Nervous System/Acute Intracranial Problems
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Drugs or diseases that impair the function of the extrapyramidal s
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ystem may cause loss of ., ., ., .,
a. sensations of pain and temperature
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b. regulation of the autonomic nervous system
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c. integration of somatic and special sensory inputs
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d. automatic movements associated with skeletal muscle activity -
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correct answer ✔ ✔
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d. automatic movements associated with skeletal muscle activit
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y
Rationale: A group of descending motor tracts carries impulses fr
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om the extrapyramidal system, which includes all motor systems (
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except the pyramidal pathways) concerned with voluntary move
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ment. It includes descending pathways originating in the brainste
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m, basal ganglia, and cerebellum. The motor output exits the spin
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al cord by way of the ventral roots of the spinal nerves.
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,An obstruction of the anterior cerebral arteries will effect function
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s of .,
a. visual imaging
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b. balance and coordination
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c. judgement, insight, and reasoning
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d. visual and auditory integration for language comprehension -
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correct answer ✔ ✔ c. judgement, insight, and reasoning
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Rationale: The anterior cerebral artery feeds the medial and anteri
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or portions of the frontal lobes. The anterior portion of the frontal
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lobe controls higher order processes such as judgment and reasoni
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ng.
Paralysis of lateral gaze indicates a lesion of cranial nerve
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a. II .,
b. III .,
c. IV .,
d. VI - correct answer ✔ ✔ d. VI
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Rationale: Cranial nerves III (oculomotor), IV (trochlear), and VI
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(abducens) are responsible for eye movement. The lateral rectus e
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,ye muscle is innervated by cranial nerve VI, and it is the primary
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muscle that is responsible for lateral eye movement.
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A result of stimulation of the parasympathetic nervous system is (
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select all that apply) ., ., .,
a. constriction of bronchi
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b. dilation of skin blood vessels
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c. increased secretion of insulin
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d. increased blood glucose levels
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e. relaxation of urinary sphincters - correct answer ✔ ✔
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a. constriction of bronchi
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b. dilation of skin blood vessels
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c. increased secretion of insulin
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e. relaxation of urinary sphincters
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Rationale: Stimulation of the parasympathetic nervous system res
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ults in constriction of the bronchi, dilation of blood vessels to the
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skin, increased secretion of insulin, and relaxation of the urinary s
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phincter. Stimulation of the sympathetic nervous system results in
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increased blood glucose levels.
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, Assessment of muscle strength of older adults cannot be compare
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d with that of younger adults because
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a. stroke is more common in older adults
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b. nutritional status is better in younger adults
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c. most young people exercise more than older people
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d. aging leads to decrease in muscle bulk and strength -
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correct answer ✔ ✔
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d. aging leads to decrease in muscle bulk and strength
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Rationale: Changes associated with aging include decreases in m
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uscle strength and agility in relation to decreased muscle bulk.
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Data regarding mobility, strength, coordination, and activity toler
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ance are important for the nurse to obtain because
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a. many neurologic diseases affect one or more of these areas
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b. patients are less able to identify other neurologic impairments
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c. these are the first functions to be affected by neurologic disease
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s