Cognitive

The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern?

cerebrospinal fluid is cloudy in nature

A Geriatric Nurse Practitioner is assessing older adults. The Nurse Practitioner knows that older adults sometimes have difficulty following directions during a neurologic examination or diagnostic procedure. What strategies can the Nurse Practitioner use to examine older clients?

Provide brief instructions, one step at a time

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

"Do you have any problems with balance?"

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

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

What part of the brain controls and coordinates muscle movement?

Cerebellum

The nurse is assessing the client's pupils following a sports injury. Which of the following assessment findings indicates a neurologic concern? Select all that apply.

Absence of pupillary response Pinpoint pupils Unequal pupils

Which of the following neurotransmitters are deficient in myasthenia gravis?

Acetlycholine

Which of the following terms refers to the inability to coordinate muscle movements, resulting in difficulty walking?

Ataxia

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

Cranial nerve II

Which of the following are sympathetic effects of the nervous system?

Dilated Pupils

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

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

A patient is actively hallucinating during an assessment. The nurse would be correct in documenting the hallucination as a disturbance in which of the following?

Thought Content

The nurse is working in an outpatient studies unit administering neurological tests. The client is surprised that paste is used to secure an electroencephalogram and asks how it will be removed from the hair. The nurse is most correct to state which?

The paste is removed with standard shampoo.

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?

V

A patient is scheduled for standard EEG testing to evaluate a possible seizure disorder. Nursing interventions prior to the procedure include which of the following?

Withholding antiseizure medications for 24 to 48 hours prior to the exam

A client who has sustained a head injury to the parietal lobe cannot identify a familiar object by touch. The nurse knows that this deficit is which of the following?

tactie agnosia

Low levels of the neurotransmitter serotonin lead to which of the following disease processes?

DEpression

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?

Dysfunction of the vagus nerve

Which of the following terms refer to a method of recording, in graphic form, the electrical activity of the muscle?

Electromyogram

Which of the following supplies cerebrospinal fluid (CSF) to the subarachnoid space and down the spinal cord on the dorsal surface?

Fourth ventricle

Which neurotransmitter demonstrates inhibitory action, helps control mood and sleep, and inhibits pain pathways?

Serotonin

A patient has been diagnosed with damage to Broca's area of the left frontal lobe. To document the extent of damage, the nurse would assess the patient's:

Speech

The nurse is instructing a community class when a student asks, "How does someone get super strength in an emergency?"The nurse is correct to instruct on the action of which system?

Sympathetic nervous system

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?

VIII

The nurse is assessing the mental status of a patient. Which of the following questions will the nurse include in the assessment?

" Who is the president of the United States?"

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?

"Although the required position may not be comfortable, it will make the procedure safer and easier to perform."

A nurse notes on the electronic medical record of a post-lumbar puncture patient an abnormal CSF value. Which of the following is the minimal level that is an abnormal value?

210 mm H2O

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

Acoustic

A client experienced a stroke that damaged the hypothalamus. The nurse should anticipate that the client will have problems with:

body temperature control

Lower motor neuron lesions cause

flaccid muscle paralysis.

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?

"Its a test for balance"

A nurse is preparing a client for lumbar puncture. The client has heard about post-lumbar puncture headaches and asks how to avoid having one. The nurse tells the client that these headches can be avoided by doing which of the following after the procedure?

"Remain prone for 2 to 3 hours."

If a patient has a lower motor neuron lesion, the nurse would expect which of the following upon physical assessment?

Decreased muscle tone

If a patient has a lower motor neuron lesion, the nurse would expect which of the following?

Decreased muscle tone

Which of the following safety actions will the nurse implement for a patient receiving oxygen therapy who is undergoing magnetic resonance imaging (MRI)?

Ensure that no patient care equipment containing metal enters the room where the MRI table is located.

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

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?

Left frontoparietal region

A nurse is completing a neurological assessment and determines that the client has significant visual deficits. A brain tumor is considered. Considering the functions of the lobes of the brain, which area will most likely contain the neurologic deficit?

Occipital

A nurse conducts the Romberg test on a patient by asking the patient to stand with feet close together and eyes closed. As a result of this posture, the patient suddenly sways to one side and is about to fall when the nurse intervenes and saves the patient from being injured. In which of the following ways should the patient's action be interpreted by the nurse?

Positive Romberg test, indicating a problem with equilibrium

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?

head of the bed

A client is diagnosed with a brain tumor. The nurse's assessment reveals that the client has difficulty interpreting visual stimuli. Based on these findings, the nurse suspects injury to which lobe of the brain?

occipital

A patient is actively hallucinating during an assessment. The nurse would be correct in documenting the hallucination as a disturbance in which of the following?

thought content

The nurse is caring for a patient who was involved in a motor vehicle accident and sustained a head injury. When assessing deep tendon reflexes (DTR), the nurse observes diminished or hypoactive reflexes. How will the nurse document this finding?

+1

A patient is ordered a CT scan of the brain with IV contrast. Prior to the test, the nurse should complete which of the following first?

Assess the patient for medication allergies.

Age-related changes in the neurological system must be carefully assessed. Which of the following changes does the nurse expect to find in some degree depending on the patient's age and medical condition? Select all that apply.

Decreased muscle mass Increased sensitivity to heat and cold Reduced papillary responses

A nurse is evaluating a client's cranial nerves during a routine examination. To assess the function of cranial nerve XII (hypoglossal), the nurse should assess the client's ability to:

stick out the tongue and move it rapidly from side to side and in and out.