Neurologic System

This question bank verified by Studydeets

All Questions

Question 1

Free

Multiple Choice

A nurse assesses a patient with a head injury who has slowing intellectual functioning, personality changes, and emotional lability. The nurse correlates these findings with which area of the brain?

Choose correct answer/s

Frontal lobe

Parietal lobe

Thalamus

Temporal lobe

Check answer

Question 2

Free

Multiple Choice

In assessing a patient with damage to the occipital lobe, the nurse correlates which clinical manifestation to this injury?

Choose correct answer/s

Intentional tremors

Visual changes

Decreased hearing

Inability to formulate words

Check answer

Question 3

Free

Multiple Choice

Which patient behavior indicates to the nurse that the patient's facial cranial nerve (CN VII) is intact?

Choose correct answer/s

The patient's eyes move to the left, right, up, down, and obliquely.

The patient moistens the lips with the tongue.

The sides of the mouth are symmetric when the patient smiles.

The patient's eyelids blink periodically.

Check answer

Question 4

Free

Multiple Choice

A nurse assessing a patient who had a cerebrovascular accident involving the Broca area suspects expressive or nonfluent aphasia. What communication abilities does the nurse anticipate from this patient?

Choose correct answer/s

The patient understands speech but is unable to translate ideas into meaningful speech.

The patient is unable to comprehend speech and thus does not respond verbally.

The patient is able to understand speech but has difficulty forming words, creating muffled speech.

The patient is unable to comprehend speech and responds inappropriately to conversation.

Check answer

Question 5

Free

Multiple Choice

The nurse hears in a report that a patient has receptive or fluent aphasia. What communication abilities does the nurse anticipate from this patient?

Choose correct answer/s

The patient understands speech but is unable to translate ideas into meaningful speech.

The patient is able to understand speech but has difficulty forming words creating muffled speech.

The patient is unable to comprehend speech and thus does not respond verbally.

The patient is emotionally liable and cries easily, which interferes with the ability to communicate.

Check answer

Question 6

Multiple Choice

What is the earliest and most sensitive indication of altered cerebral function?

Choose correct answer/s

Unequal pupils

Loss of deep tendon reflexes

Paralysis on one side of the body

Change in level of consciousness

To unlock the question

Question 7

Multiple Choice

A patient reports having difficulty swallowing. Based on this information, how does the nurse assess the cranial nerve related to swallowing?

Choose correct answer/s

Ask the patient about feeling the blunt end of a paper clip along the jaw line.

Observe the rising of the soft palate when the patient says "Ahh."

Observe the symmetry of the face when the patient talks.

Assess taste on the anterior part of the tongue.

To unlock the question

Question 8

Multiple Choice

A patient reports having difficulty swallowing. Based on this information, how does the nurse assess the appropriate cranial nerve?

Choose correct answer/s

Ask the patient to stick out the tongue and move it in all directions.

Ask the patient to move the head to the right and left.

Observe the symmetry of the face when the patient talks.

Assess for taste on the anterior part of the tongue.

To unlock the question

Question 9

Multiple Choice

In assessing a patient's deep tendon reflexes, a nurse finds a patient has a 4+ triceps response. How does the nurse interpret this finding?

Choose correct answer/s

A hyperactive response

A diminished response

An absent response

An expected response

To unlock the question

Question 10

Multiple Choice

The nurse holds the patient's relaxed arm with elbow flexed at a 90-degree angle, places a thumb over a tendon in the antecubital fossa, and strikes the thumb with the pointed end of the reflex hammer. Which deep tendon reflex is the nurse assessing?

Choose correct answer/s

Brachioradialis

Biceps

Triceps

Deltoid

To unlock the question

Question 11

Multiple Choice

A patient has a compression fracture of the cervical spine at C7 to C8 that is impairing deep tendon reflexes. Which response will the nurse expect from the affected deep tendon reflex?

Choose correct answer/s

Diminished to absent pronation of the arm

Diminished to absent flexion of the elbow

Diminished to absent extension of the elbow

Diminished to absent adduction of the upper arm

To unlock the question

Question 12

Multiple Choice

A nurse holds the patient's relaxed left arm, with elbow flexed at a 90-degree angle, in one hand. The nurse palpates and then strikes the appropriate tendon just above the elbow with either end of the reflex hammer. What is the expected response for this deep tendon reflex?

Choose correct answer/s

Flexion of the left elbow

Pronation of the left forearm

Supination of the left arm

Extension of the left elbow

To unlock the question

Question 13

Multiple Choice

A nurse holds the patient's relaxed arm with the elbow flexed at a 90-degree angle, places a thumb over the appropriate tendon in the antecubital fossa, and strikes the thumb with the pointed end of the reflex hammer. What is the expected response for this deep tendon reflex?

Choose correct answer/s

Extension of the left elbow

Pronation of the left forearm

Supination of the left arm

Flexion of the left elbow

To unlock the question

Question 14

Multiple Choice

How does a nurse test the brachioradial deep tendon reflex?

Choose correct answer/s

Uses the end of the handle on the reflex hammer to stroke the lateral aspect of the sole of the patient's foot from heel to ball.

Asks the patient to slightly pronate the relaxed forearm into the nurse's hand and strikes the appropriate tendon with the reflex hammer.

Holds the patient's relaxed arm with the elbow flexed at a 90-degree angle in one hand, and palpates and strikes the appropriate tendon just above the elbow with the flat end of the reflex hammer.

Holds the patient's relaxed arm with the elbow flexed at a 90-degree angle, places a thumb over the appropriate tendon in the antecubital fossa, and strikes the thumb with the pointed end of the reflex hammer.

To unlock the question

Question 15

Multiple Choice

A nurse dorsiflexes a patient's right ankle 90 degrees and then uses a reflex hammer to strike the appropriate tendon. What is the expected response for this deep tendon reflex?

Choose correct answer/s

Extension of the right lower leg

Plantar flexion of the right toes

Dorsiflexion of the right foot

Plantar flexion of the right foot

To unlock the question

Question 16

Multiple Choice

The nurse moves a wisp of cotton lightly across the anterior scalp, paranasal sinuses, and lower jaw to test the function of which cranial nerve?

Choose correct answer/s

CN IV (trochlear nerve)

CN V (trigeminal nerve)

CN VI (abducens nerve)

CN VII (facial nerve)

To unlock the question

Question 17

Multiple Choice

A nurse who is assessing a patient's eyes finds that the pupils are equal, round, and react to light and accommodation (PERRLA). These findings verify the expected functioning of which cranial nerve?

Choose correct answer/s

Optic cranial nerve (CN II)

Oculomotor cranial nerve (CN III)

Trochlear cranial nerve (CN IV)

Abducens cranial nerve (CN VI)

To unlock the question

Question 18

Multiple Choice

In assessing a patient with a tumor in the pons, the nurse expects to find which abnormalities due to pressure on cranial nerves?

Choose correct answer/s

Dilated pupils and ptosis

Facial asymmetry and impaired hearing

Difficulty swallowing

Impaired gag reflex

To unlock the question

Question 19

Multiple Choice

The nurse assesses the glossopharyngeal nerve (CN IX) by testing which reflex?

Choose correct answer/s

Corneal reflex

Gag reflex

Blink reflex

Cough reflex

To unlock the question

Question 20

Multiple Choice

Which cranial nerve is assessed when a nurse asks a patient to stick out the tongue and move it side to side?

Choose correct answer/s

Vagus nerve (CN X)

Facial nerve (CN VII)

Abducens nerve (CN VI)

Hypoglossal nerve (CN XII)

To unlock the question