ML Quiz Ch 65

Lower motor neuron lesions cause A. hyperactive and abnormal reflexes. B. no muscle atrophy. C. flaccid muscles. D. increased muscle tone.

C

Which term refers to a method of recording, in graphic form, the electrical activity of a muscle? A. Electroencephalography B. Electrocardiography C. Electromyography D. Electrogastrography

C

A client has sustained a head injury to the parietal lobe and cannot identify a familiar object by touch. The nurse knows that this deficit is A. Visual agnosia B. Astereognosis C. A positive Romberg D. Ataxia

B

A patient has a deficiency of the neurotransmitter serotonin. The nurse is aware that this deficiency can lead to: A. Parkinson's disease. B. Seizures. C. Myasthenia gravis. D. Depression.

D

The nurse is assessing the throat of a client with throat pain. In asking the client to stick out the tongue, the nurse is also assessing which cranial nerve? A. Cranial nerve XII B. Cranial nerve XI C. Cranial nerve I D. Cranial nerve V

A

There are 12 pairs of cranial nerves. Only three are sensory. Select the cranial nerve that is affected with decreased visual fields. A. Cranial nerve II B. Cranial nerve III C. Cranial nerve IV D. Cranial nerve I

A

Lesions in the temporal lobe may result in which type of agnosia? A. Tactile B. Auditory C. Relationship D. Visual

B

The nurse is instructing a community class when a student asks, "How does someone get super strength in an emergency?" The nurse should respond by describing the action of the: A. musculoskeletal system. B. sympathetic nervous system. C. endocrine system. D. parasympathetic nervous system.

B

A client is actively hallucinating during an assessment. The nurse would be correct in documenting the hallucination as a disturbance in A. intellectual function. B. emotional status. C. thought content. D. motor ability.

C

The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern? A. Client reports a piercing feeling. B. Client reports pressure relief in the head. C. Cerebrospinal fluid is cloudy in nature. D. Physician maintains aseptic procedure.

C

The trochlear nerve controls which function? A. Visual acuity B. Movement of the tongue C. Eye muscle movement D. Hearing and equilibrium

C

Which of the following neurotransmitters are deficient in myasthenia gravis? A. GABA B. Serotonin C. Acetylcholine D. Dopamine

C

Which term refers to the inability to coordinate muscle movements, resulting difficulty walking? A. Rigidity B. Spasticity C. Agnosia D. Ataxia

D

A 53-year-old man presents to the emergency department with a chief complaint of inability to form words, and numbness and weakness of the right arm and leg. Where would you locate the site of injury? A. Left frontoparietal region B. Left temporal region C. Left basal ganglia D. Right frontoparietal region

A

A client in the emergency department has a suspected neurologic disorder. To assess gait, the nurse asks the client to take a few steps; with each step, the client's feet make a half circle. To document the client's gait, the nurse should use which term? A. Helicopod B. Dystrophic C. Ataxic D. Steppage

A

A client is ordered to undergo CT of the brain with IV contrast. Before the test, the nurse should complete which action first? A. Assess the client for medication allergies. B. Maintain the client NPO for 6 hours before the test. C. Obtain two large-bore IV lines. D. Obtain a blood sample to evaluate BUN and creatinine concentrations.

A

A nurse is preparing a client for a lumbar puncture. The client has heard about post-lumbar puncture headaches and asks what causes them. The nurse tells the client that these headaches are caused by which of the following? A. Cerebral spinal fluid leakage at the puncture site B. Damage to the spinal cord C. Traumatic puncture D. Not ambulating soon enough after the procedure

A

What part of the brain controls and coordinates muscle movement? A. Cerebellum B. Cerebrum C. Midbrain D. Brain stem

A

A client is admitted to an acute care facility for treatment of a brain tumor. When reviewing the chart, the nurse notes that the client's extremity muscle strength is rated 1/5. Which assessment finding should the nurse anticipate? A. Muscle contraction or movement is undetectable. B. Muscle contraction is palpable and visible. C. Normal, full muscle strength is present. D. Muscles move actively against gravity alone.

B

If a client has a lower motor neuron lesion, the nurse would expect to observe which manifestation upon physical assessment? A. Hyperactive reflexes B. No muscle atrophy C. Muscle spasticity D. Decreased muscle tone

D

A nurse is preparing a client for a lumbar puncture. The client has heard about post-lumbar puncture headaches and asks what causes them. The nurse tells the client that these headaches are caused by which of the following? A. Traumatic puncture B. Cerebral spinal fluid leakage at the puncture site C. Not ambulating soon enough after the procedure D. Damage to the spinal cord

B

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? A. VI B. V C. IV D. III

B

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: A. Midbrain. B. Cerebellum. C. Medulla oblongata. D. Pons.

B

A 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? A. echoencephalography B. electroencephalogram C. cerebral angiography D. milligram

C

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? A. Prone B. Supine with the head lower than the trunk C. Head of the bed elevated 45 degrees D. Supine with feet raised

C

A client has undergone a lumbar puncture as part of a neurological assessment. The client is put under the care of a nurse after the procedure. Which important postprocedure nursing intervention should be performed to ensure the client's maximum comfort? A. Keep the room brightly lit and play soothing music in the background B. Administer antihistamines according to the physician's prescription C. Help the client take a brisk walk around the testing area D. Encourage the client to drink liberal amounts of fluids

D

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: A. produce a toxic byproduct in relation to stress. B. maintain a basal rate of functioning. C. cease function and shunt blood to the heart and lungs. D. convert glycogen to glucose for immediate use.

D

A patient has difficulty interpreting his awareness of body position in space. Which lobe is most likely to be damaged? A. Parietal B. Occipital C. Frontal D. Temporal

A

Which cerebral lobe contains the auditory receptive areas? A. Temporal B. Frontal C. Occipital D. Parietal

A

Which finding is considered a positive finding of the Romberg test? A. Loss of balance B. Deviation of the tongue C. Hoarseness in the voice D. Tearing of the eye

A

Which of the following areas of the brain are responsible for temperature regulation? A. Hypothalamus B. Medulla C. Pons D. Thalamus

A

Which neurotransmitter inhibits pain transmission? A. Serotonin B. Enkephalin C. Acetylcholine D. Dopamine

B

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? A. V B. III C. IV D. VI

A

A client is scheduled for standard EEG testing to evaluate a possible seizure disorder. Which nursing intervention should the nurse perform before the procedure? A. Sedate the client before the procedure, per orders B. Withhold anticonvulsant medications for 24 to 48 hours before the exam C. Maintain NPO status for 6 hours before the procedure D. Instruct the client that a standard EEG takes 2 hours

B

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? A. Occipital lobe B. Frontal lobe C. Temporal lobe D. Parietal lobe

B

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? A. III B. X C. VII D. VIII

B

Which term describes the fibrous connective tissues that cover the brain and spinal cord? A. Arachnoid mater B. Meninges C. Dura mater D. Pia mater

B

A client preparing to undergo a lumbar puncture states he doesn't think he will be able to get comfortable with his knees drawn up to his abdomen and his chin touching his chest. He asks if he can lie on his left side. Which statement is the best response by the nurse? A. "Lying on your left side will be fine during the procedure." B. "There's no other option but to assume the knee-chest position." C. "I'll report your concerns to the physician." D. "Although the required position may not be comfortable, it will make the procedure safer and easier to perform."

D

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: A. cognitive ability to understand relayed information. B. identification of information due to slowed passages of information to brain. C. processing information transferred from the environment. D. response due to interrupted impulses from the central nervous system

D

The cerebral circulation receives approximately what percentage of the cardiac output? A. 25% B. 10% C. 20% D. 15%

D

To assess a client's cranial nerve function, a nurse should assess: A. hand grip. B. orientation to person, time, and place. C. arm drifting. D. gag reflex.

D

Which lobe of the brain is responsible for concentration and abstract thought? A. Occipital B. Temporal C. Parietal D. Frontal

D

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? A. "I am trying to quit smoking and have a patch on." B. "My legs go numb sometimes when I sit too long." C. "I have not had anything to eat or drink since 3 hours ago." D. "I have been trying to get an appointment for so long."

A

If a client has a lower motor neuron lesion, the nurse would expect the client to exhibit A. decreased muscle tone. B. muscle spasticity. C. no muscle atrophy. D. hyperactive reflexes.

A

A nurse observes that decerebrate posturing is a comatose client's response to painful stimuli. Decerebrate posturing as a response to pain indicates: A. dysfunction in the cerebrum. B. risk for increased intracranial pressure. C. dysfunction in the brain stem. D. dysfunction in the spinal column.

C

The nurse is assessing the client's mental status . Which question will the nurse include in the assessment? A. "Can you write your name on this piece of paper?" B. "Can you count backward from 100?" C. "Who is the president of the United States?" D. "Are you having hallucinations now?"

C

A patient is being tested for a gag reflex. When the nurse places the tongue blade to the back of the throat, there is no response elicited. What dysfunction does the nurse determine the patient has? A. Dysfunction of the acoustic nerve B. Dysfunction of the facial nerve C. Dysfunction of the spinal accessory nerve D. Dysfunction of the vagus nerve

D

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? A. The inability to maintain steady balance for the Romberg test B. Absence of movement below the waist C. Intentional tremors D. The inability to tell how a mouse and a cat are alike

D

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: A. II B. VI C. XI D. VIII

D

To evaluate a client's cerebellar function, a nurse should ask: A. "Do you have any difficulty speaking?" B. "Have you noticed any changes in your muscle strength?" C. "Do you have any trouble swallowing food or fluids?" D. "Do you have any problems with balance?"

D

Which lobe of the brain is responsible for concentration and abstract thought? A. Parietal B. Occipital C. Temporal D. Frontal

D