CNRN Neurological Assessment and Monitoring

Question 1

Which component of the Glasgow Coma Scale (GCS) assesses the patient's ability to follow commands?

Accepted Answer

Motor response

Answer

Verbal response

Answer

Eye opening

Answer

Pupillary reaction

Question 2

A CNRN nurse notes that a patient's pupils are 6 mm and non-reactive bilaterally. This finding is MOST consistent with:

Accepted Answer

Midbrain herniation

Answer

Pontine lesion

Answer

Metabolic encephalopathy

Answer

Cerebral contusion

Question 3

When performing a neurological assessment, the nurse tests the patient's ability to identify objects by touch alone. This evaluates which sensory function?

Accepted Answer

Stereognosis

Answer

Proprioception

Answer

Two-point discrimination

Answer

Graphesthesia

Question 4

Which cranial nerve is tested when the nurse asks the patient to shrug their shoulders against resistance?

Accepted Answer

CN XI

Answer

CN IX

Answer

CN X

Answer

CN XII

Question 5

A patient exhibits decerebrate posturing. The nurse understands this involves:

Accepted Answer

Extension and internal rotation of all extremities

Answer

Flexion of arms and extension of legs

Answer

Flaccidity of all extremities

Answer

Flexion of all extremities

Question 6

Which intracranial pressure (ICP) waveform component reflects ventricular compliance and is normally the smallest peak?

Accepted Answer

P3 (dicrotic wave)

Answer

P1 (percussion wave)

Answer

P2 (tidal wave)

Answer

P4 (notch wave)