Assessment of Neurologic Function

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

A. "Who is the president of the United States?"

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. Obtain a blood sample to evaluate BUN and creatinine concentrations C. Maintain the client NPO for 6 hours before the test D. Obtain two large-bore IV lines

A. Assess the client for medication allergies

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

A. Occipital

Which of the following is a disorder due to a lesion in the basal ganglia? A. Parkinson's disease B. Guillain-Barre C. Myasthenia gravis D. Multiple sclerosis

A. Parkinson's disease

Which term refers to the inability to recognize objects through a particular sensory system? A. Aphasia B. Agnostic C. Dementia D. Ataxia

B. Agnosia

Which cerebral lobes is the largest and controls abstract thought? A. Temporal B. Frontal C. Occipital D. Parietal

B. Frontal

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? A. Central B. Parasympathetic C. Peripheral D. Sympathetic

B. Parasympathetic

The Family Nurse Practitioner is assessing a 66-year-old who came into the clinic complaining of being "unsteady" on their feet. What would be a test for equilibrium? A. Carlsberg test B. Romberg test C. Walking and turning abruptly D. Heel-to-toe test

B. Romberg test

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? A. Ataxia B. Tactile agnosia C. Positive Romberg D. Visual agnosia

B. Tactile agnosia

A client is actively hallucinating during an assessment. The nurse would be correct in documenting the hallucination as a disturbance in: A. Emotional status B. Thought context C. Motor ability D. Intellectual function

B. Thought context

A nurse and nursing students 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 students ask how this will help the headache. The correct reply from the nurse is which of the following? A. "The blood provides moisture at the site, which encourages healing." B. "The blood will replace the cerebral spinal fluid that has leaked out." C. "The blood will seal the hole in the dura and prevent further loss of cerebral spinal fluid." D. "The blood can repair damage to the spinal cord that occurred with this procedure."

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

A patient is being tested for a gag reflex. When the nurse places the tongue blade on 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 spinal accessory nerve C. Dysfunction of the vagus nerve D. Dysfunction of the facial nerve

C. Dysfunction of the vagus nerve

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 post-procedure nursing intervention should the nurse perform to ensure the client's maximum comfort? A. Administer antihistamines according to the physician's prescription B. Keep the room brightly lit and play soothing music in the background C. Encourage the client to drink liberal amounts of fluids D. Help the client take a brisk walk around the testing area

C. Encourage the cient to drink liberal amounts of fluids

The nurse is caring for a client in the emergency department with a diagnosis of head trauma secondary to a motorcycle accident. The nurse aide is assigned to clean the client's face and torso. The nurse would provide further instruction after seeing that the nurse aide: A. Cleaned the eye area from the inner to outer eye area B. Use mild soapy water to clean the face C. Moved the client's head to clean behind the ears D. Cleaned the neck and upper chest area

C. Moved the client's head to clean behind the ears

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

C. Temporal

The nurse is completing the physical assessment of a patient suspected of neurologic disorder. The patient reports to the nurse that he has recently suffered a head trauma. In such a case, which of the following precautions should the nurse take for the patient? (Select all that apply.) A. The nurse should only move the patient's head with the help of an assistant B. The nurse should explain the procedure of head assessment to the patient before doing the assessment C. The nurse should not move or manipulate the patient's head while assessing for bleeding or swelling D. The nurse should make the patient sit in a chair and then assess his or her head for bleeding or swelling

C. The nurse should not move or manipulate the patient's head while assessing for bleeding or swelling

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

D. Auditory

A client is scheduled for an EEG. The client asks about any diet-related prerequisites before the EEG. Which diet-related advice should the nurse provide to the client? A. Include an increased amount of minerals in the diet B. Avoid eating food at least 8 hours before the test C. Decrease the amount of minerals in the diet D. Avoid taking sedative drugs or drinks that contain caffeine for at least 8 hours before the test

D. Avoid taking sedative drugs or drinks that contain caffeine for at least 8 hours before the test

A client with a suspected brain tumor is scheduled for computed tomography (CT). What should the nurse do when preparing the client for this test? A. Place a cap over the client's head B. Administer a sedative as ordered C. Immobilize the neck before the client is moved onto the stretcher D. Determine whether the client is allergic to iodine, contrast dyes, or shellfish

D. Determine whether the client is allergic to iodine, contrast dyes, or shellfish

What is the function of the cerebral spinal fluid (CSF)? A. It acts as an insulator to maintain a constant spinal fluid temperature B. It produces cerebral neurotransmitters C. It acts as a barrier to bacteria D. It cushions the brain and spinal cord

D. It cushions the brain and spinal cord