What three components does the glasgow coma scale measure? -Correct Answer eye response
verbal response
motor response
Earliest sign of ICP? -Correct Answer Change in LOC
headache
do you perform a lumbar puncture on a patient with increased icp? -Correct Answer No
What is decorticate p...
NUR 176 FINAL EXAM STUDY GUIDE
QUESTIONS AND ANSEWRS WITH
COMPLETE SOLUTIONS 2025
What three components does the glasgow coma scale measure? -Correct Answer ✔eye
response
verbal response
motor response
Earliest sign of ICP? -Correct Answer ✔Change in LOC
headache
do you perform a lumbar puncture on a patient with increased icp? -Correct Answer
✔No
What is decorticate posturing? -Correct Answer ✔Abnormal flexion:
Hands pulled to chest and hyper-extended.
Internal rotation and adduction of the arms with flexion of the elbows, wrists & fingers.
"flexor - toward the cord"
What is deceberate posturing? -Correct Answer ✔Outward rotation of upper extremities
hands flexed out at sides.
What is Cushing's triad? -Correct Answer ✔Irregular respirations, systolic hypertension
with a widening pulse pressure, slow full bounding pulse
What does BEFAST stand for? -Correct Answer ✔B: balance
E: eyes
F: face
A: arms
S: speech
T: time
What are the 2 types of strokes? -Correct Answer ✔ischemic and hemorrhagic
What is ischemic stroke? -Correct Answer ✔a clot blocks blood flow to an area of the
brain
What is a hemorrhagic stroke? -Correct Answer ✔A stroke caused by bleeding into the
brain
NUR 176 FINAL EXAM
, NUR 176 FINAL EXAM
What is aphasia? -Correct Answer ✔loss of ability to understand or express speech
What is receptive aphasia? -Correct Answer ✔inability to understand written or spoken
language
What is expressive aphasia? -Correct Answer ✔trouble communicating thoughts
through speech or writing
What is global aphasia? -Correct Answer ✔Both receptive and expressive
What is multiple sclerosis? -Correct Answer ✔A disease in which the immune system
eats away at the protective covering of nerves.
how to diagnose multiple sclerosis -Correct Answer ✔MRI
treatment for multiple sclerosis? -Correct Answer ✔physical therapy, muscle relaxants,
steroids and psychological counseling.
what does left sided brain damage affect? -Correct Answer ✔The right side
slow and cautious behavior
speech problems
difficulty following verbal commands
apraxia
difficulty performing simple tasks
what does right sided brain damage affect? -Correct Answer ✔The left side
quick and impulsive behavior
short attention span
neglect left side
easily distracted
Treatment of increased ICP -Correct Answer ✔treat cause
maintain hydration and ventilation
medicate
how to diagnose increased icp? -Correct Answer ✔CAT scan
MRI
PET
ICP monitoring
EEG
Warning signs of head injury? -Correct Answer ✔changes in LOC
seizures
pupils slow to react or unequal
visual problems
NUR 176 FINAL EXAM
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