Exam 2: NUR101 / NUR 101(Latest
2024 / 2025 Update) Health Assessment | Guide with Questions and Verified Answers | 100% Correct | Grade A – Fortis
Question:
Describe the subjective and objective data that should be assessed in a patient who presents with a problem related to the neurologic system. (Headache, Head injury, dizziness/vertigo etc)
Answer:
Subjective:
headache head injury dizziness/vertigo seizures tremors weakness incoordination numbness or tingling difficulty swallowing difficulty speaking 1 / 4
patient centered care environmental/occupational hazards Objective
Question:
Describe the sequence for a complete neuro exam.
Answer:
- mental status- LOC ?s
- cranial nerves
- motor system/function
- sensory reflexes/sensation
- reflexes
Question:
Describe mental status examination to include levels of consciousness.
Answer:
ABCT
- appearance
- behavior
- cognition
- thought process
mini mental state exam 2 / 4
glasgow coma scale LOC Levels- alert, lethargic, obtunded, stuporous, comatose
Question:
Describe expected finding when assessing sensory function. (Pain, temperature, light touch)
Answer:
Pain: should be able to perceive a pinprick as sharp or dull
Temperature: warm to touch
Light touch: having patient say a signal word when they feel the cotton touch
their skin
Vibration with tuning fork: feeling and indicating beginning/end of
vibrations of a tuning fork over bony prominences
Question:
Describe the plantar reflex, normal, abnormal (Babinski). What would abnormal indicate?
Answer:
-With reflex hammer, draw a slow stroke up the lateral side of the sole of the foot and inward across the ball of the foot, like an upside down J -Normal is plantar flexion of toes and inversion/flexion of foot -Abnormal is called Babinski- when big toe is dorsiflexed and all toes fan -> this indicates neurological problem
- / 4
Question:
Describe how to grade deep tendon reflexes. Where would you assess deep tendon reflexes?
Answer:
- = very brisk, hyperactive with clonus, indicative of disease
- = brisker than average, may indicate disease
- = Average, normal
- = diminished, low normal, or occurs with reinforcement
- = no response
where?
- biceps
- triceps
- brachioradialis
- knee jerk
- ankle
Question:
Describe self-care, risk reduction and health promotion information related to stroke prevention that should be taught during a health assessment. (FAST, risk factors, vaccinations)
Answer:
F.A.S.T. plan - AHA F = face drooping
- / 4