PA Study Guide Ch. 25
12. The nurse is assessing the neurologic system of an adult client. To test the client's motor function of the facial nerve, the nurse should
Ans: Ask the client to purse the lips
9. While assessing the neurologic system of a confused older adult, the nurse observes that the client is unable to recall past events. The nurse suspects that the client may be exhibiting signs of
Ans: Cerebral cortex disorder
6. The nurse is preparing to percuss a client's reflexes in his arms. To use the reinforcement technique, the nurse should ask the client to
Ans: Clench his jaw
13. The nurse is assessing the neurologic system of a client who has spastic muscle tone. The nurse should explain to the client that spastic muscle tone is associated with impairment to the
Ans: Corticospinal tract
2. The cranial nerve that has sensory fibers for taste and fibers that result in the gag reflex is the
Ans: Glossopharyngeal (vagus nerve and hypoglossal nerve also contribute to this)
11. While assessing the pupils of a hospitalized adult client, the nurse observes that the client's pupils are dilated to 6 cm. The nurse suspects that the client is exhibiting signs of
Ans: Oculomotor nerve paralysis
7. Which cranial nerve is the nurse testing when the client is asked to identify a scented object?
Ans: Olfactory
8. Reduced ability to sense vibrations of a tuning fork may be present with
Ans: Peripheral neuropathy
5. The nurse is caring for a client during the immediate postoperative period after abdominal surgery. While performing a neuro check the nurse should assess
Ans: Sensation in the extremities
4. The nurse is planning a presentation to a group of adults on the topic of strokes. Which of the following should the nurse plan to include in the teaching plan?
Ans: Smoking and high cholesterol levels are risk factors for stroke
1. Sensations of temperature, pain, and crude and light touch are carried by way of the
Ans: Spinothalamic tract
14. The nurse is preparing to perform the Romberg test on an adult male client. The nurse should instruct the client to
Ans: Stand erect with arms at the sides and feet together
3. The nurse is assessing an older adult client when the client tells the nurse that she has experienced transient blind spots for the last few days. The nurse should refer the client to a physician for possible
Ans: Stroke
15. The nurse is planning to test position sensation in an adult female client. To perform this procedure, the nurse should ask the client to close ger eyes while the nurse moves the client's
Ans: Toes up or down
10. The nurse is assessing the neurologic system of an adult client. To test the client's recent memory, the nurse should ask the client
Ans: What did you have for breakfast