Lewis- Chapter 56- Neuro Assessment
Lewis- Chapter 56- Neuro Assessment.pdf
Study online at https://quizlet.com/_3a0fb6
1. When admitting an acutely confused ANS: A
20-year-old patient with a head in- When admitting a patient who is likely to be a poor
jury, which action historian, the nurse should obtain health
should the nurse take? history information from others who have knowledge
a. Ask family members about the pa- about the patient's health. Waiting until
tient's health history. the patient is oriented or obtaining only physiologic
b. Ask leading questions to assist in data will result in incomplete assessment
obtaining health data. data, which could adversely affect decision making
c. Wait until the patient is better ori- about treatment. Asking leading questions
ented to ask questions. may result in inaccurate or incomplete information.
d. Obtain only the physiologic neuro-
logic assessment data
2. Which finding would the nurse ex- ANS: B
pect when assessing the legs of a Because the cell bodies of lower motor neurons are
patient who has a lower located in the spinal cord, damage to the
motor neuron lesion? neuron will decrease motor activity of the affected
a. Spasticity muscles. Spasticity and hyperactive
b. Flaccidity reflexes are caused by upper motor neuron damage.
c. No sensation Sensation is not impacted by motor
d. Hyperactive reflexes neuron lesions
3. The nurse performing a focused as- ANS: D
sessment of left posterior temporal The posterior temporal lobe integrates the visual and
lobe functions will auditory input for language
assess the patient for comprehension. Reasoning and problem solving are
a. sensation on the left side of the functions of the anterior frontal lobe.
body. Sensation on the left side of the body is located in the
b. voluntary movements on the right right postcentral gyrus. Voluntary
side. movement on the right side is controlled in the left
c. reasoning and problem-solving precentral gyrus.
abilities.
Actualstudy 1
1/8
, Lewis- Chapter 56- Neuro Assessment
Lewis- Chapter 56- Neuro Assessment.pdf
Study online at https://quizlet.com/_3a0fb6
d. understanding written and oral
language.
4. Propranolol (Inderal), a β-adrener- ANS: B
gic blocker that inhibits sympathetic Inhibition of the fight or flight response leads to a
nervous system decreased heart rate. Dry mouth,
activity, is prescribed for a patient constipation, and urinary retention are associated
who has extreme anxiety about pub- with peripheral nervous system blockade.
lic speaking. The nurse
monitors the patient for
a. dry mouth.
b. bradycardia.
c. constipation.
d. urinary retention
5. To assess the functioning of the ANS: A
trigeminal and facial nerves (CNs V The trigeminal and facial nerves are responsible for
and VII), the nurse the corneal reflex. The optic nerve is
should tested by having the patient read a Snellen chart or a
a. shine a light into the patient's newspaper. Assessment of pupil response
pupil. to light and ptosis are used to check function of the
b. check for unilateral eyelid droop- oculomotor nerve.
ing.
c. touch a cotton wisp strand to the
cornea.
d. have the patient read a magazine
or book
6. Which action will the nurse include ANS: A
in the plan of care for a patient with The glossopharyngeal and vagus nerves innervate the
impaired functioning pharynx and control the gag reflex. A
of the left glossopharyngeal nerve patient with impaired function of these nerves is at
Actualstudy 2
2/8
Lewis- Chapter 56- Neuro Assessment.pdf
Study online at https://quizlet.com/_3a0fb6
1. When admitting an acutely confused ANS: A
20-year-old patient with a head in- When admitting a patient who is likely to be a poor
jury, which action historian, the nurse should obtain health
should the nurse take? history information from others who have knowledge
a. Ask family members about the pa- about the patient's health. Waiting until
tient's health history. the patient is oriented or obtaining only physiologic
b. Ask leading questions to assist in data will result in incomplete assessment
obtaining health data. data, which could adversely affect decision making
c. Wait until the patient is better ori- about treatment. Asking leading questions
ented to ask questions. may result in inaccurate or incomplete information.
d. Obtain only the physiologic neuro-
logic assessment data
2. Which finding would the nurse ex- ANS: B
pect when assessing the legs of a Because the cell bodies of lower motor neurons are
patient who has a lower located in the spinal cord, damage to the
motor neuron lesion? neuron will decrease motor activity of the affected
a. Spasticity muscles. Spasticity and hyperactive
b. Flaccidity reflexes are caused by upper motor neuron damage.
c. No sensation Sensation is not impacted by motor
d. Hyperactive reflexes neuron lesions
3. The nurse performing a focused as- ANS: D
sessment of left posterior temporal The posterior temporal lobe integrates the visual and
lobe functions will auditory input for language
assess the patient for comprehension. Reasoning and problem solving are
a. sensation on the left side of the functions of the anterior frontal lobe.
body. Sensation on the left side of the body is located in the
b. voluntary movements on the right right postcentral gyrus. Voluntary
side. movement on the right side is controlled in the left
c. reasoning and problem-solving precentral gyrus.
abilities.
Actualstudy 1
1/8
, Lewis- Chapter 56- Neuro Assessment
Lewis- Chapter 56- Neuro Assessment.pdf
Study online at https://quizlet.com/_3a0fb6
d. understanding written and oral
language.
4. Propranolol (Inderal), a β-adrener- ANS: B
gic blocker that inhibits sympathetic Inhibition of the fight or flight response leads to a
nervous system decreased heart rate. Dry mouth,
activity, is prescribed for a patient constipation, and urinary retention are associated
who has extreme anxiety about pub- with peripheral nervous system blockade.
lic speaking. The nurse
monitors the patient for
a. dry mouth.
b. bradycardia.
c. constipation.
d. urinary retention
5. To assess the functioning of the ANS: A
trigeminal and facial nerves (CNs V The trigeminal and facial nerves are responsible for
and VII), the nurse the corneal reflex. The optic nerve is
should tested by having the patient read a Snellen chart or a
a. shine a light into the patient's newspaper. Assessment of pupil response
pupil. to light and ptosis are used to check function of the
b. check for unilateral eyelid droop- oculomotor nerve.
ing.
c. touch a cotton wisp strand to the
cornea.
d. have the patient read a magazine
or book
6. Which action will the nurse include ANS: A
in the plan of care for a patient with The glossopharyngeal and vagus nerves innervate the
impaired functioning pharynx and control the gag reflex. A
of the left glossopharyngeal nerve patient with impaired function of these nerves is at
Actualstudy 2
2/8
