EXAM STUDY MATERIALS 8/7/2024 11:29 AM
NS 530 Midterm II Exam Questions With
Correct Answers
Ask about weakness, numbness, falls, headaches, dizziness, memory changes, medications,
recent infections or illness, vision changes, hearing problems, balance issues, smoking, BP,
nutrition, elimination, etc - answer✔✔What are some subjective data points you can gather in a
neuro assessment?
mental status, cranial nerves, reflexes, sensation, coordination, tone, movement, affect, mood,
memory, judgment, nuchal rigidity - answer✔✔What are some objective data points you can
gather in a neuro assessment?
1. Olfactory
2. Optic
3. Oculomotor
4. Trochlear
5. Trigeminal
6. Abducens
7. Facial
8. Vestibulocochlear
9. Glossopharyngeal
10. Vagus
11. Accessory
12. Hypoglossal - answer✔✔What are the cranial nerves?
A problem with the 5th nerve (trigeminal) of unknown cause, where there is acute inflammation
that causes sudden, severe shock-like pain on one side of the face along the nerve route. The
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
attack may last seconds or minutes and can be multiple times per day. - answer✔✔What is
trigeminal neuralgia?
Women over 50 years old - answer✔✔What social group may be more prone to trigeminal
neuralgia?
change in temperature, brushing teeth, certain foods, talking, etc - answer✔✔What are triggers
for trigeminal neuralgia?
H+P, potential for MRI/CT to rule out masses and MS - answer✔✔How is trigeminal neuralgia
diagnosed?
Treated with pain relief and anti-seizure medications - answer✔✔How is trigeminal neuralgia
treated?
Triggers, self-care abilities, psychosocial support, depression, withdrawal - answer✔✔What RN
assessments should be done on someone with trigeminal neuralgia?
temporary paralysis of the 7th cranial nerve, the facial nerve, resulting from damage, trauma, or
idiopathic. Oftentimes postviral from HSV or Lyme. - answer✔✔What is Bell's palsy?
pronator drift should be negative in Bell's palsy, as should a Romberg test, and tongue should
stick out straight - answer✔✔How can you differentiate Bell's palsy from a stroke?
Up to 6 months - answer✔✔How long can it take for Bell's palsy to resolve?
antiviral medications and steroids (acyclovir and prednisone) - answer✔✔How is Bell's palsy
treated?
artificial tears, lubricating eye drops, eye patch at night - answer✔✔A person with Bell's palsy
cannot close the eye on the affected side. What are nursing interventions for this?
An autoimmune process that occurs days to weeks following a viral or bacterial infection, or
follows surgery, pregnancy, or trauma. The immune system attacks the nerves and this causes
bilateral ASCENDING paralysis (feet up). - answer✔✔What is Guillain-Barré syndrome?
ascending paralysis can cause respiratory paralysis - answer✔✔What is the most concerning
thing about Guillain-Barre?
supportive until it resolves, which can take years. Some patients will have residual weakness.
Treatment will also vary based on the severity of the paralysis. - answer✔✔What is the treatment
for Guillain-Barre?
emergency airway equipment - answer✔✔What equipment should be in the room and ready to
go with a patient who has Guillain-Barre?
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frequent neuro checks, look for signs of respiratory distress. Decreased SpO2, dyspnea,
restlessness, drooling. - answer✔✔What should you assess for in a patient with Guillain-barre?
the actual injury to the cord - answer✔✔What is the primary spinal cord injury?
anything that occurs following the injury and the complications that happen (edema, ischemia,
hemorrhage, etc). - answer✔✔What is the secondary spinal cord injury?
Mechanism of injury (based on movement of the spine), level of injury, skeletal (vertebrae) or
neuro (spinal cord) or both, degree of injury (complete vs incomplete) - answer✔✔How are
spinal cord injuries classified?
cervical, thoracic, lumbar, sacral, coccyx - answer✔✔What are the possible levels of spinal cord
injuries?
complete = total loss of motor and sensory function
incomplete = partial loss of sensory and motor function - answer✔✔What are the possible
degrees of spinal cord injury?
tetraplegia and complete paralysis below the neck - answer✔✔What would a C4 injury result in?
partial paralysis of the hands, arms, and lower body - answer✔✔What would a C6 injury result
in?
paraplegia, resulting in paralysis below the chest - answer✔✔What would a T6 injury result in?
paraplegia with paralysis below the waist - answer✔✔What would a L1 injury result in?
airway, stabilize the c-spine, log-roll. Spinal precautions. - answer✔✔What are the nursing
priorities with a spinal cord injury?
loss of deep tendon reflexes and sphincter reflexes, loss of sensation, and flaccid paralysis below
the level of the injury shortly after an acute spinal cord injury. May last weeks to months. -
answer✔✔What is spinal shock?
Occurs in injuries T6 or higher d/t unopposed PNS response from the loss of the SNS. It leads to
peripheral vasodilation, venous pooling, decreased CO, hypotension, bradycardia, and
temperature dysregulation - answer✔✔What is neurogenic shock?
Hypotension leading to poor perfusion and oxygenation to the spinal cord, which can worsen
spinal cord ischemia. - answer✔✔What is a complication of neurogenic shock?
Have ambu bag and suction ready, monitor drooling, monitor restlessness, saturations.
Potentially get ABGs if it is a new injury. If patient has a trach there should be a trach
replacement at bedside. Get patient OOB to prevent atelectasis. - answer✔✔What are respiratory
concerns and interventions in a SCI?
