Using the Glasgow Coma Scale, which number indicates that the patient is in a comatose state?

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Testing visual acuity: This assesses cranial nerve II (optic), not cranial nerve III.
B. Eliciting the gag reflex: This assesses cranial nerve IX and X (glossopharyngeal and vagus), not cranial nerve III.
C. Observing for facial symmetry: This assesses cranial nerve VII (facial nerve), not cranial nerve III.
D. Checking the pupillary response to light: Cranial nerve III (oculomotor) is responsible for controlling pupil constriction in response to light, making this the correct method to assess cranial nerve III.

A. Ask the client to identify scented aromas. B. Listen to the client's speech. C. Ask the client to clench his teeth. D. Ask the client to read a Snellen chart.

Correct Answer is D

Explanation

A. Ask the client to identify scented aromas: This assesses cranial nerve I (olfactory), not cranial nerve II.
B. Listen to the client's speech: This assesses cranial nerve IX and X (glossopharyngeal and vagus), not cranial nerve II.
C. Ask the client to clench his teeth: This assesses cranial nerve V (trigeminal), not cranial nerve II.
D. Ask the client to read a Snellen chart: This is the correct method for assessing cranial nerve II (optic), which is responsible for vision. The Snellen chart tests visual acuity.

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Using the Glasgow Coma Scale, which number indicates that the patient is in a comatose state?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve IlI?

Correct Answer is D

Explanation

A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve Il?

Correct Answer is D

Explanation

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