Examl 2:l NSGl 316/l NSG316l (Latestl 2025/l
2026l Update)l Healthl Assessmentl Review|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l GCU
Q:l screeningl neurologicall exam
Answer:
performl onl welll personsl whol havel nol significantl subjectivel findings.l (ALLl patientsl withl nol significantl findingsl froml history)
Q:l completel neurologicall exam
Answer:
Personsl withl neurologicl concerns,l newl onsetl neurologicall symptomsl orl changes Ex:l headache,l weakness,l lossl ofl coordinationl orl whol havel shownl signsl ofl neurologicl dysfunction.
Assess:l
-l Mentall Status -l Craniall Nerves -l Motorl System -l Sensoryl System -l Reflexesl (deepl andl superficial)
Q:l neurologicl recheckl exam
Answer:
Personsl withl demonstratedl neurologicl deficitsl whol requirel periodicl assessmentsl Ex:l hospitalizedl personsl orl thosel inl extendedl carel (personl mayl bel dischargedl thenl askedl tol comel backl forl reassessment).l Afterl certainl proceduresl orl surgeriesl thatl canl causel neurol complications
1.l *Levell ofl consciousnessl (LOC)l =l Al changel inl thel levell ofl consciousnessl isl thel singlel mostl importantl factorl inl thisl examination.l PersonxPlacexTime 1 / 4
2.l Motorl functionl =l Checkl thel voluntaryl movementl ofl eachl extremityl byl givingl thel personl specificl commands.l (Thisl procedurel alsol testsl levell ofl consciousnessl byl notingl thel person'sl abilityl tol followl commands.) 3.l Pupillaryl responsel =l Notel thel size,l shape,l andl symmetryl ofl bothl pupils.l Shinel al lightl intol eachl pupil,l andl notel thel directl andl consensuall lightl reflex.l Bothl pupilsl shouldl constrictl briskly.
4.l Vitall signsl =l Measurel thel temperature,l pulse,l respiration,l andl BPl asl oftenl asl thel person'sl conditionl warrants.l pulsel andl BPl arel notoriouslyl unreliablel parametersl ofl CNSl deficit.l Anyl changesl arel latel consequencesl ofl risingl intracraniall pressure.
Q:l ansomia
Answer:
Decreasel orl lossl ofl smelll occursl bilaterally
Q:l hemianopsia;l hemianopia
Answer:
Defectivel visionl orl blindnessl inl onel halfl ofl thel visuall field
Q:l ptosis
Answer:
droopingl eyelidl (associatedl withl CNl IIIl oculomotor)
Q:l paresthesias
Answer:
tingling,l prickling,l "pinsl &l needles"l (sensoryl loss)l associatedl withl CNl Vl Trigeminal
Q:l diplopia
Answer:
doublel vision
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Q:l dysphagia
Answer:
difficultyl swallowing
Q:l cerebellarl functionl tests
Answer:
Balancel Testl (Gait) Rombergl Test Rapidl Alternatingl Movementsl (RAM)
Q:l Balancel Testl (Gait)
Answer:
-observel asl thel personl walksl 10l tol 20l feet,l turnsl andl returnsl tol thel startingl point NORMALLY:l gaitl isl smooth,l rhythmicl andl effortlessl opposingl arml swingl isl coordinating ABNORMALLY:l Stiff,l immobilel posture.l Staggeringl orl reeling.l Widel basel ofl support.Lackl ofl arml swingl orl rigidl arms.Unequall rhythml ofl steps.l Slappingl ofl foot.l Scrapingl ofl toel ofl shoe.
Q:l Rombergl test
Answer:
Testsl motorl functionl andl proprioception.l Askl thel personl tol standl upl withl feetl togetherl andl armsl atl thel sides.l Oncel inl al stablel position,l askl himl orl herl tol closel thel eyesl andl tol holdl thel position.l Waitl aboutl 20l seconds.l
NORMALLY:l patientl canl maintainl posturel andl balance
ABNORMALLY:l Positivel _______l testl isl lossl ofl balancel thatl occursl whenl closingl thel eyes.l Al positivel ______l testl occursl withl cerebellarl ataxial (multiplel sclerosis,l alcoholl intoxication),l lossl ofl proprioception,l andl lossl ofl vestibularl function.
Q:l Rapidl Alternatingl Movementsl (RAM)
Answer: 3 / 4
patl thel kneesl withl bothl hands,l turnl handsl over,l thenl faster
NORMALLY:l donel withl equall turningl andl quickl rhythmicl pace
Q:l flaccidity
Answer:
decreasedl musclel tonel (hypotonia),l musclel feelsl limp,l soft,l flabby
Q:l spasticity
Answer:
increasedl musclel tonel (hypertonia)
Q:l rigidity
Answer:
constantl statel ofl resistance;l resistsl passivel movementl inl anyl directionl (dystonia)
Q:l cogwheell rigidity
Answer:
Increasedl tonel isl releasedl byl degreesl duringl passivel rangel ofl motionl sol itl feelsl likel small,l regularl jerks.
Q:l hemiplegia
Answer:
Spasticl orl flaccidl paralysisl ofl onel sidel ofl thel body
Q:l paraplegia
Answer:
symmetricl paralysisl ofl bothl lowerl extremities
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