Which of the following would be a severe decrease in the level of consciousness?
The patient requires painful stimuli to elicit a response and has no purposeful movement
The patient is drowsy but responds to verbal stimuli appropriately
The patient responds to commands but is slow to do so
The patient can follow simple commands like "open your eyes”
The Correct Answer is A
A. The patient requires painful stimuli to elicit a response and has no purposeful movement: This indicates a severe decrease in consciousness where the patient is minimally responsive, unable to respond to verbal stimuli, and shows no purposeful movement. It reflects significant brain dysfunction and is often seen in severe brain injury or coma.
B. The patient is drowsy but responds to verbal stimuli appropriately: This describes mild to moderate impairment of consciousness, where the patient is lethargic but still able to respond meaningfully to verbal commands, indicating a less severe condition.
C. The patient responds to commands but is slow to do so: A slowed response suggests some cognitive or neurological impairment but not a severe decrease in consciousness. The patient remains alert enough to follow instructions, albeit slowly.
D. The patient can follow simple commands like "open your eyes": This shows the patient is conscious and able to interact, reflecting a mild or normal level of consciousness rather than severe impairment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 60–89 mL/min/1.73m²: This range indicates mildly decreased GFR, often classified as Stage 2 chronic kidney disease. Renal function is still relatively preserved and not considered renal failure at this stage.
B. 30–59 mL/min/1.73m²: This reflects a moderate decrease in GFR, typically Stage 3 CKD. Although kidney function is significantly impaired, it is not yet categorized as renal failure.
C. 15–29 mL/min/1.73m²: This GFR indicates severe kidney impairment and is classified as Stage 4 CKD. While this stage shows significant dysfunction, renal failure is generally diagnosed at lower values.
D. <15 mL/min/1.73m²: A GFR below 15 signals end-stage renal disease (ESRD), also referred to as renal failure. At this stage, dialysis or kidney transplantation is usually necessary to sustain life.
Correct Answer is ["A","B","C","D","E"]
Explanation
A. May be idiopathic: In many cases, especially central precocious puberty, no identifiable underlying cause is found. This is referred to as idiopathic precocious puberty and is a common diagnosis, particularly in girls.
B. Peripheral precocious puberty is independent of gonadotropin release from the pituitary gland: Peripheral (or gonadotropin-independent) precocious puberty occurs due to hormone secretion from sources other than the pituitary, such as adrenal tumors or ovarian cysts.
C. Central precocious puberty is caused by premature activation of the hypothalamic-pituitary-gonadal (HPG) axis: This is the most common form and involves early activation of the normal puberty pathway via the HPG axis.
D. It is defined as the onset of secondary sexual characteristics before age 8 in girls and age 9 in boys: This is the widely accepted medical definition of precocious puberty based on chronological age for the appearance of secondary sexual characteristics.
E. Tall stature during childhood is a common feature, but final adult height may be shorter than expected without treatment: Early growth spurts can lead to early closure of growth plates, resulting in reduced adult height if untreated.
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