312 Exam 3 PrepU's

A nurse is preparing a client for a computed tomography (CT) scan that requires infusion of radiopaque dye. Which question is the most important for the nurse to ask?

"Are you allergic to seafood or iodine?"

A patient arrives to have an MRI done in the outpatient department. What information provided by the patient warrants further assessment to prevent complications related to the MRI?

"I am trying to quit smoking and have a patch on."

The nurse is preparing a client for a neurological examination by the physician and explains tests the physician will be doing, including the Romberg test. The client asks the purpose of this particular test. The correct reply by the nurse is which of the following?

"It is a test for balance."

A nurse and nursing student are caring for a client recovering from a lumbar puncture yesterday. The client reports a headache despite being on bedrest overnight. The physician plans an epidural blood patch this morning. The student asks how this will help the headache. The correct reply from the nurse is which of the following?

"The blood will seal the hole in the dura and prevent further loss of cerebral spinal fluid."

The nurse is assessing the client's mental status . Which question will the nurse include in the assessment?

"Who is the president of the United States?"

To evaluate a client's cerebellar function, a nurse should ask...

"do you have any problems with balance?"

The spinal cord is composed of 31 pairs of spinal nerves. How many pairs of thoracic nerves are contained within the spinal column?

12

The nurse assesses her client to have no eye opening, no verbalization, and no response to painful stimuli. Using the Glasgow Coma Scale what would this client's score be?

3

The nurse is performing an assessment of cranial nerve function and asks the patient to cover one nostril at a time to see if the patient can smell coffee, alcohol, and mint. The patient is unable to smell any of the odors. The nurse is aware that the patient has a dysfunction of which cranial nerve?

CN I

The nurse obtains a Snellen eye chart when assessing cranial nerve function. Which cranial nerve is the nurse testing when using the chart?

CN II

There are 12 pairs of cranial nerves. Only three are sensory. Select the cranial nerve that is affected with decreased visual fields.

CN II

A nurse is caring for a client with lower back pain who is scheduled for myelography using metrizamide (a water-soluble contrast dye). After the test, the nurse should place the client in which position?

HOB elevated 45 degrees

What is the function of cerebrospinal fluid (CSF)?

It cushions the brain and spinal cord

A nurse is assisting during a lumbar puncture. How should the nurse position the client for this procedure?

Lateral recumbent, with thighs flexed

A critical care nurse is documenting her assessment of a client she is caring for. The client is status post-resection of a brain tumor. The nurse documents that the client is flaccid on the left. What does this mean?

The client is not responding to stimuli

The nurse is performing a neurological assessment of a client who has sustained damage to the frontal cortex. Which of the following deficits will the nurse look for during assessment?

The inability to tell how a mouse and a cat are alike

Which of the following neurotransmitters are deficient in myasthenia gravis?

acetylcholine

The nurse is completing a neurologic assessment and uses the whisper test to assess which cranial nerve?

acoustic

Which cranial nerve is tested by listening to a ticking watch?

acoustic

A client is ordered to undergo CT of the brain with IV contrast. Before the test, the nurse should complete which action first?

assess the client for medication allergies

Which term refers to the inability to coordinate muscle movements, resulting difficulty walking?

ataxia

Lesions in the temporal lobe may result in which type of agnosia?

auditory

A patient who has suffered a stroke is unable to maintain respiration and is intubated and placed on mechanical ventilator support. What portion of the brain is most likely responsible for the inability to breathe?

brain stem

A patient recently noted difficulty maintaining his balance and controlling fine movements. The nurse explains that the provider will order diagnostic studies for the part of his brain known as the...

cerebellum

A patient recently noted difficulty maintaining his balance and controlling fine movements. The nurse explains that the provider will order diagnostic studies for the part of his brain known as the:

cerebellum

What part of the brain controls and coordinates muscle movement?

cerebellum

The physician's office nurse is caring for a client who has a history of a cerebral aneurysm. Which diagnostic test does the nurse anticipate to monitor the status of the aneurysm?

cerebral angiography

Which of the following terms is used to describe rapid, jerky, involuntary, purposeless movements of the extremities?

chorea

Which occurs when reflexes are hyperactive when the foot is abruptly dorsiflexed?

clonus

If a client has a lower motor neuron lesion, the nurse would expect the client to exhibit...

decreased muscle tone

A patient has a deficiency of the neurotransmitter serotonin. The nurse is aware that this deficiency can lead to...

depression

Which is a sympathetic effect of the nervous system?

dilated pupils

After a plane crash, a client is brought to the emergency department with severe burns and respiratory difficulty. The nurse helps to secure a patent airway and attends to the client's immediate needs, then prepares to perform an initial neurologic assessment. The nurse should perform an...

evaluation of the corneal reflex response

Lower motor neuron lesions cause...

flaccid muscles

Which lobe of the brain is responsible for concentration and abstract thought?

frontal

A patient sustained a head injury during a fall and has changes in personality and affect. What part of the brain does the nurse recognize has been affected in this injury?

frontal lobe

To assess a client's cranial nerve function, a nurse should assess...

gag reflex

Cranial nerve IX is also known as which of the following?

glossopharyngeal

A client is admitted to an acute care facility with a suspected dysfunction of the lower brain stem. The nurse should monitor this client closely for...

hypoxia

During a routine physical examination to assess a client's deep tendon reflexes, a nurse should make sure to...

support the joint where the tendon is being tested

During recovery from a stroke, a client is given nothing by mouth to help prevent aspiration. To determine when the client is ready for a liquid diet, the nurse assesses the client's swallowing ability once per shift. This assessment evaluates...

cranial nerves IX and X

The pre-nursing class is learning about the nervous system in their anatomy class. What part of the nervous system would the students learn is responsible for digesting food and eliminating body waste?

parasympathetic (REST AND DIGEST)

A nurse is caring for a client with an injury to the central nervous system. When caring for a client with a spinal cord insult slowing transmission of the motor neurons, the nurse would anticipate a delayed reaction in...

response due to interrupted impulses from the central nervous system

Which diagnostic test may be performed to evaluate blood flow within intracranial blood vessels?

transcranial (ON HEAD) doppler (VIEWS VEINS)

A client is waiting in a triage area to learn the medical status of family members following a motor vehicle accident. The client is pacing, taking deep breaths, and handwringing. Considering the effects in the body systems, the nurse anticipates that the liver will...

convert glycogen to glucose for immediate use

The nurse has completed evaluating the client's cranial nerves. The nurse documents impairment of the right cervical nerves (CN IX and CN X). Based on these findings, the nurse should instruct the client to...

refrain from eating or drinking for now

A patient comes to the emergency department with severe pain in the face that was stimulated by brushing the teeth. What cranial nerve does the nurse understand can cause this type of pain?

CN V

A nurse is performing a neurologic assessment on the client and notes a positive Romberg test. This test for balance is related to which of the following cranial nerves?

CN VIII

The nurse who is employed in a neurologist's office is performing a history and assessment on a client experiencing hearing difficulty. The nurse is most correct to gather equipment to assess the function of cranial nerve...

CN VIII

The nurse who is employed in a neurologist's office is performing a history and assessment on a client experiencing hearing difficulty. The nurse is most correct to gather equipment to assess the function of cranial nerve:

CN VIII

The provider orders the Romberg test for a patient. The nurse tells the patient that the provider wants to evaluate his equilibrium by assessing which cranial nerve?

CN VIII

The nurse is performing a neurologic assessment on a client diagnosed with a stroke and cannot elicit a gag reflex. This deficit is related to which of the following cranial nerves?

CN X