A AND E II FINAL EXAM NYU NURSING
2026 CERTIFICATION EVALUATION
QUESTIONS AND COMPLETE SOLUTIONS
FULL STUDY GUIDE GRADED A+
⩥ Bell's palsy Clinical manifestations.
Answer: -increased pain
-inability to close eys
-tearing
-flattening of naso-labial fold
-loss of taste
-dropping of mouth
-fever
-tinnitus
-pain behind the ear on affected side
⩥ Bell's Palsy Diagnosis.
Answer: -by elimination
-electromyography
⩥ Bell's palsy meds.
,Answer: -prednison
-zovirax
⩥ Bell's Palsy Nursing Interventions:.
Answer: -pain meds (acetaminophen)
-moist heat
-protect face
-nutrition (chew on unaffected side, oral hygiene)
-dark glasses
-eye patch
-artificial tears
⩥ Trigeminal neuralgia.
Answer: Compression of the Trigeminal nerve (CNV)
-involving maxillary and mandibular brances (ophthalmic usually
spared)
-chronic pain syndrome
-unknown etiology
--nerve compression, herpes simplex, jaw and teeth infection
⩥ Trigeminal neuralgia Clinical manifestations.
Answer: -abrupt onset of excruciating facial pain
,-burning, knife-like, electric shock-like
--effected areas: lips, gums, cheeks, forehead, or side of nose
-intense twitching, grimacing, blinking, eye tearing
-attacks are brief, 2-3 seconds, unilaterally
-course is unpredictable and cyclical
-precipitating stimuli: chewing, brushing teeth, hot or cold air, touch or
tickle
-poor nutrition and hygiene, withdrawal, excessive sleep
⩥ Trigeminal neuraligia Dx and MEdication.
Answer: -hx of pain
-MRI, CT scan, Lumbar puncture to rule out other problems
-complete neurological assessment
-anti seizure meds: phenytoin, carbamazepine (stabilize the neuronal
membrane)
⩥ Trigeminal neuralgia interventions.
Answer: -surgical: to relieve pain-injection of glycerol into trigeminal
nerve roots
-environmental management: room temperature, draft free
-pt's perform own facial care, hygiene, oral care
-limit talking during acute periods
-assess nutritional status
, ⩥ gullian-barre syndrome etiology and pathophysiology.
Answer: -rare
-cause unknown-cell mediated immune reaction to peripheral nerves
(autoimmune)
-preceded by viral infection, trauma, surgery, viral immunization
-destruction of myelin, edema/inflammation of nerves (PSN)
-muscle degeneration and atrophy
-2/3 of people with GBS had diarrhea or respiratory illness several
weeks before symptoms
-infection w/ campylobacter jejuni
⩥ GBS clinical manifestations.
Answer: -ascending muscle weakness, flaccid paralysis, symmetric
(distal muscles more affected)
-respiratory compromise/paralysis and infection
-loss of bowel and bladder functioning
-sensory paresthesia/paralysis
-cranial nerves-dysphagia, diplopia, facial weakness, autonomic nervous
system dysfunction
-labile BP, orthostatic hypotension, arrhythmias
⩥ GBS dx and tx.
2026 CERTIFICATION EVALUATION
QUESTIONS AND COMPLETE SOLUTIONS
FULL STUDY GUIDE GRADED A+
⩥ Bell's palsy Clinical manifestations.
Answer: -increased pain
-inability to close eys
-tearing
-flattening of naso-labial fold
-loss of taste
-dropping of mouth
-fever
-tinnitus
-pain behind the ear on affected side
⩥ Bell's Palsy Diagnosis.
Answer: -by elimination
-electromyography
⩥ Bell's palsy meds.
,Answer: -prednison
-zovirax
⩥ Bell's Palsy Nursing Interventions:.
Answer: -pain meds (acetaminophen)
-moist heat
-protect face
-nutrition (chew on unaffected side, oral hygiene)
-dark glasses
-eye patch
-artificial tears
⩥ Trigeminal neuralgia.
Answer: Compression of the Trigeminal nerve (CNV)
-involving maxillary and mandibular brances (ophthalmic usually
spared)
-chronic pain syndrome
-unknown etiology
--nerve compression, herpes simplex, jaw and teeth infection
⩥ Trigeminal neuralgia Clinical manifestations.
Answer: -abrupt onset of excruciating facial pain
,-burning, knife-like, electric shock-like
--effected areas: lips, gums, cheeks, forehead, or side of nose
-intense twitching, grimacing, blinking, eye tearing
-attacks are brief, 2-3 seconds, unilaterally
-course is unpredictable and cyclical
-precipitating stimuli: chewing, brushing teeth, hot or cold air, touch or
tickle
-poor nutrition and hygiene, withdrawal, excessive sleep
⩥ Trigeminal neuraligia Dx and MEdication.
Answer: -hx of pain
-MRI, CT scan, Lumbar puncture to rule out other problems
-complete neurological assessment
-anti seizure meds: phenytoin, carbamazepine (stabilize the neuronal
membrane)
⩥ Trigeminal neuralgia interventions.
Answer: -surgical: to relieve pain-injection of glycerol into trigeminal
nerve roots
-environmental management: room temperature, draft free
-pt's perform own facial care, hygiene, oral care
-limit talking during acute periods
-assess nutritional status
, ⩥ gullian-barre syndrome etiology and pathophysiology.
Answer: -rare
-cause unknown-cell mediated immune reaction to peripheral nerves
(autoimmune)
-preceded by viral infection, trauma, surgery, viral immunization
-destruction of myelin, edema/inflammation of nerves (PSN)
-muscle degeneration and atrophy
-2/3 of people with GBS had diarrhea or respiratory illness several
weeks before symptoms
-infection w/ campylobacter jejuni
⩥ GBS clinical manifestations.
Answer: -ascending muscle weakness, flaccid paralysis, symmetric
(distal muscles more affected)
-respiratory compromise/paralysis and infection
-loss of bowel and bladder functioning
-sensory paresthesia/paralysis
-cranial nerves-dysphagia, diplopia, facial weakness, autonomic nervous
system dysfunction
-labile BP, orthostatic hypotension, arrhythmias
⩥ GBS dx and tx.
