NEURO PRACTICE TEST.

NEURO PRACTICE TEST. What are the reasons for performing a lumbar puncture on a client? - CORRECT ANSWER Reading cerebrospinal fluid pressure Injecting contrast medium for diagnostic study A 50-year-old male client has difficulty communicating because of expressive aphasia after a cerebrovascular accident (CVA, also known as a "brain attack"). When the nurse asks the client how he is feeling, his wife answers for him. How should the nurse address this behavior? - CORRECT ANSWER Acknowledge the wife but look at the client for a response. Which clinical indicator does the nurse expect to identify when assessing a client admitted with a herniated lumbar disk? - CORRECT ANSWER Pain radiating to the hip and leg During the neurologic assessment of a client with a tentative diagnosis of Guillain-Barré syndrome, what does the nurse expect the client to manifest? - CORRECT ANSWER increase muscle weakness A college athlete sustained a complete transection of the spinal cord while practicing on a trampoline. The healthcare provider explains that return of function to the lower extremities is not likely to occur. Two weeks later, the client verbalizes the need to get out of the hospital to practice for an upcoming tournament. Which is the nurse's most appropriate conclusion about the client's statement? - CORRECT ANSWER Exhibiting denial A nurse may find that for optimum nutrition a client with a cerebrovascular accident (also known as "brain attack") needs assistance with eating. What should the nurse do? - CORRECT ANSWER Encourage the client to participate in the feeding process. A nurse is monitoring a client who is having a computed tomography (CT) scan of the brain with contrast. Which response indicates that the client is having an untoward reaction to the contrast medium? - CORRECT ANSWER SOB Which cranial nerve damage may lead to a decrease in the client's olfactory acuity? - CORRECT ANSWER CN 1 Which health problem does the nurse identify from an older client's history that increases the client's risk factors for a cerebrovascular accident (CVA, also known as "brain attack")? - CORRECT ANSWER TIAs A client comes into the emergency department with neurologic deficits after falling off a ladder. Which client assessment will the nurse perform for the Glasgow Coma Scale? - CORRECT ANSWER Motor response to verbal commands Initially after a brain attack (stroke, cerebrovascular accident), a client's pupils are equal and reactive to light. Four hours later the nurse identifies that one pupil reacts more slowly than the other. The client's systolic blood pressure is beginning to increase. On which condition should the nurse be prepared to focus care? - CORRECT ANSWER ICP