Using the Glasgow Coma Scale, which number indicates that the patient is in a comatose state?
15
12
6
8
The Correct Answer is D
A. A GCS of 15 indicates full consciousness and alertness.
B. A GCS of 12 indicates moderate impairment of consciousness.
C. A GCS of 6 indicates severe impairment, but not necessarily comatose.
D. A GCS of 8 or below is considered to indicate a comatose state.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Check the client's visual acuity using a Snellen chart: This assesses cranial nerve II (optic), not cranial nerve VII.
B. Observe for facial symmetry while the client smiles: This is the correct method to assess cranial nerve VII (facial nerve), which controls facial muscles, including those responsible for smiling.
C. Have the client identify specific smells: This tests cranial nerve I (olfactory), not cranial nerve VII.
D. Whisper in one of the client's ears while occluding the other: This assesses cranial nerve VIII (vestibulocochlear), not cranial nerve VII.
Correct Answer is D
Explanation
A. Tilting the head forward is not necessary for the otoscope exam.
B. Pulling the pinna up and back is used for older children and adults.
C. Releasing the pinna after inserting the speculum is unnecessary.
D. For young children under 3 years, the pinna should be pulled down and back to straighten the ear canal.
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