Test1 Neuro

A nurse is developing a plan of care for a client who has had a stoke and is experiencing homonymous hemionopsia. Which interventions does the nurse include in the care plan to help the client to overcome this deficit?

Encouraging the client to turn the head from side to side to scan the complete range of vision?

A nurse performing a cranial nerve assessment is testing the function of oculomotor, trochlear, and abducens nerves. Which of the following parameters does the nurse check to determine the function of these nerves?

Eye movments

During a neurological assessment, the nurse asks the client to pull out both cheeks. Which cranial nerve is the nurse assessing?

Facial

A client who experienced a brain attack (stroke) exhibits right-sided unilateral neglect. The nurse caring for this client plans to place the client's personal care items?

Within the client's reach on the right side

An 83-year-old patient has ahd a stroke. He is right-handed and has a history of hypertension and "little" strokes. he present with right hemiplegia. To afford him the best visual field, the nurse should approach him?

from the left side

The nurse educator provides an in-service program about Parkinson's disease. Which clinical manifestation is the educator most likely to include as the intial sign of Parkinson's disease

muscle tremors

Why are the drugs neostigmine and pyridostigmine helpful to the person with myasthenia gravis?

promotes nerve impulse transmission

A licensed pratical nurse reinforces information about activity and excercise to the wife of a client with Parkinon's Disease. Which statement by the spouse indicates a need for further teaching?

"I should encourage him to keep his hands hanging at his side when he walks"

A nurse teaches an 80-year-old client with diminished touch sensation. Which statement should the nurse include in the client's teachings?

"Look at the placement of your feet when walking"

A nurse is caring for a 39-year old client who has experiened a mild brain attack (stroke). The client is recently widowed is very active physically, and has two young sons. The client says to the nurse. "I don't know what my sons will do if anything permanent happens to me. We have no other relatives, even on my late wife's side" Which of the following nuring responses would be theropeutic?

"you seem to be feeling very troubled"

What is the reticular activating system (RAS) essential to?

1. Concentration 2. Wakefulness 3. Attention 4. Introspection

A nurse is evaluating outcomes for a client with Guillain-Barre syndrome. Which of the following outcomes does the nurse recognize as optimal respiratory outcomes for the client?

1. Improved skeletal muscle tone 2. Absence of parethesias in the lower extremities 3. Clear sounds in the lower lung fields bilaterally

What are the three signs of cushing response?

1. Increased blood pressure 2. Widened pulse pressure 3. Bradycardia 4. Increased systolic blood pressure

What are the effects of normal aging on the nervous system?

1. Loss of neurons 2. Reduction of cerebral blood flow 3. Lipfuscin 4. Decrease in oxygen use

A client arrives at the nursing unit with neurological deficits after a motor vehicle accident Using the Glasgow Coma Scale, the nurse assess what client repsonse?

1. Verbal response to speech 2. Eye opening in response to speech 3. Motor activity in response to a verbal command

A nurse is preparing to asess the function of a client's spinal accessory nerve. Which of the following actions does the nurse ask the client to take to aid assessment of this nerve?

Shrugging the shoulders against the nurs's resistance

What is the nurse aware of when assessing a person with a craniocerebral injury?

Signs and symptoms may not occur until several days after the trauma

How would a nurse record the behavior when a patient with Alzheimer disease attempts to eat using a napkin rather than a fork?

Agnosia

A Tensilon test is performed on a client with suspected myasthenia gravis. which finding constitutes a positive result?

An increase in muscle strength

A nurse is performing a neurological examination is testing the cochlear portion of the acoustic nerve. Which of the following actions does the nurse take to to test this nerve?

Asking the client to close his or her eyes and then indicate when a ticking watch is heard as the nurse brings the watch closer to the client's ear.

What is the priority nursing intervention in the posticatal phase of a siezure?

Assess the client's breathing pattern

A client experiences a traumatic brain injury. Which finding identified by the nurse indicates damage tot he upper motor neurons?

Babinski response

Before discharge, nurse instructs the client who will take phenytoin sodium(Dilantin) at home to perform which hygien measure?

Brushing at least twice daily

What does the nurse know about the stroke patient who has expressive aphasia?

Can understand the spoke word, but cannot speak

A nurse is preparing to test cranial nerve 1. Which item does the nurse obtain to test this nerve?

Coffee

A nurse is performing a throat assessment on an assigned client. On asking the client to stick his tongue out, the nurse notes that it protrudes in the midline. Which of the following cranial nerves is the nurse testing.?

Cranial nerve X11

The nurse assures an anxious family member of a 92-year-old patient who is demonstrating signs of dementia that many causes of dementia are reversible and preventable. What is one example?

Hypontension

A client with myasthenia gravis is taking neostigmine bromide( Prostigmin) nurse determines that the client is gaining a therapeutic effect from the medication after noting?

Improved swallowing function

When completing a neurolgical assessment, the nurse determines that a client has a positive Romberg test. Which finding supports the nurse's conclusion?

Inability to stand with feet together when eyes are closed

When implementing seizure precautions, which nursing action is most appropriate?

Maintain the client's bed in the lowest position

What is the basic problem that prompts most of the early signs of Alzheimer disease?

Memory loss that disrupts daily life

A client who had a stroke has left-sided weakness and is having difficulty holding utensils while eating. To which of these services does the nurse suggest a referal?

Occupational therapy

The client with Parkinson's disease takes levodopa/carbidopa (Sinemet) three times a day. When the nurse observes that the client has difficulty swallowing the capsule of medication, which action is best to take?

Offer water before giving the capsule

A nurse performing a neurological assessment of an adult client asks the client to identify various odors. In this technique, which cranial nerve is the nurse assessing?

Olfactory

A nurse is assessing a dyspneic client who has een found to have Guillain-barre-syndrome. Which of the following arterial blood gas findings would cause the nurse to conclude that the client is experiencing hypoxemic respiratory failure?

Pao2 of 50mm Hg. Paco2 of 40 mm Hg

A client who experienced a brain attack (stroke) is experiencing residual dysphagia. Which of the following foods would the nurse remove from the client's meal tray?

Peas

A family member of a patient who has just suffered a tonic-clonic seizure is concerned about the patient's deep sleep. What is this behavior called?

Postictal period

Why are the drugs neostigmine and pyridostigmine helpful to the person with myasthenia gravis?

Promotes nerve impulse transmission

As the result of a stroke, a patient has difficulty discerning the position of his body without looking at it. In the nurse's documentation, which would best describe the patient's inability to assess spatial position of his body?

Proprioception

After X-rays are taken of the head, neck, and spine, the client is diagnosed with a head injury and admitted for inpatient care. When assessing the client with head injury, which assessment finding should receive priority attention?

Pupllary responses

What is the pupose of a "drug holiday" in the treatment of Parkinsons disease?

Restart drugs at a lower dosage with favorable results

A nurse is providing home care instructions to a client with Parkinson disease about measures to avoid rigidity and to overcome tremor and bradykinesea. The nurse tells the client to?

Rock back and forth to start movement

A nurse prepares to teach a client who has experienced damage to the left temporal lobe of the brain. Which action should the nurse take when providing education about newly prescribed medications this client?

Sit on the client's right side and speak into the right ear

When the nurse monitors the client's neurologic status, which findings is suggestive that the client's intracranial pressure is increasing?

Systolic pressure increase and diastolic pressure decreases

A nurse is caring for a client who has had a stroke and is experiencing hemianopsia. Which of the following measures does the nurse take in the care of the client?

Teaching the client to move the head from side to side(scan) when eating

Why is the patient with suspected Guillain-Barre Syndrom (GBS) hospitlized immediately?

The disease can rapidly progress into respiratory failure

When documenting a seizure, which information is most important to include intitally?

The duration of the seizure

How would the nurse instruct a patient with Parkinson desease to improve activity level?

To walk with hands clasped behind back to help balance

A patient has recently suffered a stroke with left-sided weaknes and hass problems with choking, especially when drinking thin liquids. What nursing interventions would be most helpful in assisting this patient to swallow safety?

Tuck chin when swallowing