Chapter 65 test book questions
C
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. III B. IV C. V D. VI
Dopamine
Affects behavior, attention, and fine motor movement
Nonepinephrine
Excitatory response, mostly affecting moods
Enkephalin
Excitatory; inhibits pain transmission
Serotonin
Inhibits pain pathways and can control sleep
Gamma-aminobutyric acid
Muscle and nerve inhibitory transmissions
Dopamine
Parkinson's disease is caused by an imbalance in the neurotransmitter known as ______________
Acetylcholine
Primarily excitatory; can produce vagal stimulation of heart
Pituitary
The "master gland" is also known as the ______________ gland
Cerebellum
The brain center responsible for balancing and coordination is the ________________
Temporal
The lobe of the cerebral cortex that is responsible for the understanding of language and music is the _____________ lobe
Thalamus
The major receiving and communication center for afferent sensory nerves is the _____________
150
The normal adult produces about __________ mL of cerebral spinal fluid daily from the ventricles.
B
The nurse is assessing the pupils of a patient who has had a head injury. What does the nurse recognize as a parasympathetic effect? A. Dilated pupils B. Constricted pupils C. One pupil is dilated and the opposite pupil is normal D. Roth spots
B
The nurse obtains a Snellen eye chart when assessing cranial nerve function. Which cranial nerve is the nurse testing when using the chart? A. CN I B. CN II C. CN III D. CN IV
Acetylcholine
The parasympathetic division of the autonomic nervous system yields impulses that are medicated by the secretion of _______________, the dominant neurotransmitter in parasympathetic nervous system functions
C8
The preganglionic fibers of the sympathetic neurons are located in the segments of the spinal cord identified as the ________ to L3
Hypothalamus
The sleep-wake cycle regulator and the site of the hunger center is known as the _______________
Frontal
Voluntary muscle control is governed by a vertical band of "motor cortex" located in the ____________ lobe
Serotonin
_____________is a neurotransmitter that helps control mood and sleep.
B
A patient has expressive speaking aphasia after having a stroke. Which portion of the brain does the nurse know has been affected? A. Temporal lobe B. Inferior posterior frontal areas C. Posterior frontal area D. Parietal-occipital area
C
The nurse is assisting with a lumbar puncture and observes that when the healthcare provider obtains cerebrospinal fluid (CSF), it is clear and colorless. What does this finding indicate? A. A subarachnoid hemorrhage B. Severe sepsis C. A normal finding; the fluid will be sent for testing to determine other factors D. Local trauma from the insertion of the needle
B
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? A. 0 B. 1+ C. 2+ D. 3+
C
The nurse is performing a neurologic assessment and requests that the patient stand with eyes open and then closed for 20 seconds to assess balance. What type of test is the nurse performing? A. Weber test B. Rinne test C. Romberg test D. Watch-tick test
A
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? A. CN I B. CN II C. CN III D. CN IV
B,C,D
A patient had a lumbar puncture 3 days ago in the outpatient clinic and calls the nurse reporting a throbbing headache. What can the nurse educate the patient to do for relief of the discomfort? (Select all that apply) A. Limit the amount of fluid to decrease cerebral edema B. Force fluids (unless contraindicated) C. Get plenty of bed rest D. Take some over-the-counter analgesics E. Walk around
C
A patient is scheduled for an electroencephalogram (EEG) in the morning. What food on the patient's tray should the nurse remove prior to the test? A. Orange juice B. Toast C. Coffee D. Eggs
A
A patient arrives to have an MRI done in the outpatient department. What information provided by the patient warrants further assessment to prevent complication related to the MRI? A. "I am trying to quit smoking and have a patch on" B. "I have been trying to get an appointment for so long" C. "I have not had anything to eat or drink since 3 hours ago" D. "My legs go numb sometimes when I sit too long"
D
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 spinal accessory nerve B. Dysfunction of the acoustic nerve C. Dysfunction of the facial nerve D. Dysfunction of the Vagal nerve
B
A patient is having a lumbar puncture and the healthcare provider has removed 20 mL of cerebrospinal fluid (CSF). What nursing intervention is a priority after the procedure? A. Early ambulation B. Have the patient lie flat for 6 hours C. Have the patient lie flat for 1 hour and then sit for 1 hour before ambulating D. Have the patient lie in a semi-Fowler position with the head of the bed at 30 degrees
A
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. Frontal lobe B. Parietal lobe C. Occipital lobe D. Temporal lobe
D
A patient who has suffered a stroke is unable to maintain respiration and so is intubated and placed on mechanical ventilator support. What portion of the brain is most likely responsible for the inability to breathe? A. Frontal lobe B. Occipital lobe C. Parietal lobe D. Brain stem
Frontal
A person's personality and judgement are controlled by the area of the brain known as the ____________ lobe
