Neurological Assessment
Neurological Assessment QA.pdf answer keys
Study online at https://quizlet.com/_8d201n
1. 1. The two parts of the nervous system ANS: B
are the: The nervous system can be divided into two parts-
a. Motor and sensory. central and peripheral. The central nervous system
b. Central and peripheral. includes the brain and spinal cord. The peripheral
c. Peripheral and autonomic. nervous system includes the 12 pairs of cranial
d. Hypothalamus and cerebral. nerves (CNs), the 31 pairs of spinal nerves, and all
of their branches.
2. 2. The wife of a 65-year-old man tells ANS: A
the nurse that she is concerned be- The frontal lobe has areas responsible for person-
cause she has noticed a change in her ality, behavior, emotions, and intellectual function.
husbands personality and ability to The parietal lobe has areas responsible for sen-
understand. He also cries very easily sation; the occipital lobe is responsible for visual
and becomes angry. The nurse recalls reception; and the temporal lobe is responsible for
that the cerebral lobe responsible for hearing, taste, and smell.
these behaviors is the __________ lobe.
a. Frontal
b. Parietal
c. Occipital
d. Temporal
3. 3. Which statement concerning the ar- ANS: B
eas of the brain is true? The hypothalamus is a vital area with many impor-
a. The cerebellum is the center for tant functions: body temperature controller, sleep
speech and emotions. center, anterior and posterior pituitary gland regu-
b. The hypothalamus controls body lator, and coordinator of autonomic nervous system
temperature and regulates sleep. activity and emotional status. The cerebellum con-
c. The basal ganglia are responsible trols motor coordination, equilibrium, and balance.
for controlling voluntary movements. The basal ganglia control autonomic movements of
d. Motor pathways of the spinal cord the body. The motor pathways of the spinal cord
and brainstem synapse in the thala- synapse in various areas of the spinal cord, not in
mus. the thalamus.
Actualstudy 1
, Neurological Assessment
Neurological Assessment QA.pdf answer keys
Study online at https://quizlet.com/_8d201n
4. 4. The area of the nervous system that ANS: C
is responsible for mediating reflexes is The spinal cord is the main highway for ascending
the: and descending fiber tracts that connect the brain
a. Medulla. to the spinal nerves; it is responsible for mediating
b. Cerebellum. reflexes.
c. Spinal cord.
d. Cerebral cortex.
5. 5. While gathering equipment after an ANS: C
injection, a nurse accidentally received The spinothalamic tract contains sensory fibers that
a prick from an improperly capped transmit the sensations of pain, temperature, and
needle. To interpret this sensation, crude or light touch. Fibers carrying pain and tem-
which of these areas must be intact? perature sensations ascend the lateral spinothal-
a. Corticospinal tract, medulla, and amic tract, whereas the sensations of crude touch
basal ganglia form the anterior spinothalamic tract. At the thala-
b. Pyramidal tract, hypothalamus, and mus, the fibers synapse with another sensory neu-
sensory cortex ron, which carries the message to the sensory cor-
c. Lateral spinothalamic tract, thala- tex for full interpretation. The other options are not
mus, and sensory cortex correct.
d. Anterior spinothalamic tract, basal
ganglia, and sensory cortex
6. 6. A patient with a lack of oxygen to ANS: C
his heart will have pain in his chest and The sensory cortex is arranged in a specific pattern,
possibly in the shoulder, arms, or jaw. forming a corresponding map of the body. Pain
The nurse knows that the best expla- in the right hand is perceived at a specific spot
nation why this occurs is which one of on the map. Some organs, such as the heart, liver,
these statements? and spleen, are absent from the brain map. Pain
a. A problem exists with the sensory originating in these organs is referred because no
cortex and its ability to discriminate felt image exists in which to have pain. Pain is felt by
the location. proxy, that is, by another body part that does have
Actualstudy 2
, Neurological Assessment
Neurological Assessment QA.pdf answer keys
Study online at https://quizlet.com/_8d201n
b. The lack of oxygen in his heart a felt image. The other responses are not correct
has resulted in decreased amount of explanations.
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 else-
where.
d. A lesion has developed in the dorsal
root, which is preventing the sensa-
tion from being transmitted normally.
7. 7. The ability that humans have to per- ANS: B
form very skilled movements such as Corticospinal fibers mediate voluntary movement,
writing is controlled by the: particularly very skilled, discrete, and purposeful
a. Basal ganglia. movements, such as writing. The corticospinal tract,
b. Corticospinal tract. also known as the pyramidal tract, is a newer, higher
c. Spinothalamic tract. motor system that humans have that permits very
d. Extrapyramidal tract. skilled and purposeful movements. The other re-
sponses are not related to skilled movements.
8. A 30-year-old woman tells the nurse ANS: C
that she has been very unsteady and The cerebellar system coordinates movement,
has had difficulty in maintaining her maintains equilibrium, and helps maintain posture.
balance. Which area of the brain that The thalamus is the primary relay station where
is related to these findings would con- sensory pathways of the spinal cord, cerebellum,
cern the nurse? and brainstem form synapses on their way to the
a. Thalamus cerebral cortex. The brainstem consists of the mid-
b. Brainstem brain, pons, and medulla and has various functions,
c. Cerebellum especially concerning autonomic centers. The ex-
d. Extrapyramidal tract trapyramidal tract maintains muscle tone for gross
automatic movements, such as walking.
Actualstudy 3
Neurological Assessment QA.pdf answer keys
Study online at https://quizlet.com/_8d201n
1. 1. The two parts of the nervous system ANS: B
are the: The nervous system can be divided into two parts-
a. Motor and sensory. central and peripheral. The central nervous system
b. Central and peripheral. includes the brain and spinal cord. The peripheral
c. Peripheral and autonomic. nervous system includes the 12 pairs of cranial
d. Hypothalamus and cerebral. nerves (CNs), the 31 pairs of spinal nerves, and all
of their branches.
2. 2. The wife of a 65-year-old man tells ANS: A
the nurse that she is concerned be- The frontal lobe has areas responsible for person-
cause she has noticed a change in her ality, behavior, emotions, and intellectual function.
husbands personality and ability to The parietal lobe has areas responsible for sen-
understand. He also cries very easily sation; the occipital lobe is responsible for visual
and becomes angry. The nurse recalls reception; and the temporal lobe is responsible for
that the cerebral lobe responsible for hearing, taste, and smell.
these behaviors is the __________ lobe.
a. Frontal
b. Parietal
c. Occipital
d. Temporal
3. 3. Which statement concerning the ar- ANS: B
eas of the brain is true? The hypothalamus is a vital area with many impor-
a. The cerebellum is the center for tant functions: body temperature controller, sleep
speech and emotions. center, anterior and posterior pituitary gland regu-
b. The hypothalamus controls body lator, and coordinator of autonomic nervous system
temperature and regulates sleep. activity and emotional status. The cerebellum con-
c. The basal ganglia are responsible trols motor coordination, equilibrium, and balance.
for controlling voluntary movements. The basal ganglia control autonomic movements of
d. Motor pathways of the spinal cord the body. The motor pathways of the spinal cord
and brainstem synapse in the thala- synapse in various areas of the spinal cord, not in
mus. the thalamus.
Actualstudy 1
, Neurological Assessment
Neurological Assessment QA.pdf answer keys
Study online at https://quizlet.com/_8d201n
4. 4. The area of the nervous system that ANS: C
is responsible for mediating reflexes is The spinal cord is the main highway for ascending
the: and descending fiber tracts that connect the brain
a. Medulla. to the spinal nerves; it is responsible for mediating
b. Cerebellum. reflexes.
c. Spinal cord.
d. Cerebral cortex.
5. 5. While gathering equipment after an ANS: C
injection, a nurse accidentally received The spinothalamic tract contains sensory fibers that
a prick from an improperly capped transmit the sensations of pain, temperature, and
needle. To interpret this sensation, crude or light touch. Fibers carrying pain and tem-
which of these areas must be intact? perature sensations ascend the lateral spinothal-
a. Corticospinal tract, medulla, and amic tract, whereas the sensations of crude touch
basal ganglia form the anterior spinothalamic tract. At the thala-
b. Pyramidal tract, hypothalamus, and mus, the fibers synapse with another sensory neu-
sensory cortex ron, which carries the message to the sensory cor-
c. Lateral spinothalamic tract, thala- tex for full interpretation. The other options are not
mus, and sensory cortex correct.
d. Anterior spinothalamic tract, basal
ganglia, and sensory cortex
6. 6. A patient with a lack of oxygen to ANS: C
his heart will have pain in his chest and The sensory cortex is arranged in a specific pattern,
possibly in the shoulder, arms, or jaw. forming a corresponding map of the body. Pain
The nurse knows that the best expla- in the right hand is perceived at a specific spot
nation why this occurs is which one of on the map. Some organs, such as the heart, liver,
these statements? and spleen, are absent from the brain map. Pain
a. A problem exists with the sensory originating in these organs is referred because no
cortex and its ability to discriminate felt image exists in which to have pain. Pain is felt by
the location. proxy, that is, by another body part that does have
Actualstudy 2
, Neurological Assessment
Neurological Assessment QA.pdf answer keys
Study online at https://quizlet.com/_8d201n
b. The lack of oxygen in his heart a felt image. The other responses are not correct
has resulted in decreased amount of explanations.
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 else-
where.
d. A lesion has developed in the dorsal
root, which is preventing the sensa-
tion from being transmitted normally.
7. 7. The ability that humans have to per- ANS: B
form very skilled movements such as Corticospinal fibers mediate voluntary movement,
writing is controlled by the: particularly very skilled, discrete, and purposeful
a. Basal ganglia. movements, such as writing. The corticospinal tract,
b. Corticospinal tract. also known as the pyramidal tract, is a newer, higher
c. Spinothalamic tract. motor system that humans have that permits very
d. Extrapyramidal tract. skilled and purposeful movements. The other re-
sponses are not related to skilled movements.
8. A 30-year-old woman tells the nurse ANS: C
that she has been very unsteady and The cerebellar system coordinates movement,
has had difficulty in maintaining her maintains equilibrium, and helps maintain posture.
balance. Which area of the brain that The thalamus is the primary relay station where
is related to these findings would con- sensory pathways of the spinal cord, cerebellum,
cern the nurse? and brainstem form synapses on their way to the
a. Thalamus cerebral cortex. The brainstem consists of the mid-
b. Brainstem brain, pons, and medulla and has various functions,
c. Cerebellum especially concerning autonomic centers. The ex-
d. Extrapyramidal tract trapyramidal tract maintains muscle tone for gross
automatic movements, such as walking.
Actualstudy 3
