NSG6020 Exam Questions with Verified
Correct Answers
Migraines
Neurological condition causing recurring moderate to severe headaches, often accompanied
by nausea and sensitivity to light/sound.
Cluster Headaches
Severe, cyclical headaches, often around one eye, recurring at the same time daily.
Tension Headaches
The most common type, caused by stress or muscle tension, presenting as a dull, aching pain.
Signs and symptoms of migraines
Throbbing unilateral pain, nausea, vomiting, photophobia, phonophobia, visual aura.
Signs and symptoms of cluster headaches
Intense pain around one eye, tearing, nasal congestion, restlessness.
Signs and symptoms of tension headaches
Bilateral dull pain, scalp/neck tenderness, sensation of a tight band around the head.
Vertigo
A sensation of spinning or movement, often due to inner ear or vestibular system dysfunction.
Signs and symptoms of vertigo
Dizziness, spinning sensation, nausea, vomiting, unsteady gait, and nystagmus.
Assessing vertigo
, Perform the Dix-Hallpike maneuver, Romberg test, vestibular testing, and audiometry.
Dix-Hallpike maneuver
1. Patient Position:
• Seat the patient upright on an examination table.
• Turn their head 45° to one side (e.g., right side for right ear testing).
2. Lay the Patient Down:
• Quickly move the patient from a seated to a supine position, with their head hanging 20-30°
below the table level.
3. Observe for Nystagmus:
Romberg test
-ask client to stand with feet at comfortable distance apart, arms at sides, and eyes closed
-expected finding: client should be able to stand with minimal swaying for at least 5 seconds
Vestibular tests evaluate inner ear function and the vestibulocochlear nerve (CN VIII)
Head Impulse Test (HIT)
• The patient focuses on a stationary target (e.g., examiner's nose).
• The examiner quickly turns the patient's head 15-30° to one side and observes if the eyes
remain fixed on the target.
• Positive Test: Corrective saccade (rapid eye movement) indicates vestibular dysfunction.
Fukuda Step Test (Unterberger Test)
The patient marches in place with eyes closed and arms extended forward.
• Positive Test: Significant rotation or drifting to one side indicates vestibular asymmetry.
Caloric Testing (Clinical Setting):
Correct Answers
Migraines
Neurological condition causing recurring moderate to severe headaches, often accompanied
by nausea and sensitivity to light/sound.
Cluster Headaches
Severe, cyclical headaches, often around one eye, recurring at the same time daily.
Tension Headaches
The most common type, caused by stress or muscle tension, presenting as a dull, aching pain.
Signs and symptoms of migraines
Throbbing unilateral pain, nausea, vomiting, photophobia, phonophobia, visual aura.
Signs and symptoms of cluster headaches
Intense pain around one eye, tearing, nasal congestion, restlessness.
Signs and symptoms of tension headaches
Bilateral dull pain, scalp/neck tenderness, sensation of a tight band around the head.
Vertigo
A sensation of spinning or movement, often due to inner ear or vestibular system dysfunction.
Signs and symptoms of vertigo
Dizziness, spinning sensation, nausea, vomiting, unsteady gait, and nystagmus.
Assessing vertigo
, Perform the Dix-Hallpike maneuver, Romberg test, vestibular testing, and audiometry.
Dix-Hallpike maneuver
1. Patient Position:
• Seat the patient upright on an examination table.
• Turn their head 45° to one side (e.g., right side for right ear testing).
2. Lay the Patient Down:
• Quickly move the patient from a seated to a supine position, with their head hanging 20-30°
below the table level.
3. Observe for Nystagmus:
Romberg test
-ask client to stand with feet at comfortable distance apart, arms at sides, and eyes closed
-expected finding: client should be able to stand with minimal swaying for at least 5 seconds
Vestibular tests evaluate inner ear function and the vestibulocochlear nerve (CN VIII)
Head Impulse Test (HIT)
• The patient focuses on a stationary target (e.g., examiner's nose).
• The examiner quickly turns the patient's head 15-30° to one side and observes if the eyes
remain fixed on the target.
• Positive Test: Corrective saccade (rapid eye movement) indicates vestibular dysfunction.
Fukuda Step Test (Unterberger Test)
The patient marches in place with eyes closed and arms extended forward.
• Positive Test: Significant rotation or drifting to one side indicates vestibular asymmetry.
Caloric Testing (Clinical Setting):
