Neuro Test Bank
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1. When admitting an acutely con- a. Ask family members about the patients health history.
fused 20-year-old patient with a
head injury, which action should When admitting a patient who is likely to be a poor
the nurse take? historian, the nurse should obtain health history informa-
a. Ask family members about the tion from others who have knowledge about the patients
patients health history. health. Waiting until the patient is oriented or obtaining
b. Ask leading questions to assist only physiologic data will result in incomplete assessment
in obtaining health data. data, which could adversely affect decision making about
c. Wait until the patient is better treatment. Asking leading questions may result in inaccu-
oriented to ask questions. rate or incomplete information.
d. Obtain only the physiologic
neurologic assessment data.
2. Which finding would the nurse b. Flaccidity
expect when assessing the legs of
a patient who has a lower motor Because the cell bodies of lower motor neurons are lo-
neuron lesion? cated in the spinal cord, damage to the neuron will de-
a. Spasticity crease motor activity of the affected muscles. Spasticity
b. Flaccidity and hyperactive reflexes are caused by upper motor neu-
c. No sensation ron damage. Sensation is not impacted by motor neuron
d. Hyperactive reflexes lesions.
3. The nurse performing a focused d. understanding written and oral language.
assessment of left posterior tem-
poral lobe functions will assess The posterior temporal lobe integrates the visual and
the patient for auditory input for language comprehension. Reasoning
a. sensation on the left side of the and problem solving are functions of the anterior frontal
body. lobe. Sensation on the left side of the body is located in
b. voluntary movements on the the right postcentral gyrus. Voluntary movement on the
right side. right side is controlled in the left precentral gyrus.
c. reasoning and problem-solving
abilities.
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d. understanding written and oral
language.
4. Propranolol (Inderal), a b-adren- b. bradycardia
ergic blocker that inhibits sym-
pathetic nervous system activity, Inhibition of the fight or flight response leads to a de-
is prescribed for a patient who creased heart rate. Dry mouth, constipation, and urinary
has extreme anxiety about public retention are associated with peripheral nervous system
speaking. The nurse monitors the blockade.
patient for
a. dry mouth.
b. bradycardia.
c. constipation.
d. urinary retention.
5. To assess the functioning of the a. shine a light into the patients pupil.
trigeminal and facial nerves (CNs
V and VII), the nurse should The trigeminal and facial nerves are responsible for the
a. shine a light into the patients corneal reflex. The optic nerve is tested by having the
pupil. patient read a Snellen chart or a newspaper. Assessment
b. check for unilateral eyelid of pupil response to light and ptosis are used to check
drooping. function of the oculomotor nerve.
c. touch a cotton wisp strand to
the cornea.
d. have the patient read a maga-
zine or book.
6. Which action will the nurse in- a. Withhold oral fluid or foods.
clude in the plan of care for a pa-
tient with impaired functioning of The glossopharyngeal and vagus nerves innervate the
the left glossopharyngeal nerve pharynx and control the gag reflex. A patient with im-
(CN IX) and the vagus nerve (CN paired function of these nerves is at risk for aspiration. An
oral airway may be needed when a patient is unconscious
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Neuro Test Bank
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X)? and unable to maintain the airway, but it will not decrease
a. Withhold oral fluid or foods. aspiration risk. Taste and eye blink are controlled by the
b. Provide highly seasoned facial nerve.
foods.
c. Insert an oropharyngeal air-
way.
d. Apply artificial tears every hour.
7. An unconscious male patient has b. Prepare the patient for lumbar puncture.
just arrived in the emergency
department after a head injury After a head injury, the patient may be experiencing in-
caused by a motorcycle crash. tracranial bleeding and increased intracranial pressure,
Which order should the nurse which could lead to herniation of the brain if a lumbar
question? puncture is performed. The other orders are appropriate.
a. Obtain x-rays of the skull and
spine.
b. Prepare the patient for lumbar
puncture.
c. Send for computed tomogra-
phy (CT) scan.
d. Perform neurologic checks
every 15 minutes.
8. A patient with suspected menin- d. help the patient to a lateral position.
gitis is scheduled for a lumbar
puncture. Before the procedure, For a lumbar puncture, the patient lies in the lateral re-
the nurse will plan to cumbent position. The procedure does not usually re-
a. enforce NPO status for 4 quire a sedative, is done in the patient room, and has no
hours. risk for aspiration.
b. transfer the patient to radiolo-
gy.
c. administer a sedative medica-
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tion.
d. help the patient to a lateral po-
sition.
9. During the neurologic assess- c. frontal lobe damage.
ment, the patient is unable to re-
spond verbally to the nurse but Expressive speech is controlled by Brocas area in the
cooperates with the nurses direc- frontal lobe. The temporal lobe contains Wernickes area,
tions to move his hands and feet. which is responsible for receptive speech. The cerebellum
The nurse will suspect and brainstem do not affect higher cognitive functions
a. cerebellar injury. such as speech.
b. a brainstem lesion.
c. frontal lobe damage.
d. a temporal lobe lesion.
10. A 45-year-old patient has a dys- a. prevent falls.
function of the cerebellum. The
nurse will plan interventions to Because functions of the cerebellum include coordination
a. prevent falls. and balance, the patient with dysfunction is at risk for
b. stabilize mood. falls. The cerebellum does not affect memory, mood, or
c. avoid aspiration. swallowing ability.
d. improve memory. DIF: Cognitive Level: Apply (application) REF: 1339-1340
11. Which nursing diagnosis is ex- b. Risk for falls
pected to be appropriate for a pa-
tient who has a positive Romberg A positive Romberg test indicates that the patient has
test? difficulty maintaining balance with the eyes closed. The
a. Acute pain Romberg does not test for orientation, thermoregulation,
b. Risk for falls or discomfort.
c. Acute confusion
d. Ineffective thermoregulation
12.
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Neuro Test Bank
Study online at https://quizlet.com/_8e1wu8
1. When admitting an acutely con- a. Ask family members about the patients health history.
fused 20-year-old patient with a
head injury, which action should When admitting a patient who is likely to be a poor
the nurse take? historian, the nurse should obtain health history informa-
a. Ask family members about the tion from others who have knowledge about the patients
patients health history. health. Waiting until the patient is oriented or obtaining
b. Ask leading questions to assist only physiologic data will result in incomplete assessment
in obtaining health data. data, which could adversely affect decision making about
c. Wait until the patient is better treatment. Asking leading questions may result in inaccu-
oriented to ask questions. rate or incomplete information.
d. Obtain only the physiologic
neurologic assessment data.
2. Which finding would the nurse b. Flaccidity
expect when assessing the legs of
a patient who has a lower motor Because the cell bodies of lower motor neurons are lo-
neuron lesion? cated in the spinal cord, damage to the neuron will de-
a. Spasticity crease motor activity of the affected muscles. Spasticity
b. Flaccidity and hyperactive reflexes are caused by upper motor neu-
c. No sensation ron damage. Sensation is not impacted by motor neuron
d. Hyperactive reflexes lesions.
3. The nurse performing a focused d. understanding written and oral language.
assessment of left posterior tem-
poral lobe functions will assess The posterior temporal lobe integrates the visual and
the patient for auditory input for language comprehension. Reasoning
a. sensation on the left side of the and problem solving are functions of the anterior frontal
body. lobe. Sensation on the left side of the body is located in
b. voluntary movements on the the right postcentral gyrus. Voluntary movement on the
right side. right side is controlled in the left precentral gyrus.
c. reasoning and problem-solving
abilities.
Actualstudy Page 1
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Neuro Test Bank
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d. understanding written and oral
language.
4. Propranolol (Inderal), a b-adren- b. bradycardia
ergic blocker that inhibits sym-
pathetic nervous system activity, Inhibition of the fight or flight response leads to a de-
is prescribed for a patient who creased heart rate. Dry mouth, constipation, and urinary
has extreme anxiety about public retention are associated with peripheral nervous system
speaking. The nurse monitors the blockade.
patient for
a. dry mouth.
b. bradycardia.
c. constipation.
d. urinary retention.
5. To assess the functioning of the a. shine a light into the patients pupil.
trigeminal and facial nerves (CNs
V and VII), the nurse should The trigeminal and facial nerves are responsible for the
a. shine a light into the patients corneal reflex. The optic nerve is tested by having the
pupil. patient read a Snellen chart or a newspaper. Assessment
b. check for unilateral eyelid of pupil response to light and ptosis are used to check
drooping. function of the oculomotor nerve.
c. touch a cotton wisp strand to
the cornea.
d. have the patient read a maga-
zine or book.
6. Which action will the nurse in- a. Withhold oral fluid or foods.
clude in the plan of care for a pa-
tient with impaired functioning of The glossopharyngeal and vagus nerves innervate the
the left glossopharyngeal nerve pharynx and control the gag reflex. A patient with im-
(CN IX) and the vagus nerve (CN paired function of these nerves is at risk for aspiration. An
oral airway may be needed when a patient is unconscious
Actualstudy Page 2
, Neuro Test Bank
Neuro Test Bank
Study online at https://quizlet.com/_8e1wu8
X)? and unable to maintain the airway, but it will not decrease
a. Withhold oral fluid or foods. aspiration risk. Taste and eye blink are controlled by the
b. Provide highly seasoned facial nerve.
foods.
c. Insert an oropharyngeal air-
way.
d. Apply artificial tears every hour.
7. An unconscious male patient has b. Prepare the patient for lumbar puncture.
just arrived in the emergency
department after a head injury After a head injury, the patient may be experiencing in-
caused by a motorcycle crash. tracranial bleeding and increased intracranial pressure,
Which order should the nurse which could lead to herniation of the brain if a lumbar
question? puncture is performed. The other orders are appropriate.
a. Obtain x-rays of the skull and
spine.
b. Prepare the patient for lumbar
puncture.
c. Send for computed tomogra-
phy (CT) scan.
d. Perform neurologic checks
every 15 minutes.
8. A patient with suspected menin- d. help the patient to a lateral position.
gitis is scheduled for a lumbar
puncture. Before the procedure, For a lumbar puncture, the patient lies in the lateral re-
the nurse will plan to cumbent position. The procedure does not usually re-
a. enforce NPO status for 4 quire a sedative, is done in the patient room, and has no
hours. risk for aspiration.
b. transfer the patient to radiolo-
gy.
c. administer a sedative medica-
Actualstudy Page 3
, Neuro Test Bank
Neuro Test Bank
Study online at https://quizlet.com/_8e1wu8
tion.
d. help the patient to a lateral po-
sition.
9. During the neurologic assess- c. frontal lobe damage.
ment, the patient is unable to re-
spond verbally to the nurse but Expressive speech is controlled by Brocas area in the
cooperates with the nurses direc- frontal lobe. The temporal lobe contains Wernickes area,
tions to move his hands and feet. which is responsible for receptive speech. The cerebellum
The nurse will suspect and brainstem do not affect higher cognitive functions
a. cerebellar injury. such as speech.
b. a brainstem lesion.
c. frontal lobe damage.
d. a temporal lobe lesion.
10. A 45-year-old patient has a dys- a. prevent falls.
function of the cerebellum. The
nurse will plan interventions to Because functions of the cerebellum include coordination
a. prevent falls. and balance, the patient with dysfunction is at risk for
b. stabilize mood. falls. The cerebellum does not affect memory, mood, or
c. avoid aspiration. swallowing ability.
d. improve memory. DIF: Cognitive Level: Apply (application) REF: 1339-1340
11. Which nursing diagnosis is ex- b. Risk for falls
pected to be appropriate for a pa-
tient who has a positive Romberg A positive Romberg test indicates that the patient has
test? difficulty maintaining balance with the eyes closed. The
a. Acute pain Romberg does not test for orientation, thermoregulation,
b. Risk for falls or discomfort.
c. Acute confusion
d. Ineffective thermoregulation
12.
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