ANSWERS VERIFIED GRADED A

NSG 464 FINAL EXAM actual / QUESTIONS &

ANSWERS (VERIFIED | GRADED A+

Vestibular System - ----Answers----The sensory system that responds to gravity and keeps people informed of their body's location in space.

• balance and coordinating eye, head, body movements

Sensory System - ----Answers----part of the nervous system that detects or senses the environment (positional sense)

Levels of Alertness - ----Answers----- Alert

• Lethargy
• Obtunded
• Stupor
• Coma

Grading Muscle Strength - ----Answers----1-5 Scale

5: normal

3: only move against gravity

RAMs - ----Answers----- turn hand rapidly over and back on thigh

• tap index finger on distal thumb 1 / 3

• tap ball of foot rapidly on hand

Assess gait as the patient: - ----Answers----- walks across

room

• walks heel-to-toe
• walks on toes then heels
• hops in place

Romberg test - ----Answers----- pt stands with feet together and eyes open, then for 30-60 seconds with eyes closed

- positive: loss of balance with eyes closed

Pronator drift - ----Answers----- pt stands for 20-30 seconds with both arms straight forward, palms up; tap arms briskly downward

- positive: pronation and downward drift of arm

First sense to go in peripheral neuropathy? - ----Answers---- Vibration

Stereognosis - ----Answers----ability to recognize objects by feeling their form, size, and weight while the eyes are closed

Graphesthesia - ----Answers----ability to "read" a number by having it traced on the skin

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Two-Point Discrimination - ----Answers----the ability to discern that two nearby objects touching the skin are truly two distinct points, not one

Point Localization - ----Answers----ability to locate the point on the skin that has been touched

Extinction - ----Answers----touch area on both sides of body at the same time and ask if patient feels spot 1 or 2

Clonus - ----Answers----Hyperactive response elicited at ankle

• sharply dorsiflex foot, feel for rhythmic oscillations

- normal: ankle does not react to stimulus

Positive Babinski sign - ----Answers----dorsiflexion of the big toe and fanning of all toes

• found in CNS lesion

Nuchal rigidity sign - ----Answers----Pt supine, flex pt's neck forward until his chin touches his chest.

- Positive: Neck stiffness with resistance to flexion (meningeal

inflammation from meningitis or subarachnoid hemorrhage)

Brudzinski's sign - ----Answers----Sign of meningitis; positive when a patient's legs lift involuntarily when lifting a patient's head

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