NR 325 Week 4
neurology disorders
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Updated 2026
,How should the nurse assess the client's cranial nerve V (trigeminal)?
-Ask the client to shrug their shoulders against resistance.
-Ask the client to say "ah" and observe the upward movement of the soft palate.
-Ask the client to smile, raise their eyebrows, and puff out their cheeks.
-Ask the client to open their mouth against resistance
Ask the client to open their mouth against resistance.
The client is admitted due to altered intracranial regulation. The client has cranial nerve IX
and X dysfunction. What should the nurse do first?
-Withhold oral fluids and food immediately.
-Assist the client to ambulate in the bedside commode.
-Intubate the client immediately and provide them with oxygen.
-Apply antibiotic eye ointment every 4 hours.
Withhold oral fluids and food immediately.
The client had a positive Romberg test. What is the priority nursing diagnosis?
-Powerlessness
-Risk for fall
-Impaired breathing pattern
-Decreased cardiac output
Risk for fall
, What is the cerebral perfusion pressure of a client that has a blood pressure of 180/90
mmHg and an intracranial pressure of 35 mmHg?
110 mmHg
95 mmHg
105 mmHg
85 mmHg
85 mmHg
What impact does mean arterial pressure have on intracranial regulation?
-Low mean arterial pressure could suggest that there is altered intracranial regulation.
-High mean arterial pressure means that there is great cerebral perfusion.
-High mean arterial pressure may indicate a high intracranial pressure in a susceptible
client.
-High mean arterial pressure indicates that the intracranial pressure is low.
High mean arterial pressure may indicate a high intracranial pressure in a susceptible
client.
The client is admitted due to a head injury and is experiencing cerebral edema. What is
the most appropriate nursing action to stabilize the client?
-Position the client supine.
-Suction the client as frequently as possible.
-Raise the client's head of the bed to 30 degrees.
-Administer paralytic agents to paralyze the client.
Raise the client's head of the bed to 30 degrees.
neurology disorders
Exam Questions Verified
and Provided with A+
Graded Answers |Latest
Updated 2026
,How should the nurse assess the client's cranial nerve V (trigeminal)?
-Ask the client to shrug their shoulders against resistance.
-Ask the client to say "ah" and observe the upward movement of the soft palate.
-Ask the client to smile, raise their eyebrows, and puff out their cheeks.
-Ask the client to open their mouth against resistance
Ask the client to open their mouth against resistance.
The client is admitted due to altered intracranial regulation. The client has cranial nerve IX
and X dysfunction. What should the nurse do first?
-Withhold oral fluids and food immediately.
-Assist the client to ambulate in the bedside commode.
-Intubate the client immediately and provide them with oxygen.
-Apply antibiotic eye ointment every 4 hours.
Withhold oral fluids and food immediately.
The client had a positive Romberg test. What is the priority nursing diagnosis?
-Powerlessness
-Risk for fall
-Impaired breathing pattern
-Decreased cardiac output
Risk for fall
, What is the cerebral perfusion pressure of a client that has a blood pressure of 180/90
mmHg and an intracranial pressure of 35 mmHg?
110 mmHg
95 mmHg
105 mmHg
85 mmHg
85 mmHg
What impact does mean arterial pressure have on intracranial regulation?
-Low mean arterial pressure could suggest that there is altered intracranial regulation.
-High mean arterial pressure means that there is great cerebral perfusion.
-High mean arterial pressure may indicate a high intracranial pressure in a susceptible
client.
-High mean arterial pressure indicates that the intracranial pressure is low.
High mean arterial pressure may indicate a high intracranial pressure in a susceptible
client.
The client is admitted due to a head injury and is experiencing cerebral edema. What is
the most appropriate nursing action to stabilize the client?
-Position the client supine.
-Suction the client as frequently as possible.
-Raise the client's head of the bed to 30 degrees.
-Administer paralytic agents to paralyze the client.
Raise the client's head of the bed to 30 degrees.
