CHAPTER 60: ASSESSMENT OF NEUROLOGIC FUNCTION
CHAPTER 60 ASSESSMENT OF NEUROLOGIC FUNCTION.pdf answer keys
Study online at https://quizlet.com/_e2esip
1. A nurse is performing a neuro- ANS: C
logical assessment on a client Rationale: The frontal lobe is the largest lobe located in front
at home. During the of the brain. It is responsible
assessment, the nurse notices in large part for a person's affect, judgment, personality, and
that the client has a flat affect. inhibitions. The parietal
Which lobe of the brain is lobe is essential to a person's awareness of body position in
responsible for a person's af- space, size and shape
fect? discrimination, and right-left orientation. The temporal lobe
A. Parietal lobe plays a role in memory of
B. Temporal lobe sound and understanding of language and music. The occip-
C. Frontal lobe ital lobe is responsible for
D. Occipital lobe visual interpretation and memory.
2. A client scheduled for magnet- ANS: B
ic resonance imaging (MRI) has Rationale: Client preparation for an MRI consists of removing
arrived at the radiology all metal-containing objects
department. The nurse who prior to the examination. Withholding stimulants would not
prepares the client for the MRI affect an MRI; this relates to
should prioritize what action? an electroencephalography (EEG). Instructing the client to
A. Withholding stimulants 24 to void is client preparation for a
48 hours prior to exam lumbar puncture. Initiating an IV line for administration of
B. Removing all metal-contain- contrast would be done if the
ing objects client was having a CT scan with contrast.
C. Instructing the client to void
prior to the MRI
D. Initiating an IV line for ad-
ministration of contrast
3. A gerontologic nurse planning ANS: B
the neurologic assessment of Rationale: Reduction in cerebral blood flow (CBF) is a change
an older adult is that occurs in the normal
considering normal, age-relat- aging process. Deep tendon reflexes can be decreased or, in
Actualstudy 1
, CHAPTER 60: ASSESSMENT OF NEUROLOGIC FUNCTION
CHAPTER 60 ASSESSMENT OF NEUROLOGIC FUNCTION.pdf answer keys
Study online at https://quizlet.com/_e2esip
ed changes that may influence some cases, absent.
the assessment results. Of Cerebral metabolism decreases as the client advances in age.
what phenomenon should the Reaction to painful stimuli
nurse be aware? may be decreased with age. Because pain is an important
A. Hyperactive deep tendon re- warning signal, caution must
flexes be used when hot or cold packs are used.
B. Reduction in cerebral blood
flow
C. Increased cerebral metabo-
lism
D. Hypersensitivity to painful
stimuli
4. A nurse is performing a com- ANS: B
plex neurological assessment Rationale: When assessing written and spoken language
on a client recently ability, clients are usually asked
diagnosed with Alzheimer dis- to read a newspaper article and explain the meaning. Clients
ease. What question should the are also asked to write their
nurse anticipate to ask name or copy a simple figure drawn by the examiner. Com-
when assessing the client's lan- parison questions are
guage ability? associated with assessing a client's intellectual function. Ask-
A. "How are a pencil and pen ing about the year and
alike?" current name of the president are associated with assessing
B. "Can you write your name on a client's mental status.
this blank sheet of paper?"
C. "Can you tell me what year it
is?"
D. "What is the name of the
president of the United States?"
5. A nurse is assessing reflexes in ANS: C
a client with hyperactive reflex- Rationale: When reflexes are very hyperactive, a phenomenon
Actualstudy 2
, CHAPTER 60: ASSESSMENT OF NEUROLOGIC FUNCTION
CHAPTER 60 ASSESSMENT OF NEUROLOGIC FUNCTION.pdf answer keys
Study online at https://quizlet.com/_e2esip
es. When the client's called clonus may be
foot is abruptly dorsiflexed, it elicited. If the foot is abruptly dorsiflexed, it may continue to
continues to "beat" two to three "beat" two to three times
times before settling into before it settles into a position of rest. Rigidity is an increase
a resting position. How should in muscle tone at rest
the nurse document this find- characterized by increased resistance to passive stretch. Flac-
ing? cidity is lack of muscle tone.
A. Rigidity Ataxia is the inability to coordinate muscle movements, result-
B. Flaccidity ing in difficulty walking,
C. Clonus talking, and performing self-care activities.
D. Ataxia
6. The nurse is doing an initial as- ANS: B
sessment on a client newly ad- Rationale: Difficulty copying a figure that the nurse has drawn
mitted to the unit with a would be considered visual
diagnosis of cerebrovascular receptive aphasia, which involves the parietal-occipital area.
disease. The client has difficulty Expressive aphasia, the
copying a figure that the inability to express oneself, is often associated with damage
nurse has drawn and is di- to the frontal area.
agnosed with visual receptive Receptive aphasia, the inability to understand what someone
aphasia. What brain region is else is saying, is often
primarily involved in this associated with damage to the temporal lobe area.
client's deficit?
A. Temporal lobe
B. Parietal-occipital area
C. Inferior-posterior frontal ar-
eas
D. Posterior frontal area
7. What term is used to describe ANS: D
the fibrous connective tissue Rationale: The term "meninges" describes the fibrous con-
that hugs the brain closely nective tissue that covers the
Actualstudy 3
CHAPTER 60 ASSESSMENT OF NEUROLOGIC FUNCTION.pdf answer keys
Study online at https://quizlet.com/_e2esip
1. A nurse is performing a neuro- ANS: C
logical assessment on a client Rationale: The frontal lobe is the largest lobe located in front
at home. During the of the brain. It is responsible
assessment, the nurse notices in large part for a person's affect, judgment, personality, and
that the client has a flat affect. inhibitions. The parietal
Which lobe of the brain is lobe is essential to a person's awareness of body position in
responsible for a person's af- space, size and shape
fect? discrimination, and right-left orientation. The temporal lobe
A. Parietal lobe plays a role in memory of
B. Temporal lobe sound and understanding of language and music. The occip-
C. Frontal lobe ital lobe is responsible for
D. Occipital lobe visual interpretation and memory.
2. A client scheduled for magnet- ANS: B
ic resonance imaging (MRI) has Rationale: Client preparation for an MRI consists of removing
arrived at the radiology all metal-containing objects
department. The nurse who prior to the examination. Withholding stimulants would not
prepares the client for the MRI affect an MRI; this relates to
should prioritize what action? an electroencephalography (EEG). Instructing the client to
A. Withholding stimulants 24 to void is client preparation for a
48 hours prior to exam lumbar puncture. Initiating an IV line for administration of
B. Removing all metal-contain- contrast would be done if the
ing objects client was having a CT scan with contrast.
C. Instructing the client to void
prior to the MRI
D. Initiating an IV line for ad-
ministration of contrast
3. A gerontologic nurse planning ANS: B
the neurologic assessment of Rationale: Reduction in cerebral blood flow (CBF) is a change
an older adult is that occurs in the normal
considering normal, age-relat- aging process. Deep tendon reflexes can be decreased or, in
Actualstudy 1
, CHAPTER 60: ASSESSMENT OF NEUROLOGIC FUNCTION
CHAPTER 60 ASSESSMENT OF NEUROLOGIC FUNCTION.pdf answer keys
Study online at https://quizlet.com/_e2esip
ed changes that may influence some cases, absent.
the assessment results. Of Cerebral metabolism decreases as the client advances in age.
what phenomenon should the Reaction to painful stimuli
nurse be aware? may be decreased with age. Because pain is an important
A. Hyperactive deep tendon re- warning signal, caution must
flexes be used when hot or cold packs are used.
B. Reduction in cerebral blood
flow
C. Increased cerebral metabo-
lism
D. Hypersensitivity to painful
stimuli
4. A nurse is performing a com- ANS: B
plex neurological assessment Rationale: When assessing written and spoken language
on a client recently ability, clients are usually asked
diagnosed with Alzheimer dis- to read a newspaper article and explain the meaning. Clients
ease. What question should the are also asked to write their
nurse anticipate to ask name or copy a simple figure drawn by the examiner. Com-
when assessing the client's lan- parison questions are
guage ability? associated with assessing a client's intellectual function. Ask-
A. "How are a pencil and pen ing about the year and
alike?" current name of the president are associated with assessing
B. "Can you write your name on a client's mental status.
this blank sheet of paper?"
C. "Can you tell me what year it
is?"
D. "What is the name of the
president of the United States?"
5. A nurse is assessing reflexes in ANS: C
a client with hyperactive reflex- Rationale: When reflexes are very hyperactive, a phenomenon
Actualstudy 2
, CHAPTER 60: ASSESSMENT OF NEUROLOGIC FUNCTION
CHAPTER 60 ASSESSMENT OF NEUROLOGIC FUNCTION.pdf answer keys
Study online at https://quizlet.com/_e2esip
es. When the client's called clonus may be
foot is abruptly dorsiflexed, it elicited. If the foot is abruptly dorsiflexed, it may continue to
continues to "beat" two to three "beat" two to three times
times before settling into before it settles into a position of rest. Rigidity is an increase
a resting position. How should in muscle tone at rest
the nurse document this find- characterized by increased resistance to passive stretch. Flac-
ing? cidity is lack of muscle tone.
A. Rigidity Ataxia is the inability to coordinate muscle movements, result-
B. Flaccidity ing in difficulty walking,
C. Clonus talking, and performing self-care activities.
D. Ataxia
6. The nurse is doing an initial as- ANS: B
sessment on a client newly ad- Rationale: Difficulty copying a figure that the nurse has drawn
mitted to the unit with a would be considered visual
diagnosis of cerebrovascular receptive aphasia, which involves the parietal-occipital area.
disease. The client has difficulty Expressive aphasia, the
copying a figure that the inability to express oneself, is often associated with damage
nurse has drawn and is di- to the frontal area.
agnosed with visual receptive Receptive aphasia, the inability to understand what someone
aphasia. What brain region is else is saying, is often
primarily involved in this associated with damage to the temporal lobe area.
client's deficit?
A. Temporal lobe
B. Parietal-occipital area
C. Inferior-posterior frontal ar-
eas
D. Posterior frontal area
7. What term is used to describe ANS: D
the fibrous connective tissue Rationale: The term "meninges" describes the fibrous con-
that hugs the brain closely nective tissue that covers the
Actualstudy 3
