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Exam (elaborations)

NUSC 1P30 Jarvis Chapter 25 Neurological System – Questions & Answers | Nursing Exam Prep

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NUSC 1P30 Jarvis Chapter 25 Neurological System – Questions & Answers | Nursing Exam Prep

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NUSC 1P30 Jarvis Chapter 25: Neurological System
NUSC 1P30 Jarvis Chapter 25 Neurological System.pdf
Study online at https://quizlet.com/_6bxc9g

1. The two parts of the nervous ANS: B
system are the: The nervous system can be divided into two parts—cen-
A) motor and sensory. tral and peripheral. The central nervous system includes the
B) central and peripheral. brain and spinal cord. The peripheral nervous system in-
C) peripheral and autonomic. cludes the 12 pairs of cranial nerves, the 31 pairs of spinal
D) hypothalamus and cerebral. nerves, and all their branches.

PTS: 1 DIF: Cognitive Level: Remembering (Knowledge)
REF: Pages: 621-622 MSC: Client Needs: General

2. The wife of a 65-year-old man ANS: A
tells the nurse that she is con- The frontal lobe has areas concerned with personality, be-
cerned because she has no- havior, emotions, and intellectual function. The parietal lobe
ticed a change in her husband's has areas concerned with sensation; the occipital lobe is
personality and ability to un- responsible for visual reception; and the temporal lobe is
derstand. He also cries and be- concerned with hearing, taste and smell.
comes angry very easily. The
nurse recalls that the cerebral PTS: 1 DIF: Cognitive Level: Understanding (Comprehen-
lobe responsible for these be- sion)
haviors is the _____ lobe. REF: Page: 622 MSC: Client Needs: Physiological Integrity:
A) frontal Physiological Adaptation
B) parietal
C) occipital
D) temporal

3. Which of these statements con- ANS: B
cerning areas of the brain is The hypothalamus is a vital area with many important func-
true? tions: temperature controller, sleep center, anterior and pos-
A) The cerebellum is the center terior pituitary gland regulator, and coordinator of autonom-
for speech and emotions. ic nervous system activity and emotional status. The cerebel-
B) The hypothalamus con- lum controls motor coordination, equilibrium, and balance.
trols temperature and regu- The basal ganglia control autonomic movements of the body.
Actualstudy 1


, NUSC 1P30 Jarvis Chapter 25: Neurological System
NUSC 1P30 Jarvis Chapter 25 Neurological System.pdf
Study online at https://quizlet.com/_6bxc9g

lates sleep. The motor pathways of the spinal cord synapse in various
C) The basal ganglia are re- areas of the spinal cord, not the thalamus.
sponsible for controlling volun-
tary movements. PTS: 1 DIF: Cognitive Level: Understanding (Comprehen-
D) Motor pathways of the sion)
spinal cord and brainstem REF: Pages: 622-623 MSC: Client Needs: General
synapse in the thalamus.

4. The area of the nervous system ANS: C
that is responsible for mediat- The spinal cord is the main highway for ascending and
ing reflexes is the: descending fiber tracts that connect the brain to the spinal
A) medulla. nerves, and it mediates reflexes.
B) cerebellum.
C) spinal cord. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge)
D) cerebral cortex. REF: Page: 623 MSC: Client Needs: General

5. While gathering equipment af- ANS: C
ter an injection, a nurse acci- The spinothalamic tract contains sensory fibers that trans-
dentally received a prick from mit the sensations of pain, temperature, and crude or light
an improperly capped nee- touch. Fibers carrying pain and temperature sensations as-
dle. To interpret this sensation, cend the lateral spinothalamic tract, whereas those of crude
which of these areas must be touch form the anterior spinothalamic tract. At the thalamus,
intact? the fibers synapse with another sensory neuron, which car-
A) Corticospinal tract, medulla, ries the message to the sensory cortex for full interpretation.
and basal ganglia The other options are not correct.
B) Pyramidal tract, hypothala-
mus, and sensory cortex PTS: 1 DIF: Cognitive Level: Applying (Application)
C) Lateral spinothalamic tract, REF: Page: 624 MSC: Client Needs: General
thalamus, and sensory cortex
D) Anterior spinothalamic tract,
basal ganglia, and sensory cor-
tex
Actualstudy 2


, NUSC 1P30 Jarvis Chapter 25: Neurological System
NUSC 1P30 Jarvis Chapter 25 Neurological System.pdf
Study online at https://quizlet.com/_6bxc9g

6. A patient with lack of oxygen to ANS: C
his heart will have pain in his The sensory cortex is arranged in a specific pattern, forming
chest and possibly the shoul- a corresponding "map" of the body. Pain in the right hand
der, arms, or jaw. The nurse is perceived at a specific spot on the map. Some organs
knows that the statement that are absent from the brain map, such as the heart, liver, and
best explains why this occurs is spleen. Pain originating in these organs is referred because
which of these? no felt image exists in which to have pain. Pain is felt "by
A) There is a problem with the proxy" by another body part that does have a felt image. The
sensory cortex and its ability to other responses are not correct explanations.
discriminate the location.
B) The lack of oxygen in his PTS: 1 DIF: Cognitive Level: Understanding (Comprehen-
heart has resulted in decreased sion)
amount of oxygen to the areas REF: Pages: 624-625
experiencing pain. MSC: Client Needs: Physiological Integrity: Basic Care and
C) The sensory cortex does not Comfort
have the ability to localize pain
in the heart, so the pain is felt
elsewhere.
D) There is a lesion in the dorsal
root that is preventing the sen-
sation from being transmitted
normally.

7. The ability that humans have ANS: B
to perform very skilled move- Corticospinal fibers mediate voluntary movement, particu-
ments such as writing is con- larly very skilled, discrete, purposeful movements, such as
trolled by the: writing. The corticospinal tract (also known as the pyramidal
A) basal ganglia. tract) is a newer, "higher" motor system that humans have
B) corticospinal tract. that permits very skilled and purposeful movements. The
C) spinothalamic tract. other responses are not related to skilled movements.
D) extrapyramidal tract.
PTS: 1 DIF: Cognitive Level: Understanding (Comprehen-
Actualstudy 3


, NUSC 1P30 Jarvis Chapter 25: Neurological System
NUSC 1P30 Jarvis Chapter 25 Neurological System.pdf
Study online at https://quizlet.com/_6bxc9g

sion)
REF: Page: 625 MSC: Client Needs: General

8. A 30-year-old woman tells the ANS: C
nurse that she has been very The cerebellar system coordinates movement, maintains
unsteady and has had difficul- equilibrium, and helps maintain posture. The thalamus is
ty in maintaining her balance. the main relay station where sensory pathways of the spinal
Which area of the brain would cord, cerebellum, and brainstem for synapses on their way to
the nurse be concerned about the cerebral cortex. The brainstem consists of the midbrain,
with these findings? pons, and medulla and has various functions, especially con-
A) Thalamus cerning autonomic centers. The extrapyramidal tract main-
B) Brainstem tains muscle tone for gross automatic movements, such as
C) Cerebellum walking.
D) Extrapyramidal tract
PTS: 1 DIF: Cognitive Level: Understanding (Comprehen-
sion)
REF: Pages: 625-626
MSC: Client Needs: Physiological Integrity: Physiological
Adaptation

9. Which of these statements ANS: D
about the peripheral nervous A nerve is a bundle of fibers outside the central nervous sys-
system is correct? tem. The peripheral nerves carry input to the central nervous
A) The cranial nerves enter the system by their sensory afferent fibers and deliver output
brain through the spinal cord. from the central nervous system by the efferent fibers.
B) Efferent fibers carry senso-
ry input to the central ner- PTS: 1 DIF: Cognitive Level: Remembering (Knowledge)
vous system through the spinal REF: Pages: 625-626 MSC: Client Needs: General
cord.
C) The peripheral nerves are
inside the central nervous
system and carry impulses
Actualstudy 4

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