PrepU Neurologic Function

Which of the following terms refers to the inability to coordinate muscle movements, resulting difficulty walking? a) Ataxia b) Rigidity c) Spasticity d) Agnosia

Ataxia

Lesions in the temporal lobe may result in which of the following types of agnosia? a) Relationship b) Tactile c) Visual d) Auditory

Auditory

Which of the following cranial nerves is responsible for muscles that move the eye and lid? a) Oculomotor b) Vestibulocochlear c) Facial d) Trigeminal

Oculomotor

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 headaches can be avoided by doing which of the following after the procedure? a) "Remain prone for 2 to 3 hours." b) "Ambulate as soon as possible." c) "Remain NPO for 6 hours." d) "Remain on bedrest for 3 days."

Remain prone for 2 to 3 hours

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) Positive Romberg c) Visual agnosia d) Tactile agnosia

Tactile agnosia

Which of the following cerebral lobes contains the auditory receptive areas? a) Occipital b) Temporal c) Frontal d) Parietal

Temporal

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) Intentional tremors b) Absence of movement below the waist c) The inability to maintain steady balance for the Romberg test d) The inability to tell how a mouse and a cat are alike

The inability to tell how a mouse and a cat are alike

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) IV c) III d) VI

V

A nurse is performing a neurologic assessment on a client. The nurse observes the client's tongue for symmetry, tremors, and strength, and assesses the client's speech. Which cranial nerve is the nurse assessing? a) IV b) IX c) XII d) VI

XII

A nurse is performing a neurologic assessment on a client. The nurse observes the client's tongue for symmetry, tremors, and strength, and assesses the client's speech. Which cranial nerve is the nurse assessing? a) VI b) IX c) XII d) IV

XII

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? a) "It is a test for motor ability." b) "It is a test for muscle strength." c) "It is a test for coordination." d) "It is a test for balance."

it is a test for balance

Choice Multiple question - Select all answer choices that apply. 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. a) Unequal pupils b) Pupil reacts to light c) Pinpoint pupils d) Pupil reaction quick e) Absence of pupillary response

Absence of pupillary response • Unequal pupils • Pinpoint pupils

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) Parietal lobe c) Brain stem d) Occipital lobe

Brainstem

What part of the brain controls and coordinates muscle movement? a) Cerebellum b) Cerebrum c) Midbrain d) Brain stem

Cerebellum

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

Do you have any problems with balance?

Which of the following terms refer to a method of recording, in graphic form, the electrical activity of the muscle? a) Electrocardiography b) Electroencephalogram c) Electrogastrography d) Electromyogram

Electromyogram

Which of the following cerebral lobes is the largest and controls abstract thought? a) Temporal b) Frontal c) Parietal d) Occipital

Frontal

A nurse is working in a neurologist's office. The physician orders a Romberg test. Which nursing action is correct? a) Have the client touch his nose with one finger. b) Have the client close his eyes and jump on one foot. c) Have the client close his eyes and discriminate between dull and sharp. d) Have the client close his eyes and stand erect.

Have the client close his eyes and jump on one foot

A male client is scheduled for an electroencephalogram (EEG). When the nurse caring for the client is preparing him for the test, the client states that during childhood he was mildly electrocuted but miraculously lived. Therefore, he is quite afraid of going through an EEG. In what ways can the nurse help dispel the client's fear regarding the test? a) Distract the client's attention from the test. b) Encourage adequate water intake by the client. c) Inform the client that he will experience only mild electrical shock. d) Inform the client that he will not experience any electrical shock.

Inform the client that he will not experience any electrical shock

nurse is assisting during a lumbar puncture. How should the nurse position the client for this procedure? a) Lateral, with right leg flexed b) Lateral recumbent, with chin resting on flexed knees c) Supine, with the knees raised toward the chest d) Prone, with the head turned to the right

Lateral recumbent, with chin resting on flexed knees

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? a) Temporal b) Parietal c) Occipital d) Frontal

Occipital

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) Sympathetic b) Peripheral c) Parasympathetic d) Central

Parasympathetic

The Family Nurse Practitioner is assessing a 55-year-old who came to the clinic complaining of being "unsteady" on their feet. What would be a test for equilibrium? a) Heel-to-toe test b) Walking and turning abruptly c) Carlsburg test d) Romberg test

Romberg test

Low levels of the neurotransmitter serotonin lead to which of the following disease processes? a) Depression b) Seizures c) Myasthenia gravis d) Parkinson's disease

depression

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, which deficits are anticipated? a) A delayed reaction in identification of information due to slowed passages of information to brain b) A delayed reaction in processing the information transferred from the environment c) A delayed reaction in cognitive ability to understand the relayed information d) A delayed reaction in response due to the interrupted impulses from the central nervous system

A delayed reaction in response due to the interrupted impulses from the central nervous system

The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern? a) Cerebrospinal fluid is cloudy in nature. b) Physician maintains aseptic procedure. c) Client states a pressure relief in the head. d) Client states a piercing feeling.

Cerebrospinal fluid is cloudy in nature

During recovery from a stroke, a client is given nothing by mouth to help prevent aspiration. To determine when the client is ready for a liquid diet, the nurse assesses the client's swallowing ability once per shift. This assessment evaluates: a) cranial nerves VI and VIII. b) cranial nerves IX and X. c) cranial nerves I and II. d) cranial nerves III and V.

Cranial nerves IX and X

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

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

Which of the following are sympathetic effects of the nervous system? a) Increased peristalsis b) Decreased respiratory rate c) Dilated pupils d) Decreased blood pressure

Dilated pupils

A nurse is caring for a client with deteriorating neurologic status. The nurse is performing an assessment at the beginning of the shift that reveals a falling blood pressure and heart rate, and the client makes no motor response to stimuli. Which documentation of neuromuscular status is most appropriate? a) Abnormal posture b) Decorticate posturing c) Weak muscular tone d) Flaccidity

Flaccidity

The anatomy instructor is discussing the central nervous system. A student asks where the cerebral cortex is located. What should the anatomy instructor answer? a) "It is located in the center of the cerebellum." b) "It is located between the left and right hemispheres of the brain." c) "It is located on the surface of the cerebrum." d) "It is located at the base of the brain."

It is located on the surface of the cerebrum

Which neurotransmitter demonstrates inhibitory action, helps control mood and sleep, and inhibits pain pathways? a) Acetylcholine b) Enkephalin c) Serotonin d) Norepinephrine

Serotonin

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 vagus nerve d) Dysfunction of the facial nerve

dysfunction of the vagus nerve

What safety actions does the nurse need to take for a patient on oxygen therapy who is undergoing magnetic resonance imaging (MRI)? a) Check the patient's oxygen saturation level using a pulse oximeter after the patient has been placed on the MRI table b) Note that no special safety actions need to be taken c) Ensure that no patient care equipment containing metal enters the room where the MRI is located. d) Securely fasten the patient's portable oxygen tank to the bottom of the MRI table after the patient has been positioned on the top of the MRI table

ensure that no patient care equipment containing metal enters the room where the MRI is located

After a plane crash, a client is brought to the emergency department with severe burns and respiratory difficulty. The nurse helps to secure a patent airway and attends to the client's immediate needs, then prepares to perform an initial neurologic assessment. The nurse should perform an: a) evaluation of the corneal reflex response. b) examination of the fundus of the eye. c) evaluation of bowel and bladder functions. d) assessment of the client's gait.

evaluation of the corneal reflex response

Which of the following areas of the brain are responsible for temperature regulation? a) Medulla b) Thalamus c) Hypothalamus d) Pons

hypothalamus

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

the blood will seal the hole in the dura and prenent further loss of cerebral spinal fluid

The client is waiting in a triage area to learn the medical status of his family following a motor vehicle accident. The client is pacing, taking deep breaths, and wringing the hands. Considering the effects in the body systems, what effects does the nurse anticipate in the liver? a) The liver will maintain a basal rate of functioning. b) The liver will produce a toxic by product in relation to stress. c) The liver will convert glycogen to glucose for immediate use. d) The liver will cease function and shunt blood to the heart and lungs.

the liver will convert glycogen to glucose foe immediate use

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) "There's no other option but to assume the knee-chest position." b) "Lying on your left side will be fine during the procedure." c) "Although the required position may not be comfortable, it will make the procedure safer and easier to perform." d) "I'll report your concerns to the physician."

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

The nurse is caring for a client with a significant allergy history to various medications and shellfish. Because the client needs to have a diagnostic study with contrast, which medication classification is anticipated? a) Bronchodilator b) Cardio tonic c) Antibiotic d) Antihistamine

Antihistamine

A client is scheduled for an EEG after having a seizure for the first time. Client preparation for this test should include which instruction? a) "Avoid stimulants and alcohol for 24 to 48 hours before the test." b) "Avoid thinking about personal matters for 12 hours before the test." c) "Don't shampoo your hair for 24 hours before the test." d) "Don't eat anything for 12 hours before the test."

Avoid stimulants and alcohol for 24 to 48 hours before the test

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 III c) CN II d) CN IV

CN I

The physician's office 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) Cerebral angiography b) Myelogram c) Electroencephalogram d) Echoencephalography

Cerebral angiography

The spinal cord is composed of 31 pairs of spinal nerves. How many pairs of thoracic nerves are contained within the spinal column? a) Eight b) Five c) One d) Twelve

Twelve

Damage to which area of the brain results in receptive aphasia? a) Parietal lobe b) Occipital lobe c) Frontal lobe d) Temporal lobe

Temporal lobe

During a routine physical examination to assess a client's deep tendon reflexes, a nurse should make sure to: a) use the pointed end of the reflex hammer when striking the Achilles tendon. b) hold the reflex hammer tightly. c) tap the tendon slowly and softly. d) support the joint where the tendon is being tested.

support the joint where the tendon is being tested