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Exam (elaborations)

Nursing Assessment Chapter 23 Neurologic NCLEX Questions – Q&A | Exam Prep

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Nursing Assessment Chapter 23 Neurologic NCLEX Questions – Q&A | Exam Prep

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Nursing Assessment Chapter 23 Neurologic NCLEX Questions
answer keys
Nursing Assessment Chapter 23: Neurologic NCLEX Questions
Study online at https://quizlet.com/_5o8bdu

1. The two parts of the nervous b. Central and peripheral.
system are the:
The nervous system can be divided into two partscentral and
a. Motor and sensory. peripheral. The central nervous system includes the brain
and spinal cord. The peripheral nervous system includes the
b. Central and peripheral. 12 pairs of cranial nerves (CNs), the 31 pairs of spinal nerves,
and all of their branches.
c. Peripheral and autonomic.

d. Hypothalamus and cerebral.

2. The wife of a 65-year-old man a. Frontal
tells the nurse that she is con-
cerned because she has noticed The frontal lobe has areas responsible for personality, be-
a change in her husbands per- havior, emotions, and intellectual function. The parietal lobe
sonality and ability to under- has areas responsible for sensation; the occipital lobe is
stand. He also cries very easily responsible for visual reception; and the temporal lobe is
and becomes angry. The nurse responsible for hearing, taste, and smell.
recalls that the cerebral lobe re-
sponsible for these behaviors is
the __________ lobe.

a. Frontal

b. Parietal

c. Occipital

d. Temporal

3. Which statement concerning b. The hypothalamus controls body temperature and regu-
the areas of the brain is true? lates sleep.

a. The cerebellum is the center The hypothalamus is a vital area with many important func-

Actualstudy Page 1

, Nursing Assessment Chapter 23 Neurologic NCLEX Questions
answer keys
Nursing Assessment Chapter 23: Neurologic NCLEX Questions
Study online at https://quizlet.com/_5o8bdu

for speech and emotions. tions: body temperature controller, sleep center, anterior
and posterior pituitary gland regulator, and coordinator of
b. The hypothalamus controls autonomic nervous system activity and emotional status. The
body temperature and regu- cerebellum controls motor coordination, equilibrium, and
lates sleep. balance. The basal ganglia control autonomic movements of
the body. The motor pathways of the spinal cord synapse in
c. The basal ganglia are respon-
various areas of the spinal cord, not in the thalamus.
sible for controlling voluntary
movements.

d. Motor pathways of the spinal
cord and brainstem synapse in
the thalamus.

4. The area of the nervous system c. Spinal cord.
that is responsible for mediating
reflexes is the: The spinal cord is the main highway for ascending and
descending fiber tracts that connect the brain to the spinal
a. Medulla. nerves; it is responsible for mediating reflexes.

b. Cerebellum.

c. Spinal cord.

d. Cerebral cortex.

5. While gathering equipment af- c. Lateral spinothalamic tract, thalamus, and sensory cortex
ter an injection, a nurse acciden-
tally received a prick from an im-
The spinothalamic tract contains sensory fibers that trans-
properly capped needle. To in-
mit the sensations of pain, temperature, and crude or light
terpret this sensation, which of
touch. Fibers carrying pain and temperature sensations as-
these areas must be intact?
cend the lateral spinothalamic tract, whereas the sensations
a. Corticospinal tract, medulla, of crude touch form the anterior spinothalamic tract. At the

Actualstudy Page 2

, Nursing Assessment Chapter 23 Neurologic NCLEX Questions
answer keys
Nursing Assessment Chapter 23: Neurologic NCLEX Questions
Study online at https://quizlet.com/_5o8bdu

and basal ganglia thalamus, the fibers synapse with another sensory neuron,
which carries the message to the sensory cortex for full
b. Pyramidal tract, hypothala- interpretation. The other options are not correct.
mus, and sensory cortex

c. Lateral spinothalamic tract,
thalamus, and sensory cortex

d. Anterior spinothalamic tract,
basal ganglia, and sensory cor-
tex

6. A patient with a lack of oxygen c. The sensory cortex does not have the ability to localize pain
to his heart will have pain in his in the heart; consequently, the pain is felt elsewhere.
chest and possibly in the shoul-
der, arms, or jaw. The nurse The sensory cortex is arranged in a specific pattern, forming
knows that the best explanation a corresponding map of the body. Pain in the right hand
why this occurs is which one of is perceived at a specific spot on the map. Some organs,
these statements? such as the heart, liver, and spleen, are absent from the brain
map. Pain originating in these organs is referred because no
a. A problem exists with the sen- felt image exists in which to have pain. Pain is felt by proxy,
sory cortex and its ability to dis- that is, by another body part that does have a felt image. The
criminate the location. other responses are not correct explanations.

b. The lack of oxygen in his
heart has resulted in decreased
amount of oxygen to the areas
experiencing the pain.

c. The sensory cortex does not
have the ability to localize pain
in the heart; consequently, the
pain is felt elsewhere.

Actualstudy Page 3

, Nursing Assessment Chapter 23 Neurologic NCLEX Questions
answer keys
Nursing Assessment Chapter 23: Neurologic NCLEX Questions
Study online at https://quizlet.com/_5o8bdu


d. A lesion has developed in the
dorsal root, which is preventing
the sensation from being trans-
mitted normally.

7. The ability that humans have to b. Corticospinal tract.
perform very skilled movements
such as writing is controlled by Corticospinal fibers mediate voluntary movement, particu-
the: larly very skilled, discrete, and purposeful movements, such
as writing. The corticospinal tract, also known as the pyra-
a. Basal ganglia. midal tract, is a newer, higher motor system that humans
have that permits very skilled and purposeful movements.
b. Corticospinal tract. The other responses are not related to skilled movements.

c. Spinothalamic tract.

d. Extrapyramidal tract.

8. A 30-year-old woman tells the c. Cerebellum
nurse that she has been very un-
steady and has had difficulty in The cerebellar system coordinates movement, maintains
maintaining her balance. Which equilibrium, and helps maintain posture. The thalamus is
area of the brain that is related the primary relay station where sensory pathways of the
to these findings would concern spinal cord, cerebellum, and brainstem form synapses on
the nurse? their way to the cerebral cortex. The brainstem consists of the
midbrain, pons, and medulla and has various functions, es-
a. Thalamus pecially concerning autonomic centers. The extrapyramidal
tract maintains muscle tone for gross automatic movements,
b. Brainstem such as walking.

c. Cerebellum

d. Extrapyramidal tract

Actualstudy Page 4

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