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©THESTAR 2024/2025 ALL RIGHTS RESERVED 12:43 PM. 1 NUR 254 EXAM #1 Questions With Correct Answers 100% Verified. What is Brudzinski's sign? - AnswerSevere neck stiffness causes a patient's hips and knees to flex when the neck is flexed r/t meningitis What is Kernigs sign - AnswerAfter flexi...

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  • February 6, 2025
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  • NUR 254
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NUR 254 EXAM #1 Questions With Correct
Answers 100% Verified.



What is Brudzinski's sign? - Answer✔Severe neck stiffness causes a patient's hips and knees to
flex when the neck is flexed


r/t meningitis

What is Kernigs sign - Answer✔After flexing the hip and knee at 90 degree angles, pain and
resistance are noted


r/t meningitis

What is obtundation? - Answer✔arousable to stimulation, have to shake them awake then they
fall right back asleep

What is stuporous? - Answer✔Only responding to painful stimulation

What are assessment points for neuro status? - Answer✔change in LOC


headaches


orientation

What is delirium? - Answer✔temporary episodic dramatic onset of loss of reality due to
chemical imbalance

What is the difference between dementia and delirium? - Answer✔dementia is chronic, good
speech until late stage, always disoriented


delirium is acute and has bad speech, can have periods of good LOC

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, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 12:43 PM.


What medication is contraindicated in alzheimers? - Answer✔benadryl

What are the best ways to see EARLY change in neuro status? - Answer✔pupils


change in LOC

What is Cranial nerve I? - Answer✔olfactory


can pt identify common odors?

What is Cranial nerve II? - Answer✔Optic


assessing visual acuity

What is cranial nerve III? - Answer✔oculomotor


eye movement
involve "rolling the eyes

What is cranial nerve IV? - Answer✔trochlear


involve "rolling the eyes

What is cranial nerve VI? - Answer✔Abducens


eye movement
involve "rolling the eyes

What is cranial nerve V? - Answer✔Trigeminal


assessing for jaw muscles, ability to clench the jaw

What is cranial nerve VII? - Answer✔Facial


is facial movement symmetrical? assess smile, puff cheeks, raise eyebrows

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, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 12:43 PM.


What is cranial nerve VIII? - Answer✔acoustic


assess hearing

What is cranial nerve IX? - Answer✔Glossopharyngeal


assess for swallow, is there dysphagia, can pt cough, gaf

What is cranial nerve X? - Answer✔Vagus


assess for swallow, is there dysphagia, can pt cough, gaf

What is cranial nerve XI? - Answer✔accessory


assess spinal neck strength, turn head against resistance, shrug shoulders against resistance

What is cranial nerve XII? - Answer✔Hypoglossal


assess tongue deviation, (pt sticks tongue out and goes from side to side)
if there is weakness, tongue will move towards the stronger side

What is a cold caloric test? - Answer✔tests VIII


assesses for brainstem death


insert ice cold water into pt ear, their eyes should wander towards the ear you injected into and
then have a sharp return to midline

What is Doll's eye test? - Answer✔assess for brain death


move pt head from side to side, eyes SHOULD go to the opposite side they're being turned to


if eyes move with the movement of their head, they are brain dead.


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, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 12:43 PM.


What is dysarhthria? - Answer✔slurred speech

What is expressive aphasia? - Answer✔inability to produce language

What is receptive aphasia? - Answer✔inability to understand written or spoken language

What is global aphasia? - Answer✔Both receptive and expressive

What is a lumbar puncture? - Answer✔colorless, odorless, no blood or bac in normal CSF, we
are looking for outliers


3rd and 4th space


have pt side lying, knees bent up


watch for CSF leakage postop


keep pt flat after procedure 4-8 hrs


force fluids

depressed skull fracture - Answer✔surgery is required


break in crnial bone with depression towards the brain


watch for CSF leakage out of the nose or ears

Linear or hairline fracture - Answer✔watch for swelling, change in LOC


doesn't require surgery

basilar skull fracture - Answer✔Raccoon eyes (periorbital ecchymosis) and Battle's sign (around
the ear ecchymosis)


watch for CSF leakage

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