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"A gerontologic nurse planning the neurologic assessment of an older adult is considering
normal, age-related changes. Of what phenomenon should the nurse be aware?
A) Hyperactive deep tendon reflexes
B) Reduction in cerebral blood flow
C) Increased cerebral metabolism
D) Hypersensitivity to painful stimuli - Correct Answer B) Reduction in cerebral blood flow"
"The nurse has admitted a new patient to the unit. One of the patient's admitting orders is for
an adrenergic medication. The nurse knows that this medication will have what effect on the
circulatory system?
A) Thin, watery saliva
B) Increased heart rate
C) Decreased BP
D) Constricted bronchioles - Correct Answer B) Increased heart rate"
"A nurse is assessing reflexes in a patient with hyperactive reflexes. When the patient's foot
is abruptly dorsiflexed, it continues to "beat" two times before settling into a resting position.
How would the nurse document this finding?
A) Rigidity
B) Flaccidity
C) Clonus
D) Ataxia - Correct Answer C) Clonus"
"he nurse is doing an initial assessment on a patient newly admitted to the unit with a
diagnosis of cerebrovascular accident (CVA). The patient has difficulty copying a figure that
the nurse has drawn and is diagnosed with visual-receptive aphasia. What brain region is
primarily involved in this deficit?
,A) Temporal lobe
B) Parietal-occipital area
C) Inferior posterior frontal areas
D) Posterior frontal area - Correct Answer B) Parietal-occipital area"
A patient is brought to the ER following a motor vehicle accident in which he sustained head
trauma. Preliminary assessment reveals a vision deficit in the patient's left eye. The nurse
should associate this abnormal finding with trauma to which of the following cerebral lobes?
A) Temporal
B) Occipital
C) Parietal
D) Frontal - Correct Answer B) Occipital"
".A patient scheduled for magnetic resonance imaging (MRI) at the radiology department.
The nurse who prepares the patient for the MRI should prioritize which of the following
actions?
A) Withholding stimulants 24 to 48 hours prior to exam
B) Removing all metal-containing objects
C) Instructing the patient to void prior to the MRI
D) Initiating an IV line for administration of contrast - Correct Answer B) Removing all metal-
containing objects"
"The nurse is admitting a patient to the unit who is diagnosed with lower motor neuron lesion.
What entry in the patient's electronic record is most consistent with this diagnosis?
A) "Patient exhibits increased muscle tone."
B) "Patient demonstrates normal muscle structure with no evidence of atrophy."
C) "Patient demonstrates hyperactive deep tendon reflexes."
D) "Patient demonstrates an absence of deep tendon reflexes." - Correct Answer D) "Patient
demonstrates an absence of deep tendon reflexes.""
"8. An elderly patient is being discharged home. The patient lives alone and has atrophy of
his olfactory organs. The nurse tells the patient's family its essential that the patient have
what installed in the home?
A) Grab bars
,B) Nonslip mats
C) Baseboard heaters
D) A smoke detector - Correct Answer D) A smoke detector"
"A nurse is caring for a patient diagnosed with Ménière's disease. While completing a
neurologic examination on the patient, the nurse assesses cranial nerve VIII. The nurse would
be correct in identifying the function of this nerve as what?
A) Movement of the tongue
B) Visual acuity
C) Sense of smell
D) Hearing and equilibrium - Correct Answer D) Hearing and equilibrium"
". A patient exhibiting an uncoordinated gait has presented at the clinic. Which of the
following is the most plausible cause of this patient's health problems?
A) Cerebellar dysfunction
B) A lesion in the pons
C) Dysfunction of the medulla
D) A hemorrhage in the midbrain - Correct Answer A"
"When caring for a patient with an altered level of consciousness, the nurse is preparing to
test cranial nerve VII. What assessment technique would the nurse use to elicit a response
from cranial nerve VII?
A) Palpate trapezius muscle while patient shrugs should against resistance.
B) Administer the whisper or watch-tick test.
C) Observe for facial movement symmetry, such as a smile.
D) Note any hoarseness in the patient's voice - Correct Answer C) Observe for facial
movement symmetry, such as a smile."
"The nurse caring for an 80 year-old patient knows that she has a pre-existing history of
dulled tactile sensation. The nurse should first consider what possible cause for this patient's
diminished tactile sensation?
A) Damage to cranial nerve VIII
B) Adverse medication effects
, C) Age-related neurologic changes
D) An undiagnosed cerebrovascular accident in early adulthood - Correct Answer C) Age-
related neurologic changes"
"A gerontologic nurse educator is providing practice guidelines to unlicensed care providers.
Because reaction to painful stimuli is sometimes blunted in older adults, what must be used
with caution?
A) Hot or cold packs
B) Analgesics
C) Anti-inflammatory medications
D) Whirlpool baths - Correct Answer A) Hot or cold packs"
"A trauma patient in the ICU has been declared brain dead. What diagnostic test is used in
making the determination of brain death?
A) Magnetic resonance imaging (MRI)
B) Electroencephalography (EEG)
C) Electromyelography (EMG)
D) Computed tomography (CT) - Correct Answer B) Electroencephalography (EEG)"
"A patient is scheduled for CT scanning of the head because of a recent onset of neurologic
deficits. What should the nurse tell the patient in preparation for this test?
A) "No metal objects can enter the procedure room."
B) "You need to fast for 8 hours prior to the test."
C) "You will need to lie still throughout the procedure."
D) "There will be a lot of noise during the test." - Correct Answer C) "You will need to lie still
throughout the procedure.""
"22. A patient is scheduled for a myelogram and the nurse explains to the patient that this is
an invasive procedure, which assesses for any lesions in the spinal cord. The nurse should
explain that the preparation is similar to which of the following neurologic tests?
A) Lumbar puncture
B) MRI
C) Cerebral angiography