Neuro Assessment,
Neuro Assessment
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1. 1, 2 The nurse is reviewing the cranial nerves prior to a PRN shift on a neurological
unit. Upon the review, the nurse notes that some of the nerves are exclusively
sensory nerves. Which cranial nerves belong to this group?
Standard Text: Select all that apply.
1. Olfactory nerve (cranial nerve I).
2. Optic nerve (cranial nerve II).
3. Trochlear nerve (cranial nerve IV).
4. Trigeminal nerve (cranial nerve V).
5. Facial nerve (cranial nerve VII).
2. The frontal lobe of The nurse is caring for a client having problems with emotional appropriateness
the cerebrum for as a result of a brain injury. Based on this data, which area of the brain has been
the control of emo- damaged?
tions
3. Brain stem What part of the brain is responsible for vital signs?
4. Brain stem The nurse is caring for a client with a traumatic brain injury (TBI). The client
begins to experience bradycardia. Which area of the brain is likely responsible
for the changes in heart rate?
5. 3 The nurse is assessing a client to determine tremors associated with Parkinson
disease. Which clinical manifestation does the nurse anticipate during the
assessment?
1. Fasciculations.
2. Chorea.
3. Rhythmic shaking.
4. Athetoid movements.
6. 3 The nurse is performing a neurological assessment on a client experiencing
anosmia (sense of smell). Which cranial nerve does the nurse assess to further
investigate this issue?
1. Trochlear (cranial nerve IV).
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, Neuro Assessment,
Neuro Assessment
Study online at https://quizlet.com/_7gxz1l
2. Trigeminal (cranial nerve V).
3. Olfactory (cranial nerve I).
4. Oculomotor (cranial nerve III).
7. 4 The nurse is assessing the patellar reflex on a client and obtains no reflexive
activity. The client is alert and oriented. Which action by the nurse is the most
appropriate?
1. Document the findings as normal.
2. Notify the healthcare provider immediately.
3. Look at the medication records for central nervous system depressants.
4. Retest the reflex after having the client use distraction during the exam.
8. 2 The nurse is interviewing a client with suspected Lyme disease. Which question
is the priority in this situation?
1. "When was your last seizure?"
2. "Have you been hiking or camping lately?"
3. "What has your temperature been running?"
4. "Do you have an appetite?"
9. 1,2,4 The nurse is preparing to conduct a focused interview on a client who is
experiencing back pain. Which questions will the nurse include in this focused
interview?
Standard Text: Select all that apply.
1. "How long have you been experiencing this pain?"
2. "What activities seem to increase your pain?"
3. "Are your children physically active?"
4. "What things do you do to relieve your pain?"
5. "Are you receiving worker's compensation?"
10. 2 The nurse is performing the Romberg test and asks the client to stand with the
feet together and eyes closed. The nurse notes the findings are normal. Which
finding is expected during this assessment?
1. Swaying from side to side.
Actualstudy Page 2
Neuro Assessment
Study online at https://quizlet.com/_7gxz1l
1. 1, 2 The nurse is reviewing the cranial nerves prior to a PRN shift on a neurological
unit. Upon the review, the nurse notes that some of the nerves are exclusively
sensory nerves. Which cranial nerves belong to this group?
Standard Text: Select all that apply.
1. Olfactory nerve (cranial nerve I).
2. Optic nerve (cranial nerve II).
3. Trochlear nerve (cranial nerve IV).
4. Trigeminal nerve (cranial nerve V).
5. Facial nerve (cranial nerve VII).
2. The frontal lobe of The nurse is caring for a client having problems with emotional appropriateness
the cerebrum for as a result of a brain injury. Based on this data, which area of the brain has been
the control of emo- damaged?
tions
3. Brain stem What part of the brain is responsible for vital signs?
4. Brain stem The nurse is caring for a client with a traumatic brain injury (TBI). The client
begins to experience bradycardia. Which area of the brain is likely responsible
for the changes in heart rate?
5. 3 The nurse is assessing a client to determine tremors associated with Parkinson
disease. Which clinical manifestation does the nurse anticipate during the
assessment?
1. Fasciculations.
2. Chorea.
3. Rhythmic shaking.
4. Athetoid movements.
6. 3 The nurse is performing a neurological assessment on a client experiencing
anosmia (sense of smell). Which cranial nerve does the nurse assess to further
investigate this issue?
1. Trochlear (cranial nerve IV).
Actualstudy Page 1
, Neuro Assessment,
Neuro Assessment
Study online at https://quizlet.com/_7gxz1l
2. Trigeminal (cranial nerve V).
3. Olfactory (cranial nerve I).
4. Oculomotor (cranial nerve III).
7. 4 The nurse is assessing the patellar reflex on a client and obtains no reflexive
activity. The client is alert and oriented. Which action by the nurse is the most
appropriate?
1. Document the findings as normal.
2. Notify the healthcare provider immediately.
3. Look at the medication records for central nervous system depressants.
4. Retest the reflex after having the client use distraction during the exam.
8. 2 The nurse is interviewing a client with suspected Lyme disease. Which question
is the priority in this situation?
1. "When was your last seizure?"
2. "Have you been hiking or camping lately?"
3. "What has your temperature been running?"
4. "Do you have an appetite?"
9. 1,2,4 The nurse is preparing to conduct a focused interview on a client who is
experiencing back pain. Which questions will the nurse include in this focused
interview?
Standard Text: Select all that apply.
1. "How long have you been experiencing this pain?"
2. "What activities seem to increase your pain?"
3. "Are your children physically active?"
4. "What things do you do to relieve your pain?"
5. "Are you receiving worker's compensation?"
10. 2 The nurse is performing the Romberg test and asks the client to stand with the
feet together and eyes closed. The nurse notes the findings are normal. Which
finding is expected during this assessment?
1. Swaying from side to side.
Actualstudy Page 2
