The nurse is performing a neurologic assessment of a 41-year-old patient the patient is able to open eyes to pain, uses inappropriate words, and has flexion withdrawal from pain. What is their GCS score?
9
7
5
12
The Correct Answer is A
The Glasgow Coma Scale (GCS) measures three aspects: Eye response, verbal response, and motor response.
Eye response: Opens eyes to pain (score 2).
Verbal response: Uses inappropriate words (score 3). Motor response: Flexion withdrawal from pain (score 4). Total GCS = 2 (eyes) + 3 (verbal) + 4 (motor) = 9.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This refers to the ability to hear words whispered in the whisper test, which assesses hearing, not stereognosis.
B. Stereognosis is the ability to identify objects through touch alone, with the eyes closed.
C. This refers to graphesthesia, the ability to recognize writing on the skin, not stereognosis.
D. This refers to the Rinne and Weber tests, which assess hearing function, not tactile sensation.
Correct Answer is B
Explanation
A. Electrical cords along the walls are not a major safety hazard for individuals with visual impairments as long as they are properly secured and out of the way.
B. Scatter rugs in the kitchen can be a significant risk for falls, especially for individuals with decreased vision. Rugs can cause tripping, and if not secured properly, they can be dangerous in areas with high foot traffic like the kitchen.
C. Handrails in the bathroom are actually a safety feature and would help prevent falls in an area with higher risk of slips.
D. Using a microwave for cooking is a safe alternative to using a stove or oven, especially for someone with visual impairment. It is less hazardous since there is no open flame.
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