Question 1

The nurse assesses a patient who is sleepy, with slowed responses to stimuli. Which term does the nurse use when documenting this patient's level of consciousness (LOC) ?

Accepted Answer

A)  Coma
B)  Stupor
C)  Lethargic
D)  ConsciousE) None of the above
F) A) and C)

Question 2

A patient with type 2 diabetes mellitus is scheduled for a computed tomography (CT)  scan with contrast. What specific instructions does the nurse provide to the patient to prepare for this test?

Accepted Answer

A)  Restrict fluids for 12 hours before the scan.
B)  Drink 2 L of fluid the day before the scan.
C)  Limit the intake of meat and dairy products before the scan.
D)  Do not take metformin for 48 hours before and after the scan.E) All of the above
F) B) and C)

Question 3

A patient sustains an injury to the left temporal lobe. Which body functions does the nurse expect to be affected by this injury? Select all that apply.

Accepted Answer

A)  Body position
B)  Long-term memory
C)  Auditory perception
D)  Receptive speech center
E)  Expressive speech centerF) A) and C)
G) B) and D)

Question 4

The nurse needs to provide a strong stimulus to illicit a response; however, the patient drifts back to unresponsiveness. What term should the nurse use to document this patient's level of responsiveness?

Accepted Answer

A)  Coma
B)  Stupor
C)  Lethargic
D)  ConsciousE) None of the above
F) B) and C)

Question 5

The nurse recognizes which of the following structures as parts of the brainstem? Select all that apply.

Accepted Answer

A)  Basal ganglia
B)  Medulla oblongata
C)  Midbrain
D)  Pons
E)  ThalamusF) All of the above
G) A) and E)

Question 6

Which commands does the nurse use when conducting a neurological assessment for a patient? Select all that apply.

Accepted Answer

A)  "Squeeze my fingers."
B)  "Wiggle the toes on your right foot."
C)  "Hold up two fingers on your left hand."
D)  "Use your right index finger to touch your nose."
E)  "Raise your left thumb up and down three times."F) B) and E)
G) A) and E)

Question 7

In monitoring a patient after a cerebral angiogram, which actions by the nurse are indicated? Select all that apply.

Accepted Answer

A)  Monitoring intravenous fluid infusion
B)  Elevating the puncture site limb on a pillow
C)  Maintaining pressure on arterial puncture site
D)  Enforcing bedrest for 6 to 12 hours after the procedure
E)  Monitoring vital signs every 15 minutes for the first hourF) None of the above
G) A) and E)

Question 8

A patient has been experiencing numbness of the right hand. Which diagnostic test is indicated to determine the cause of this neurological change?

Accepted Answer

A)  Myelogram
B)  Evoked potentials
C)  Electroencephalography
D)  Magnetic resonance angiographyE) B) and D)
F) A) and B) B

Question 9

Family members are concerned because a patient has been confused over the last few days. What is the best response by the nurse?

Accepted Answer

A)  "Confusion is a normal sign of aging."
B)  "Older people get confused at the end of the day."
C)  "Dizziness is a greater concern than confusion."
D)  "Confusion can mean many things that should be evaluated."E) A) and B)
F) C) and D) D

Question 10

What is the rationale for the nurse to maintain a patient's neck in good alignment to decrease intracranial pressure?

Accepted Answer

A)  Decrease pressure on internal carotid artery
B)  Decrease pressure on external carotid artery
C)  Decrease pressure on internal jugular vein
D)  Decrease pressure on external jugular veinE) A) and D)
F) A) and C)

Question 11

The nurse prepares to assess a patient's cranial nerves. Which tool is needed to assess cranial nerve (CN)  II?

Accepted Answer

A)  Otoscope
B)  Pen light
C)  Lavender
D)  Cotton ballE) A) and B)
F) A) and C)

Question 12

A patient is scheduled for an electroencephalogram. What preprocedure information does the nurse emphasize with this patient?

Accepted Answer

A)  Avoid washing hair for 2 days before the test.
B)  Avoid caffeine for 8 to 12 hours before the test.
C)  Restrict the intake of fluids for 6 hours after the test.
D)  Apply minimal products to the hair the morning of the test.E) A) and B)
F) A) and D)

Question 13

The nurse is preparing a teaching tool about the nervous system. Which type of tissue does the nurse identify as being a part of gray matter? Select all that apply.

Accepted Answer

A)  Dendrites
B)  Cell bodies
C)  Myelin sheath
D)  Axon terminals
E)  Nodes of RanvierF) A) and B)
G) A) and C) A,B,D

Question 14

The nurse correlates the clinical finding of aphasia to damage to which cerebral artery?

Accepted Answer

A)  Anterior cerebral artery
B)  Basilar artery
C)  Middle cerebral artery
D)  Posterior cerebral arteryE) A) and B)
F) A) and C)

Question 15

A patient's blood pressure increases after hearing that diagnostic tests for a health problem have to be repeated. Which receptor of the sympathetic nervous system is responsible for this blood pressure change?

Accepted Answer

A)  Beta
B)  Alpha
C)  Nicotinic
D)  MuscarinicE) All of the above
F) None of the above

Question 16

Which technique should the nurse use to assess a patient's cranial nerve (CN)  IX?

Accepted Answer

A)  Apply a tongue depressor to the back of the throat.
B)  Ask the patient to read from a book or a newspaper.
C)  Ask the patient to smile, frown, puff cheeks, and raise eyebrows.
D)  Ask the patient to follow the examiner's finger as it is moved toward the patient's nose.E) C) and D)
F) B) and D)

Question 17

A patient is experiencing changes in eye movements. Which part of the central nervous system is most likely causing these changes?

Accepted Answer

A)  Pons
B)  Midbrain
C)  Medulla oblongata
D)  Reticular formationE) A) and B)
F) A) and C)

Question 18

A patient is diagnosed with a health problem that causes demyelization of the peripheral nerves. Which cell structure is being affected?

Accepted Answer

A)  Microglia
B)  Astrocytes
C)  Schwann cells
D)  OligodendrocytesE) B) and C)
F) All of the above

Question 19

The nurse conducts a neurological assessment for a patient. Which finding correlates to a parasympathetic stimulation of the autonomic nervous system (ANS) ?

Accepted Answer

A)  Pupils that are constricted
B)  Blood glucose is increased
C)  A heart rate that is increased
D)  A decrease in saliva productionE) B) and C)
F) A) and B)

Question 20

The nurse correlates a change in the taste of food to which cranial nerve (CN) ?

Accepted Answer

A)  CN V Trigeminal
B)  CN VII Facial
C)  CN XI Accessory
D)  CN XII HypoglossalE) B) and C)
F) A) and B)

Exam 35: Assessment of Neurological Function

The nurse assesses a patient who is sleepy, with slowed responses to stimuli. Which term does the nurse use when documenting this patient's level of consciousness (LOC) ?

Correct AnswerverifiedShow Answer

A patient with type 2 diabetes mellitus is scheduled for a computed tomography (CT) scan with contrast. What specific instructions does the nurse provide to the patient to prepare for this test?

Correct AnswerverifiedShow Answer

A patient sustains an injury to the left temporal lobe. Which body functions does the nurse expect to be affected by this injury? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse needs to provide a strong stimulus to illicit a response; however, the patient drifts back to unresponsiveness. What term should the nurse use to document this patient's level of responsiveness?

Correct AnswerverifiedShow Answer

The nurse recognizes which of the following structures as parts of the brainstem? Select all that apply.

Correct AnswerverifiedShow Answer

Which commands does the nurse use when conducting a neurological assessment for a patient? Select all that apply.

Correct AnswerverifiedShow Answer

In monitoring a patient after a cerebral angiogram, which actions by the nurse are indicated? Select all that apply.

Correct AnswerverifiedShow Answer

A patient has been experiencing numbness of the right hand. Which diagnostic test is indicated to determine the cause of this neurological change?

Correct AnswerverifiedB

Family members are concerned because a patient has been confused over the last few days. What is the best response by the nurse?

Correct AnswerverifiedD

What is the rationale for the nurse to maintain a patient's neck in good alignment to decrease intracranial pressure?

Correct AnswerverifiedShow Answer

The nurse prepares to assess a patient's cranial nerves. Which tool is needed to assess cranial nerve (CN) II?

Correct AnswerverifiedShow Answer

A patient is scheduled for an electroencephalogram. What preprocedure information does the nurse emphasize with this patient?

Correct AnswerverifiedShow Answer

The nurse is preparing a teaching tool about the nervous system. Which type of tissue does the nurse identify as being a part of gray matter? Select all that apply.

Correct AnswerverifiedA,B,D

The nurse correlates the clinical finding of aphasia to damage to which cerebral artery?

Correct AnswerverifiedShow Answer

A patient's blood pressure increases after hearing that diagnostic tests for a health problem have to be repeated. Which receptor of the sympathetic nervous system is responsible for this blood pressure change?

Correct AnswerverifiedShow Answer

Which technique should the nurse use to assess a patient's cranial nerve (CN) IX?

Correct AnswerverifiedShow Answer

A patient is experiencing changes in eye movements. Which part of the central nervous system is most likely causing these changes?

Correct AnswerverifiedShow Answer

A patient is diagnosed with a health problem that causes demyelization of the peripheral nerves. Which cell structure is being affected?

Correct AnswerverifiedShow Answer

The nurse conducts a neurological assessment for a patient. Which finding correlates to a parasympathetic stimulation of the autonomic nervous system (ANS) ?

Correct AnswerverifiedShow Answer

The nurse correlates a change in the taste of food to which cranial nerve (CN) ?

Correct AnswerverifiedShow Answer

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B

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D

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A,B,D

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