Nur 445 Exam 3 UPDATED ACTUAL
Questions and CORRECT Answers
how do we assess neurological status - CORRECT ANSWER - GCS
AVPU alert response
verbal response
pain response
unconscious response
Ask as many questions as you can
neurological status questions - CORRECT ANSWER - Do you know where you are right now?
who is the president right now?
what year is it?
what day of the week is it?
what is the date today?
what would be some abnormal findings neuro findings? - CORRECT ANSWER - kernig's sign
Burbinski
pupil reaction Perrla
drooling sunsetting eyes
restlessness
muscle drifting
nerve sensation decreased
weakness
what is an initial sign of abnormal neuro checks? - CORRECT ANSWER - altered mental status /
loss of consciousness.
BEFAST (stroke) - CORRECT ANSWER - Balance
, Eyes
Face
Arms
Speech
Time
Decorticate posturing - CORRECT ANSWER - characterized by upper extremities flexed at the
elbows and held closely to the body and lower extremities that are externally rotated and extended. occurs
when the brainstem is not inhibited by the motor function of the cerebral cortex.
deceberate posturing - CORRECT ANSWER - sign of severe damage to the brain - arms and legs
being held straight out, wrists flexed, the toes being pointed downward, and the head and neck being
arched backward.
agitation sedation - CORRECT ANSWER - assess pt level of agitation to see if a pt is still in pain
and if they may need more medication.
what medications are contraindicated for a brain tumor. - CORRECT ANSWER - NSAIDS
anticoagulants
thrombolytics
aspirin
clinical manifestations for brain tumors - CORRECT ANSWER - Headaches
seizures
cognitive changes
vision changes
motor deficits
late stage nausea/ vommiting
clinical manifestations increased cranial pressure (early) - CORRECT ANSWER - EARLY: change
in mental status
Questions and CORRECT Answers
how do we assess neurological status - CORRECT ANSWER - GCS
AVPU alert response
verbal response
pain response
unconscious response
Ask as many questions as you can
neurological status questions - CORRECT ANSWER - Do you know where you are right now?
who is the president right now?
what year is it?
what day of the week is it?
what is the date today?
what would be some abnormal findings neuro findings? - CORRECT ANSWER - kernig's sign
Burbinski
pupil reaction Perrla
drooling sunsetting eyes
restlessness
muscle drifting
nerve sensation decreased
weakness
what is an initial sign of abnormal neuro checks? - CORRECT ANSWER - altered mental status /
loss of consciousness.
BEFAST (stroke) - CORRECT ANSWER - Balance
, Eyes
Face
Arms
Speech
Time
Decorticate posturing - CORRECT ANSWER - characterized by upper extremities flexed at the
elbows and held closely to the body and lower extremities that are externally rotated and extended. occurs
when the brainstem is not inhibited by the motor function of the cerebral cortex.
deceberate posturing - CORRECT ANSWER - sign of severe damage to the brain - arms and legs
being held straight out, wrists flexed, the toes being pointed downward, and the head and neck being
arched backward.
agitation sedation - CORRECT ANSWER - assess pt level of agitation to see if a pt is still in pain
and if they may need more medication.
what medications are contraindicated for a brain tumor. - CORRECT ANSWER - NSAIDS
anticoagulants
thrombolytics
aspirin
clinical manifestations for brain tumors - CORRECT ANSWER - Headaches
seizures
cognitive changes
vision changes
motor deficits
late stage nausea/ vommiting
clinical manifestations increased cranial pressure (early) - CORRECT ANSWER - EARLY: change
in mental status
