NSG 6420: NEURO DISORDERS EXAM QUESTIONS WITH COMPLETE SOLUTION 2024 UPDATE

NSG 6420: NEURO DISORDERS EXAM QUESTIONS WITH COMPLETE SOLUTION 2024 UPDATE HEADACHE TRIGGERS MIGRAINE • Stress • Caffeine • Altered sleep • Specific foods, missed meals • Menses • Alcohol • Hormone supplements CLUSTER • Smoking • Alcohol • Vasodilators • Seasonal changes • Altitude changes TENSION • Stress • Fatigue/lack of sleep • Anxiety/depression • Caffeine/tobacco overuse • Latent hostility CN Assessments CN I, olfactory After establishing patency of nostrils, assess ability to recognize smell, such as alcohol swab, soap, or coffee (never ammonia); test one side at a time. (Abnormalities: inability to discriminate between odors, asymmetric sense of smell) CN II, optic Check visual acuity, visual fields; observe optic disk. (Abnormalities: diminished vision, optic disk pallor, papilledema; see Chapter 5) CN II, oculomotor Test pupil responses to light and accommodation. (Abnormalities: asymmetry of pupil size or reaction to light; inability to accommodate with near/far vision test). Check lid position for ptosis; see Chapter 5) Also check for eye position with test for extraocular movement (CNs III, IV and VI) CN III, oculomotor Observe relative position of each eye and eye movements. CN IV, trochlear (Abnormalities: asymmetrical gaze, nystagmus, limited movement of either eye or both eyes) CN VI, abducens