Chapter 65 Quiz

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Question #1

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 3+

B 2+

C 1+

D 0

Question #2

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 III

B CN II

C CN I

D CN IV

Question #3

A client is weak and drowsy after a lumbar puncture. The nurse caring for the client knows that what priority nursing intervention should be provided after a lumbar puncture?

A Administer antihistamines to the client.

B Provide adequate caffeine-rich drinks to the client.

C Assess the level of consciousness (LOC) and the pupil response of the client.

D Position the client flat for at least 3 hours.

Question #4

Which occurs when reflexes are hyperactive when the foot is abruptly dorsiflexed?

A Flaccidity

B Rigidity

C Ataxia

D Clonus

Question #5

If a client has a lower motor neuron lesion, the nurse would expect the client to exhibit

A muscle spasticity.

B no muscle atrophy.

C hyperactive reflexes.

D decreased muscle tone.

Question #6

An 83-year-old woman suffers a stroke at home and is hospitalized for treatment and management. Which of the following diagnostic procedures would be best to visualize the extent of damage?

A Magnetic resonance angiography (MRA)

B Computed tomography (CT)

C Diffusion-weighted imaging (DWI)

D Magnetic resonance imaging (MRI)

Question #7

The sympathetic and parasympathetic nervous systems have a direct effect on the circulatory system. Stimulation of the parasympathetic nervous system (PNS) causes which of the following?

A Blood vessels in the skeletal muscles to dilate

B Blood pressure to increase

C Heartbeat to decrease

D Blood vessels in the heart muscle to dilate

Question #8

The nurse is assessing the throat of a client with throat pain. In asking the client to stick out the tongue, the nurse is also assessing which cranial nerve?

A Cranial nerve I

B Cranial nerve V

C Cranial nerve XI

D Cranial nerve XII

Question #9

The nurse who is employed in a neurologist’s office is performing a history and assessment on a client experiencing hearing difficulty. The nurse is most correct to gather equipment to assess the function of cranial nerve:

A V

B VIII

C VIII

D VIII

Question #10

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, the nurse would anticipate a delayed reaction in:

A response due to interrupted impulses from the central nervous system

B cognitive ability to understand relayed information.

C identification of information due to slowed passages of information to brain

D processing information transferred from the environment.

Question #11

Cranial nerve IX is also known as which of the following?

A Hypoglossal

B Glossopharyngeal

C Spinal accessory

D Vagus

Question #12

A nurse is performing a neurologic assessment on the client and notes a positive Romberg test. This test for balance is related to which of the following cranial nerves?

A VIII

B X

C VII

D IX

Question #13

Which lobe of the brain is responsible for spatial relationships?

A Parietal

B Occipital

C Frontal

D Temporal

Question #14

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 Maintain the client NPO for 6 hours before the test.

C Obtain two large-bore IV lines.

D Obtain a blood sample to evaluate BUN and creatinine concentrations.

Question #15

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 Watch-tick test

C Rinne test

D Romberg test

Question #16

A comatose client is being cared for by a critical care nurse who documents that the client responds only to very painful stimuli by fragmentary, delayed reflex withdrawal. The nurse knows that reflexes in the body are centered where?

A In the midbrain

B In the spinal cord

C In the medulla oblongata

D In the pons

Question #17

The nurse is performing a neurologic assessment on a client diagnosed with a stroke and cannot elicit a gag reflex. This deficit is related to which of the following cranial nerves?

A VII

B IX

C XII

D VIII

Question #18

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 tap the tendon slowly and softly.

C support the joint where the tendon is being tested.

D hold the reflex hammer tightly.

Question #19

A nurse is caring for a client with lower back pain who is scheduled for myelography using metrizamide (a water-soluble contrast dye). After the test, the nurse should place the client in which position?

A Supine with feet raised

B Head of the bed elevated 45 degrees

C Supine with the head lower than the trunk

D Prone

Question #20

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 Temporal lobe

C Occipital lobe

D Parietal lobe

Question #21

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 Can you count backward from 100?”

C Are you having hallucinations now?”

D Can you write your name on this piece of paper?”

Question #22

If a client has a lower motor neuron lesion, the nurse would expect to observe which manifestation upon physical assessment?

A Hyperactive reflexes

B NO muscle atrophy

C Decreased muscle tone

D Muscle spasticity

Question #23

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 Echoencephalography

B Electroencephalogram

C Cerebral angiography

D Myelogram

Question #24

A client is waiting in a triage area to learn the medical status of family members following a motor vehicle accident. The client is pacing, taking deep breaths, and handwringing. Considering the effects in the body systems, the nurse anticipates that the liver will:

A cease function and shunt blood to the heart and lungs.

B produce a toxic byproduct in relation to stress.

C convert glycogen to glucose for immediate use.

D maintain a basal rate of functioning.

Question #25

The brain stem holds the medulla oblongata. What is the function of the medulla oblongata?

A controls striated muscle activity in blood vessel walls

B transmits motor impulses from the brain to the spinal cord

C transmits sensory impulses from the brain to the spinal cord

D controls parasympathetic nerve impulses in the pons

Question #26

Which lobe of the brain is responsible for concentration and abstract thought?

A Occipital

B Frontal

C V

D Temporal

Question #27

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 will seal the hole in the dura and prevent further loss of cerebral spinal fluid.”

B The blood can repair damage to the spinal cord that occurred with the procedure

C The blood provides moisture at the site, which encourages healing.”

D The blood will replace the cerebral spinal fluid that has leaked out.”

Question #28

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 XII

C V

D VI

Question #29

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 II

B CN III

C CN I

D CN IV

Question #30

The nurse has completed evaluating the client’s cranial nerves. The nurse documents impairment of the right cervical nerves (CN IX and CN X). Based on these findings, the nurse should instruct the client to

A use the walker when walking.

B wear any hearing aids while in the hospital.

C refrain from eating or drinking for now.

D have their spouse bring in the client’s glasses.

Question #31

Which term refers to the inability to coordinate muscle movements, resulting in difficulty walking?

A Rigidity

B Ataxia

C Agnosia

D Spasticity

Question #32

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 Pupil reaction quick

B Absence of pupillary response

C Unequal pupils

D Pupil reacts to light

E Pinpoint pupils

Question #33

A nurse is completing a neurological assessment and determines that the client has significant visual deficits. Considering the functions of the lobes of the brain, which area will most likely contain the neurologic deficit?

A frontal

B temporal

C parietal

D occipital

Question #34

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 intellectual function.

C motor ability.

D thought content.

Question #35

Which term refers to the inability to coordinate muscle movements, resulting difficulty walking?

A Rigidity

B Spasticity

C Agnosia

D Ataxia

Question #36

Lesions in the temporal lobe may result in which type of agnosia?

A Relationship

B Tactile

C Auditory

D Visual

Question #37

Which neurotransmitter demonstrates inhibitory action, helps control mood and sleep, and inhibits pain pathways?

A Enkephalin

B Acetylcholine

C Serotonin

D Norepinephrine

Question #38

A client who was found unconscious at home is brought to the hospital by a rescue squad. In the intensive care unit, the nurse checks the client’s oculocephalic (doll’s eye) response by:

A shining a bright light into the pupil.

B turning the client’s head suddenly while holding the eyelids open.

C introducing ice water into the external auditory canal.

D touching the cornea with a wisp of cotton.

Question #39

A patient has been diagnosed with damage to Broca’s area of the left frontal lobe. To document the extent of damage, the nurse would assess the patient’s:

A Hearing.

B Vision.

C Balance.

D Speech.

Question #40

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 Toast

B Eggs

C Coffee

D Orange juice

Question #41

Which safety action will the nurse implement for a client receiving oxygen therapy who is undergoing magnetic resonance imaging (MRI)?

A Ensure that no client care equipment containing metal enters the room where the MRI table is located.

B Check the client’s oxygen saturation level using a pulse oximeter after the client has been placed on the MRI table.

C Note that no special safety actions need to be taken.

D Securely fasten the client’s portable oxygen tank to the bottom of the MRI table after the client has been positioned on the table.

Question #42

The nurse is instructing a community class when a student asks, “How does someone get super strength in an emergency?” The nurse should respond by describing the action of the:

A musculoskeletal system.

B endocrine system.

C sympathetic nervous system.

D parasympathetic nervous system.

Question #43

Which of the following neurotransmitters are deficient in myasthenia gravis?

A Serotonin

B GABA

C Dopamine

D Acetylcholine

Question #44

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 The inability to maintain steady balance for the Romberg test

B Absence of movement below the waist

C Intentional tremors

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

Question #45

A nurse is preparing a client for a lumbar puncture. The client has heard about post-lumbar puncture headaches and asks what causes them. The nurse tells the client that these headches are caused by which of the following?

A Not ambulating soon enough after the procedure

B Damage to the spinal cord

C Cerebral spinal fluid leakage at the puncture site

D Traumatic puncture

Question #46

What safety actions does the nurse need to take for a client receiving oxygen therapy who is undergoing magnetic resonance imaging (MRI)?

A Securely fasten the client’s portable oxygen tank to the bottom of the MRI table after the client has been positioned on the top of the MRI table

B Note that no special safety actions need to be taken

C Check the client’s oxygen saturation level using a pulse oximeter after the client has been placed on the MRI table

D that no client care equipment containing metal enters the room where the MRI is located.

Question #47

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

B I’ll report your concerns to the physician.”

C There’s no other option but to assume the knee-chest position.”

D Lying on your left side will be fine during the procedure.”

Question #48

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 problems with balance?”

C Do you have any trouble swallowing food or fluids?”

D Do you have any difficulty speaking?”

Question #49

The nurse is completing a neurologic assessment and uses the whisper test to assess which cranial nerve?

A Acoustic

B Facial

C Olfactory

D Vagus

Question #50

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 Decorticate posturing

B Flaccidity

C Weak muscular tone

D Abnormal posture

Question #51

A nurse is working in a neurologist’s office. The physician orders a Romberg test. The nurse should have the client:

A close his or her eyes and stand erect.

B close his or her eyes and jump on one foot.

C touch his or her nose with one finger.

D close his or her eyes and discriminate between dull and sharp.

Question #52

The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern?

A Client reports a piercing feeling.

B Client reports pressure relief in the head.

C Cerebrospinal fluid is cloudy in nature.

D Physician maintains aseptic procedure.

Question #53

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 neck and upper chest area.

B moved the client’s head to clean behind the ears.

C used mild soapy water to clean the face.

D cleaned the eye area from the inner to outer eye area.

Question #54

What part of the brain controls and coordinates muscle movement?

A Midbrain

B Brain stem

C Cerebrum

D Cerebellum

Question #55

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 Inform the client that he will experience only mild electrical shock.

B Encourage adequate water intake by the client.

C Distract the client’s attention from the test.

D Inform the client that he will not experience any electrical shock.

Question #56

The nurse is caring for a male client who is scheduled for a neurologic examination that uses a radiopaque dye. Before the test, the nurse assesses the allergy history of the client and find the client is allergic to seafood. What does the nurse relate the allergy to seafood as?

A An allergy to radiation exposure

B An allergy to morphine

C An allergy to antihistamines

D An allergy to iodine

Question #57

Which is a sympathetic effect of the nervous system?

A Increased peristalsis

B Decreased blood pressure

C Decreased respiratory rate

D Dilated pupils

Question #58

A nurse is assisting during a lumbar puncture. How should the nurse position the client for this procedure?

A Prone, with the head turned to the right

B Supine, with the knees raised toward the chest

C Lateral, with right leg flexed

D Lateral recumbent, with chin resting on flexed knees

Question #59

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 Maintain the client NPO for 6 hours before the test.

C Obtain a blood sample to evaluate BUN and creatinine concentrations

D Obtain two large-bore IV lines.

Question #60

A patient recently noted difficulty maintaining his balance and controlling fine movements. The nurse explains that the provider will order diagnostic studies for the part of his brain known as the:

A Midbrain.

B Medulla oblongata.

C Pons.

D Cerebellum.

Question #61

A patient has a deficiency of the neurotransmitter serotonin. The nurse is aware that this deficiency can lead to:

A Seizures.

B Myasthenia gravis.

C Parkinson’s disease.

D Depression.

Question #62

Which of the following is a sympathetic nervous system effect?

A Decreased peristalsis

B Decreased blood pressure

C Constricted pupils

D Constricted bronchioles

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