remote memory
NSG 3160 EXAM 2
Neurological Exam - CORRECT ANSWER --mental status
-cranial nerves
-motor system
-sensory system
-reflexes
CN I - CORRECT ANSWER --olfactory
CN II - CORRECT ANSWER --optic
CN III - CORRECT ANSWER --oculomotor
CN IV - CORRECT ANSWER --trochlear
CN V - CORRECT ANSWER --trigeminal
CN VII - CORRECT ANSWER --facial
CN VIII - CORRECT ANSWER --acoustic
CN IX - CORRECT ANSWER --glossopharyngeal
CN X - CORRECT ANSWER --vagus
, NSG 3160 EXAM 2
CN XI - CORRECT ANSWER --spinal accessory
CN XII - CORRECT ANSWER --hypoglossol
Objective Neuro - CORRECT ANSWER --inspect and palpate motor system
-balance test
-romberg test
-coordination and skilled movements (finger to finger, finger to nose, heal to shin)
-assess sensory
Objective Neuro Cont'd - CORRECT ANSWER --deep tendon reflexes
-4 poiny scale
-testing reflexes (biceps, triceps, brachioradialis, quadriceps, achilles)
-babinski (plantar): its superficial
Neurological Recheck - CORRECT ANSWER --level of consciousness
-motor function
-pupillary response
-vital signs
-glasgow coma scale
Level of Consciousness (LOC) - CORRECT ANSWER --a change in LOC is the single most
important factor in this examination
Motor Function - CORRECT ANSWER --check voluntary responses by giving simple
commands as this will also help to validate LOC
Pupillary Response - CORRECT ANSWER --note size and symmetry of both pupils
, NSG 3160 EXAM 2
Vital Signs - CORRECT ANSWER --monitor vitals to establish baseline
Glasgow Coma Scale - CORRECT ANSWER --eye opening: spontaneous(4), to sound(3), to
pressure(2), none(1)
-verbal response: oriented(5), confused(4), words(3), sounds(2), none(1)
-motor response: obey commands(6), localising(5), normal flexion(3). extension(2), none(1)
-mild: 13-15
-moderate: 9-12
-severe: 3-8
The Aging Adult - CORRECT ANSWER --atrophy
-nerve conduction decrease
-movement
-cerebral blood flow and oxygenation
Mental Status Assessment - CORRECT ANSWER --consiousness
-language
-mood and affect
-orientation
-attention
-memory
-abstract reasoning
-thought process
-thought content
, NSG 3160 EXAM 2
-perceptions
Age Related Changes - CORRECT ANSWER --slower response time
-recent memory
-sensory perception
-potential for loss
Components of Mental Status Exam - CORRECT ANSWER --health history
-appearance
-behavior
-cognition
-thought process
Appearance - CORRECT ANSWER --posture
-body movements
-dress
-grooming & hygiene
-pupils
Behavior - CORRECT ANSWER --level of consciousness
-facial expressions
-speech
-mood and affect
Cognitive Function - CORRECT ANSWER --orientation
-attention span
-recent memory
-remote memory
