Exam (elaborations)
RNSG 1538 INTRACRANIAL REGULATION EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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RNSG 1538 INTRACRANIAL REGULATION EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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RNSG 1538 INTRACRANIALREGULATION EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Decreased CPP = _______ ICP - Answer-increased
Formula for calculating CPP - Answer-MAP-ICP
8-10 seconds - Answer-Unconsciousness will occur after ____ to ____ seconds after
blood loss to brain.
Formula for calculating MAP - Answer-DBP-1/3(SBP-DBP)
-History
-Mental status
-Cranial nerves
-Motor system
-Sensory
-Reflexes - Answer-5 Categories of Neurological Assessment
-Decrease in memory, vision, hearing, taste, smell, reaction time
-Changes in balance
-Orthostatic changes
-Medications
(find out what their baseline is) - Answer-Gerontological Considerations
-Parents are proxy caregivers
-Ask parent about if child has reached appropriate developmental milestones
-Behavior disorders
-Intellectual disabilities
-Cerebral Palsy (wide range of neuro issues) - Answer-Pediatric Considerations
-HA
-Head injury
-dizziness/vertigo
-seizures
-tremors
-weakness
-lack of coordination
-numbness tingling
-difficulty swallowing
-difficulty speaking
-environmental/occupational hazards
, -PMH
-Social hx; smoking, drugs, alcohol
-meds - Answer-History to Evaluate
-once a shift or anytime change in mental or neuro status.
-after head trauma
-after surgery usually Q15min X4; Q30min X2; Q1H X4 - Answer-When or how often
should neuro checks be done?
Level of consciousness - Answer-_______ ___ _____________will always be the first
thing to go.
- LOA X4
-speech clear and appropriate
-remember three objects
(try to have a longer conversation with them because they may not talk much if they
know they are having trouble talking) - Answer-State of consciousness exam
Time, place, then person - Answer-First to go is _______, then _______, then
________ in forgetting.
level of consciousness - Answer-The single most important assessment is __________
______ ______________
cerebral cortex/hemispheres - Answer-___________ ____________ is higher level of
thinking and functioning
Spinal accessory - Answer-____ ___________ is how ability to shrug shoulders is done.
-PERRL
-Accommodation (constrict with near vision)
-Ptosis (lazy eye)
-Follow my finger (hor, vert, diag)
-Disconjugate gaze
-Nystagmus
-Convergence - Answer-CN III, IV Trochlear and VI Abducens
Nystagmus - Answer-_____________ most commonly causes the eyes to look
involuntarily from side to side, or rapid shaking.
Convergence - Answer-_________________ means cross eyed.
-Pt must be awake
-test grip strength
-test flexion and extension of all major joints against resistance
-compare symmetry
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