Advanced Health Assessment Exam 3 Review
Questions & Answers
The wife of a 65-year-old client tells the nurse that she is concerned because she
has noticed a change in her husband's personality and ability to understand. He also
cries and becomes angry very easily. The nurse recalls that the cerebral lobe
responsible for these behaviors is the _____ lobe.
A) frontal
B) parietal
C) occipital
D) temporal - A
A CLIENT WAS ADMITTED TO THE ED WITH SLURRED SPEECH. THE
NURSE NOTES THAT THIS COULD BE DUE TO DYSFUNCTION OF WHAT
CRANIAL NERVE(S)?
A) Cranial Nerve I
B) Cranial Nerve V
C) Cranial Nerves IX and X
D) Cranial Nerve III - C
The nurse is assessing a client who may have suffered a stroke. Which of these
statements is true concerning areas of the brain?
A) The cerebellum is the center for speech and emotions.
B) The hypothalamus controls temperature and regulates sleep.
C) The basal ganglia are responsible for controlling voluntary movements.
D) Motor pathways of the spinal cord and brainstem synapse in the thalamus. - B
The nurse is testing the function of cranial nerve XI. Which of these best describes
the response the nurse should expect if the nerve is intact? The client:
A) demonstrates ability to hear normal conversation.
,B) sticks tongue out midline without tremors or deviation.
C) follows an object with both eyes without nystagmus or strabismus.
D) moves the head and shoulders against resistance with equal strength. - D
During the history, a client tells the nurse that "it feels like the room is spinning
around me." The nurse would document this as:
A) vertigo.
B) syncope.
C) dizziness.
D) seizure activity - A
A female client is in the clinic with weakness in her left arm and leg that she has
noticed for the past week. which type of neurologic examination would be most
appropriate for this client?
A) Glasgow Coma Scale
B) Neurologic Recheck Examination
C) Neurologic Screening Examination
D) Complete Neurologic Examination - D
During a neurological assessment, the nurse finds the following: asymmetry when
the client smiles or frowns, uneven lifting of eyebrows, sagging of the lower
eyelids, and escape of air from one side only when the nurse presses against the
puffed cheeks. This would indicate dysfunction of which of these cranial nerves?
A) Motor component of IV
B) Motor component of VII
C) Motor and sensory components of XI
D) Motor component of X and sensory component of VII - B
A female client tells the nurse that she has been very unsteady and has had
difficulty in maintaining her balance. The nurse suspects this could be due to
dysfunction of which area of the brain?
, A) Thalamus
B) Brainstem
C) Cerebellum
D) Extrapyramidal tract - C
During the assessment of THE Biceps reflexes, the nurse finds that a client's
responses are normal bilaterally. The Nurse would be Correct in documenting this
finding As ____+
A) 3+
B) 1+
C) 2+
D) 4+ - C
A GRADUATE NURSE ASKS A MORE EXPERIENCED NURSE WHEN SHE
SHOULD COMPLETE A NEURO ASSESSMENT DURING THE COURSE OF
HER SHIFT. AN APPROPRIATE RESPONSE WOULD BE:
A) Neuro assessments should not be performed while assessing other body
systems.
B) Neuro assessments can be performed covertly.
C) Neuro assessments should only be performed on admission.
D) Neuro assessments should only be performed when a client complains of a
headache. - B
A NURSE IS CONDUCTING A COMPLETE NEUROLOGICAL EXAM ON A
CLIENT WHO REPORTS DIFFICULTY WITH SPEECH. WHAT OTHER
QUESTIONS WOULD BE IMPORTANT FOR THE NURSE TO ASK THIS
CLIENT?
SELECT ALL THAT APPLY
A) When did you first notice this symptom?
B) How long did the symptoms last?
C) Can you describe the symptoms?
D) Any problems forming words? - A, B, C, D
Questions & Answers
The wife of a 65-year-old client tells the nurse that she is concerned because she
has noticed a change in her husband's personality and ability to understand. He also
cries and becomes angry very easily. The nurse recalls that the cerebral lobe
responsible for these behaviors is the _____ lobe.
A) frontal
B) parietal
C) occipital
D) temporal - A
A CLIENT WAS ADMITTED TO THE ED WITH SLURRED SPEECH. THE
NURSE NOTES THAT THIS COULD BE DUE TO DYSFUNCTION OF WHAT
CRANIAL NERVE(S)?
A) Cranial Nerve I
B) Cranial Nerve V
C) Cranial Nerves IX and X
D) Cranial Nerve III - C
The nurse is assessing a client who may have suffered a stroke. Which of these
statements is true concerning areas of the brain?
A) The cerebellum is the center for speech and emotions.
B) The hypothalamus controls temperature and regulates sleep.
C) The basal ganglia are responsible for controlling voluntary movements.
D) Motor pathways of the spinal cord and brainstem synapse in the thalamus. - B
The nurse is testing the function of cranial nerve XI. Which of these best describes
the response the nurse should expect if the nerve is intact? The client:
A) demonstrates ability to hear normal conversation.
,B) sticks tongue out midline without tremors or deviation.
C) follows an object with both eyes without nystagmus or strabismus.
D) moves the head and shoulders against resistance with equal strength. - D
During the history, a client tells the nurse that "it feels like the room is spinning
around me." The nurse would document this as:
A) vertigo.
B) syncope.
C) dizziness.
D) seizure activity - A
A female client is in the clinic with weakness in her left arm and leg that she has
noticed for the past week. which type of neurologic examination would be most
appropriate for this client?
A) Glasgow Coma Scale
B) Neurologic Recheck Examination
C) Neurologic Screening Examination
D) Complete Neurologic Examination - D
During a neurological assessment, the nurse finds the following: asymmetry when
the client smiles or frowns, uneven lifting of eyebrows, sagging of the lower
eyelids, and escape of air from one side only when the nurse presses against the
puffed cheeks. This would indicate dysfunction of which of these cranial nerves?
A) Motor component of IV
B) Motor component of VII
C) Motor and sensory components of XI
D) Motor component of X and sensory component of VII - B
A female client tells the nurse that she has been very unsteady and has had
difficulty in maintaining her balance. The nurse suspects this could be due to
dysfunction of which area of the brain?
, A) Thalamus
B) Brainstem
C) Cerebellum
D) Extrapyramidal tract - C
During the assessment of THE Biceps reflexes, the nurse finds that a client's
responses are normal bilaterally. The Nurse would be Correct in documenting this
finding As ____+
A) 3+
B) 1+
C) 2+
D) 4+ - C
A GRADUATE NURSE ASKS A MORE EXPERIENCED NURSE WHEN SHE
SHOULD COMPLETE A NEURO ASSESSMENT DURING THE COURSE OF
HER SHIFT. AN APPROPRIATE RESPONSE WOULD BE:
A) Neuro assessments should not be performed while assessing other body
systems.
B) Neuro assessments can be performed covertly.
C) Neuro assessments should only be performed on admission.
D) Neuro assessments should only be performed when a client complains of a
headache. - B
A NURSE IS CONDUCTING A COMPLETE NEUROLOGICAL EXAM ON A
CLIENT WHO REPORTS DIFFICULTY WITH SPEECH. WHAT OTHER
QUESTIONS WOULD BE IMPORTANT FOR THE NURSE TO ASK THIS
CLIENT?
SELECT ALL THAT APPLY
A) When did you first notice this symptom?
B) How long did the symptoms last?
C) Can you describe the symptoms?
D) Any problems forming words? - A, B, C, D
