Questions Fully Solved.
As you conduct a health history related to the nervous system, it is important to consider
common risk reduction teaching tips for your client. Which is a risk reduction teaching tip for a
client at risk for a cerebrovascular accident? - Answer - Avoiding use of illegal drugs
A 10-year-old client was hit in the head by a baseball. He was brought to the emergency room
with a diagnosis of rule out head injury. The nurse uses the Glasgow coma scale to evaluate his -
Answer - Level of consciousness
The nurse is examining the client and asks him to smile, frown, puff out his cheeks and close his
eyes tightly as the nurse tries to open them. What cranial nerve is the nurse assessing? - Answer
- CN VII- Facial
The nurse is evaluating an expecting mother of twins. The mother has gained several pounds
during her pregnancy. The nurse notes the patient's spine has an exaggerated curve and is
considered normal for pregnant or obese patients. This would be documented as: - Answer -
Lumbar Lordosis
Your client is being assessed for range of motion on his hip. The client's leg is positioned away
from his body and you ask him to move his extended leg toward midline of his body. This range
of motion test being assessed is called: - Answer - Adduction
The nurse is ready to document a normal response to testing cranial nerve XI (spinal accessory).
What would represent the best description? - Answer - Symmetric, strong contraction of the
trapezius muscles
The nurse is completing the neurological assessment of the patient. The nurse documents the
assessment on the Glascow Coma Scale. The patient opens their eyes spontaneously, orientated
x4, and moves to localized pain. The GCS score for this patient is: - Answer - 14/15
How would the nurse check the function of CN I (Olfactory)? - Answer - Have the client
identify the aroma of coffee beans.
During the assessment, the nurse determines that the client's Glasgow Coma Scale total score is