Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Study online at https://quizlet.com/_gw7y11
1. 1. A patient is brought to the B
ER following a motor vehi- Feedback:
cle accident in which he sus- The posterior lobe of the cerebral hemisphere is responsible for
tained head trauma. Prelim- visual interpretation. The temporal lobe
inary assessment reveals a contains the auditory receptive areas. The parietal lobe contains
vision deficit in the patients the primary sensory cortex, and is
left eye. The nurse should essential to an individuals awareness of the body in space, as well
associate this as orientation in space and spatial
abnormal finding with trau- relations. The frontal lobe functions in concentration, abstract
ma to which of the following thought, information storage or memory, and motor function.
cerebral lobes?
A) Temporal
B) Occipital
C) Parietal
D) Frontal
2. 2. A patient scheduled for B
magnetic resonance imag- Feedback:
ing (MRI) has arrived at the Patient preparation for an MRI consists of removing all met-
radiology department. The al-containing objects prior to the
nurse who prepares the pa- examination. Withholding stimulants would not affect an MRI;
tient for the MRI should pri- this relates to an electroencephalography
oritize which of the follow- (EEG). Instructing the patient to void is patient preparation for a
ing actions? lumbar puncture. Initiating an IV line
A) Withholding stimulants for administration of contrast would be done if the patient was
24 to 48 hours prior to having a CT scan with contrast.
exam
B) Removing all metal-con-
taining objects
C) Instructing the patient to
void prior to the MRI
actualstudy Page 1
, Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Study online at https://quizlet.com/_gw7y11
D) Initiating an IV line for ad-
ministration of contrast
3. 3. A gerontologic nurse B
planning the neurologic as- Feedback:
sessment of an older adult is Reduction in cerebral blood flow (CBF) is a change that occurs in
considering normal, age re- the normal aging process. Deep
lated changes. Of what phe- tendon reflexes can be decreased or, in some cases, absent.
nomenon should the nurse Cerebral metabolism decreases as the patient
be aware? advances in age. Reaction to painful stimuli may be decreased
A) Hyperactive deep tendon with age. Because pain is an important
reflexes warning signal, caution must be used when hot or cold packs are
B) Reduction in cerebral used.
blood flow
C) Increased cerebral me-
tabolism
D) Hypersensitivity to
painful stimuli
4. 4. The nurse has admitted a B
new patient to the unit. One Feedback:
of the patients admitting or- The term adrenergic refers to the sympathetic nervous system.
ders is for an Sympathetic effects include an increased
adrenergic medication. The rate and force of the heartbeat. Cholinergic effects, which corre-
nurse knows that this med- spond to the parasympathetic division of
ication will have what effect the autonomic nervous system, include thin, watery saliva, de-
on the circulatory creased rate and force of heartbeat, and
system? decreased BP.
A) Thin, watery saliva
B) Increased heart rate
C) Decreased BP
D) Constricted bronchioles
actualstudy Page 2
, Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Study online at https://quizlet.com/_gw7y11
5. 5. A nurse is assessing re- C
flexes in a patient with hy- Feedback:
peractive reflexes. When the When reflexes are very hyperactive, a phenomenon called clonus
patients foot is abruptly may be elicited. If the foot is abruptly
dorsiflexed, it continues to dorsiflexed, it may continue to beat two to three times before it
beat two to three times be- settles into a position of rest. Rigidity is
fore settling into a resting an increase in muscle tone at rest characterized by increased
position. How would the resistance to passive stretch. Flaccidity is
nurse document this find- lack of muscle tone. Ataxia is the inability to coordinate muscle
ing? movements, resulting in difficulty
A) Rigidity walking, talking, and performing self-care activities.
B) Flaccidity
C) Clonus
D) Ataxia
6. 6. The nurse is doing an ini- B
tial assessment on a patient Feedback:
newly admitted to the unit Difficulty copying a figure that the nurse has drawn would be con-
with a diagnosis of sidered visual-receptive aphasia, which involves the parietal-oc-
cerebrovascular accident cipital area. Expressive aphasia, the inability to express oneself,
(CVA). The patient has diffi- is often
culty copying a figure that associated with damage to the frontal area. Receptive aphasia,
the nurse has drawn and the inability to understand what someone
is diagnosed with visual-re- else is saying, is often associated with damage to the temporal
ceptive aphasia. What brain lobe area.
region is primarily involved
in this deficit?
A) Temporal lobe
B) Parietal-occipital area
C) Inferior posterior frontal
areas
D) Posterior frontal area
actualstudy Page 3
, Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Study online at https://quizlet.com/_gw7y11
7. 7. What term is used to de- D
scribe the fibrous connec- Feedback:
tive tissue that hugs the The term meninges describes the fibrous connective tissue that
brain closely and extends covers the brain and spinal cord. The
into meninges have three layers, the dura mater, arachnoid, and pia
every fold of the brains sur- mater. The pia mater is the innermost
face? membrane that hugs the brain closely and extends into every fold
A) Dura mater of the brains surface. The dura mater,
B) Arachnoid the outermost layer, covers the brain and spinal cord. The arach-
C) Fascia noid, the middle membrane, is
D) Pia mater responsible for the production of cerebrospinal fluid.
8. 8. The nurse is caring for a C
patient with an upper motor Feedback:
neuron lesion. What clinical Upper motor neuron lesions do not cause muscle atrophy, flaccid
manifestations should paralysis, or slow reflexes. However, upper motor neuron lesions
the nurse anticipate when normally cause loss of voluntary control.
planning the patients neuro-
logic assessment?
A) Decreased muscle tone
B) Flaccid paralysis
C) Loss of voluntary control
of movement
D) Slow reflexes
9. 9. The nurse is admitting a D
patient to the unit who is di- Feedback:
agnosed with a lower motor Lower motor neuron lesions cause flaccid muscle paralysis, mus-
neuron lesion. What cle atrophy, decreased muscle tone, and
entry in the patients elec- loss of voluntary control.
tronic record is most consis-
actualstudy Page 4
Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Study online at https://quizlet.com/_gw7y11
1. 1. A patient is brought to the B
ER following a motor vehi- Feedback:
cle accident in which he sus- The posterior lobe of the cerebral hemisphere is responsible for
tained head trauma. Prelim- visual interpretation. The temporal lobe
inary assessment reveals a contains the auditory receptive areas. The parietal lobe contains
vision deficit in the patients the primary sensory cortex, and is
left eye. The nurse should essential to an individuals awareness of the body in space, as well
associate this as orientation in space and spatial
abnormal finding with trau- relations. The frontal lobe functions in concentration, abstract
ma to which of the following thought, information storage or memory, and motor function.
cerebral lobes?
A) Temporal
B) Occipital
C) Parietal
D) Frontal
2. 2. A patient scheduled for B
magnetic resonance imag- Feedback:
ing (MRI) has arrived at the Patient preparation for an MRI consists of removing all met-
radiology department. The al-containing objects prior to the
nurse who prepares the pa- examination. Withholding stimulants would not affect an MRI;
tient for the MRI should pri- this relates to an electroencephalography
oritize which of the follow- (EEG). Instructing the patient to void is patient preparation for a
ing actions? lumbar puncture. Initiating an IV line
A) Withholding stimulants for administration of contrast would be done if the patient was
24 to 48 hours prior to having a CT scan with contrast.
exam
B) Removing all metal-con-
taining objects
C) Instructing the patient to
void prior to the MRI
actualstudy Page 1
, Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Study online at https://quizlet.com/_gw7y11
D) Initiating an IV line for ad-
ministration of contrast
3. 3. A gerontologic nurse B
planning the neurologic as- Feedback:
sessment of an older adult is Reduction in cerebral blood flow (CBF) is a change that occurs in
considering normal, age re- the normal aging process. Deep
lated changes. Of what phe- tendon reflexes can be decreased or, in some cases, absent.
nomenon should the nurse Cerebral metabolism decreases as the patient
be aware? advances in age. Reaction to painful stimuli may be decreased
A) Hyperactive deep tendon with age. Because pain is an important
reflexes warning signal, caution must be used when hot or cold packs are
B) Reduction in cerebral used.
blood flow
C) Increased cerebral me-
tabolism
D) Hypersensitivity to
painful stimuli
4. 4. The nurse has admitted a B
new patient to the unit. One Feedback:
of the patients admitting or- The term adrenergic refers to the sympathetic nervous system.
ders is for an Sympathetic effects include an increased
adrenergic medication. The rate and force of the heartbeat. Cholinergic effects, which corre-
nurse knows that this med- spond to the parasympathetic division of
ication will have what effect the autonomic nervous system, include thin, watery saliva, de-
on the circulatory creased rate and force of heartbeat, and
system? decreased BP.
A) Thin, watery saliva
B) Increased heart rate
C) Decreased BP
D) Constricted bronchioles
actualstudy Page 2
, Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Study online at https://quizlet.com/_gw7y11
5. 5. A nurse is assessing re- C
flexes in a patient with hy- Feedback:
peractive reflexes. When the When reflexes are very hyperactive, a phenomenon called clonus
patients foot is abruptly may be elicited. If the foot is abruptly
dorsiflexed, it continues to dorsiflexed, it may continue to beat two to three times before it
beat two to three times be- settles into a position of rest. Rigidity is
fore settling into a resting an increase in muscle tone at rest characterized by increased
position. How would the resistance to passive stretch. Flaccidity is
nurse document this find- lack of muscle tone. Ataxia is the inability to coordinate muscle
ing? movements, resulting in difficulty
A) Rigidity walking, talking, and performing self-care activities.
B) Flaccidity
C) Clonus
D) Ataxia
6. 6. The nurse is doing an ini- B
tial assessment on a patient Feedback:
newly admitted to the unit Difficulty copying a figure that the nurse has drawn would be con-
with a diagnosis of sidered visual-receptive aphasia, which involves the parietal-oc-
cerebrovascular accident cipital area. Expressive aphasia, the inability to express oneself,
(CVA). The patient has diffi- is often
culty copying a figure that associated with damage to the frontal area. Receptive aphasia,
the nurse has drawn and the inability to understand what someone
is diagnosed with visual-re- else is saying, is often associated with damage to the temporal
ceptive aphasia. What brain lobe area.
region is primarily involved
in this deficit?
A) Temporal lobe
B) Parietal-occipital area
C) Inferior posterior frontal
areas
D) Posterior frontal area
actualstudy Page 3
, Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Neuro - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
Study online at https://quizlet.com/_gw7y11
7. 7. What term is used to de- D
scribe the fibrous connec- Feedback:
tive tissue that hugs the The term meninges describes the fibrous connective tissue that
brain closely and extends covers the brain and spinal cord. The
into meninges have three layers, the dura mater, arachnoid, and pia
every fold of the brains sur- mater. The pia mater is the innermost
face? membrane that hugs the brain closely and extends into every fold
A) Dura mater of the brains surface. The dura mater,
B) Arachnoid the outermost layer, covers the brain and spinal cord. The arach-
C) Fascia noid, the middle membrane, is
D) Pia mater responsible for the production of cerebrospinal fluid.
8. 8. The nurse is caring for a C
patient with an upper motor Feedback:
neuron lesion. What clinical Upper motor neuron lesions do not cause muscle atrophy, flaccid
manifestations should paralysis, or slow reflexes. However, upper motor neuron lesions
the nurse anticipate when normally cause loss of voluntary control.
planning the patients neuro-
logic assessment?
A) Decreased muscle tone
B) Flaccid paralysis
C) Loss of voluntary control
of movement
D) Slow reflexes
9. 9. The nurse is admitting a D
patient to the unit who is di- Feedback:
agnosed with a lower motor Lower motor neuron lesions cause flaccid muscle paralysis, mus-
neuron lesion. What cle atrophy, decreased muscle tone, and
entry in the patients elec- loss of voluntary control.
tronic record is most consis-
actualstudy Page 4
