Nokea
List all the assessments that are part of a neurological examination.
- A. Level of consciousness, pupil response, motor function, sensory function, reflexes
- B. Cranial nerve testing, muscle strength, coordination, gait, sensation
- C. Mental status, reflexes, motor function, sensory function, pupil response
- D. All of the above
Correct Answer: D
Rationale: A neurological examination includes level of consciousness, pupil response, motor function, sensory function, reflexes, cranial nerve testing, coordination, and gait.
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Score the patient responses on the Glasgow Coma Scale. Calculate the patient's total score. Would you consider this patient as having a significant neurological impairment?
- A. Eye opening to pain: 2, Withdraws from pain: 4, Incomprehensible sounds: 2, Total: 8, Significant impairment
- B. Eye opening to pain: 2, Withdraws from pain: 5, Incomprehensible sounds: 2, Total: 9, Moderate impairment
- C. Eye opening to pain: 3, Withdraws from pain: 4, Incomprehensible sounds: 3, Total: 10, Moderate impairment
- D. Eye opening to pain: 2, Withdraws from pain: 4, Incomprehensible sounds: 3, Total: 9, Moderate impairment
Correct Answer: A
Rationale: Glasgow Coma Scale: Eye opening to pain (2), withdraws from pain (4), incomprehensible sounds (2), total = 8, indicating significant neurological impairment (score ?¤8 is severe).
The correct sequence to assess the abdomen is
- A. Auscultation, olfaction, observation, palpation, and percussion
- B. Observation, auscultation, palpation, percussion, and olfaction
- C. Observation, palpation, percussion, auscultation, and olfaction
- D. Olfaction, auscultation, observation, palpation, and percussion
- E. Olfaction, observation, auscultation, percussion, and palpation
Correct Answer: B
Rationale: Abdominal assessment starts with observation, then auscultation (before palpation/percussion to avoid altering bowel sounds), followed by palpation, percussion, and olfaction.
What assessments should you make of the lower extremities in an initial shift assessment?
- A. Pulse strength, edema, skin condition, range of motion
- B. Capillary refill, temperature, sensation, strength
- C. Color, pulses, edema, mobility
- D. All of the above
Correct Answer: D
Rationale: Lower extremity assessment includes pulse strength, edema, skin condition, range of motion, capillary refill, temperature, sensation, strength, color, and mobility.
You have just completed an initial shift assessment of a male in his 30s with a history of elevated hypertension and elevated cholesterol. Which of the following assessment findings provides information about his circulatory system?
- A. Skin is pale, warm, and dry
- B. BP is 164/98
- C. R is 27 regular and even
- D. AP is 94 regular and 2+, RP is 90 irregular and 2+, and pulse deficit is 4
- E. Pedal pulses are weak and equal bilaterally
- F. He has 2+ edema of both ankles
- G. He is awake, alert, and oriented to four spheres
Correct Answer: B,D,E,F
Rationale: BP, pulse deficit, pedal pulses, and edema are direct indicators of circulatory status, reflecting vascular pressure, perfusion, and fluid dynamics.
Which of the two heart sounds is the loudest?
- A. S1
- B. S2
- C. S3
- D. S4
Correct Answer: A
Rationale: S1 is typically louder than S2 because it involves the closure of the mitral and tricuspid valves, which produce a stronger sound.