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Neuro Exam Questions and Correct Answers – 100% Correct and Verified

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Neuro Exam Questions and Correct Answers – 100% Correct and Verified "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 D) EEG - Correct Answer A) Lumbar puncture" "A patient had a lumbar puncture performed at the outpatient center the nurse has phoned the patient and family that evening. What does this phone call enable the nurse to determine? A) What are the patient's and family's expectations of the test B) Whether the patient's family had any questions about why the test was necessary C) Whether the patient has had any complications of the test D) Whether the patient understood accurately why the test was done - Correct Answer C) Whether the patient has had any complications of the test" "24. The nurse is performing a neurologic assessment of a patient whose injuries have rendered her unable to follow verbal commands. How should the nurse proceed with assessing the patient's level of consciousness (LOC)? A) Assess the patient's vital signs and correlate these with the patient's baselines. B) Assess the patient's eye opening and response to stimuli. C) Document that the patient currently lacks a level of a consciousness D) Facilitate diagnostic testing in an effort to obtain objective data. - Correct Answer B) Assess the patient's eye opening and response to stimuli." "The nurse is testing the neurological function of a patient's cerebellum and basal ganglia. What action will most accurately test these structures? A) Have the patient identify the location of a cotton swab on his or her skin with the eyes closed. B) Elicit the patient's response to a hypothetical problem. C) Ask the patient to close his or her eyes and discern between hot and cold stimuli. D) Guide the patient through the performance of rapid extraocular movements. - Correct Answer D) Guide the patient through the performance of rapid extraocular movements." "A nurse is assessing a patient with an acoustic neuroma who has been recently admitted to an oncology unit. What symptoms is the nurse likely to find during the initial assessment? A) Loss of hearing, tinnitus, and vertigo B) Loss of vision, change in mental status, and hyperthermia C) Loss of hearing, increased sodium retention, and hypertension D) Loss of vision, headache, and tachycardia - Correct Answer A" "A 25-year-old female patient with brain metastases is considering her life expectancy after her most recent meeting with her oncologist. Based on the fact that the patient is not receiving treatment for her brain metastases, what is the nurse's most appropriate action? A) Promoting the patient's functional status and ADLs B) Ensuring that the patient receives adequate palliative care C) Ensuring that the family does not tell the patient that her condition is terminal D) Promoting adherence to the prescribed medication regimen - Correct Answer B" "The nursing students are learning how to assess function of cranial nerve VIII. To assess the function of cranial nerve VIII the students would be correct in completing which of the following assessment techniques? A) Have the patient identify familiar odors with the eyes closed B) Assess papillary reflex. C) Utilize the Snellen chart. D) Test for air and bone conduction (Rinne test). - Correct Answer D" "A patient is being given a medication that stimulates her parasympathetic system. Following administration of this medication, the nurse should anticipate what effect? A) Constricted pupils B) Dilated bronchioles C) Decreased peristaltic movement D) Relaxed muscular walls of the urinary bladder - Correct Answer A) Constricted pupils" "A patient is having a "fight or flight response" after receiving news about his prognosis. What affect will this have on the patient's sympathetic nervous system? A) Constriction of blood vessels in the heart muscle B) Constriction of bronchioles C) Increase in the secretion of sweat D) Constriction of pupils - Correct Answer C" "The nurse is planning the care of a patient with Parkinson's Disease The nurse should be aware that treatment will focus on what pathophysiological phenomenon? A) Premature degradation of acetylcholine B) Decreased availability of dopamine C) Insufficient synthesis of epinephrine D) Delayed reuptake of serotonin - Correct Answer B) Decreased availability of dopamine" "A patient in the OR goes into malignant hyperthermia due to an abnormal reaction to the anesthetic. The nurse knows that the area of the brain that regulates body temperature is which of the following? A) Cerebellum B) Thalamus C) Hypothalamus D) Midbrain - Correct Answer C) Hypothalamus" ". A patient is admitted to the medical unit with an exacerbation of multiple sclerosis. When assessing this patient, the nurse has the patient stick out her tongue and move it back and forth. What is the nurse assessing? A) Function of the hypoglossal nerve B) Function of the vagus nerve C) Function of the spinal nerve D) Function of the trochlear nerve - Correct Answer A) Function of the hypoglossal nerve" ". The nurse is writing a care plan for a patient with brain metastases. The nurse decides that an appropriate nursing diagnosis is "anxiety related to loss of control over the health circumstances." In establishing this plan of care for the patient, the nurse should include what intervention? A) The patient will receive antianxiety medications every 4 hours. B) The patient's family will be instructed on planning the patient's care. C) The patient will be encouraged to verbalize concerns related to the disease and its treatment. D) The patient will begin intensive therapy with the goal action - Correct Answer C) The patient will be encouraged to verbalize concerns related to the disease and its treatment." "A 37-year-old man is brought to the clinic by his wife because he is experiencing loss of motor function and sensation. The physician suspects the patient has a spinal cord tumor and hospitalizes him for diagnostic testing. In light of the need to diagnose spinal cord compression from a tumor, the nurse will most likely prepare the patient for what test? A) Anterior-posterior x-ray B) Ultrasound C) Lumbar puncture D) MRI - Correct Answer D" "While assessing the patient at the beginning of the shift, the nurse inspects a surgical dressing covering the operative site after the patients' cervical diskectomy. The nurse notes that the drainage is 75% saturated with serosanguineous discharge. What is the nurse's most appropriate action? A) Page the physician and report this sign of infection. B) Reinforce the dressing and reassess in 1 to 2 hours. C) Reposition the patient to prevent further hemorrhage D) Inform the surgeon of the possibility of a dural leak. - Correct Answer D" "6. A patient, diagnosed with cancer of the lung, has just been tested for metastases to the brain. What change in health status would the nurse attribute to the patient's metastatic brain disease? A) Chronic pain B) Respiratory distress C) Fixed pupils D) Personality changes - Correct Answer D" "A patient has been admitted to the neurologic unit for the treatment of a newly diagnosed brain tumor. The patient has just exhibited seizure activity for the first time. What is the nurse's priority response to this event? A) Identify the triggers that precipitated the seizure. B) Implement precautions to ensure the patient's safety. C) Teach the patient's family about the relationship between tumors and seizure activity. D) Ensure that the patient is housed in a private room - Correct Answer B" ". A patient diagnosed with a pituitary adenoma has arrived on the neurologic unit. When planning the patient's care, the nurse should be aware that the effects of the tumor will primarily depend on what variable? A) Whether the tumor utilizes aerobic or anaerobic respiration B) The specific hormones secreted by the tumor C) The patient's pre-existing health status D) Whether the tumor is primary or the result of metastasis - Correct Answer B" "A male patient with a metastatic brain tumor is having a seizure and begins vomiting. What should the nurse do first? A) Perform oral suctioning. B) Page the physician. C) Insert a tongue depressor into the patient's mouth. D) Turn the patient on his side. - Correct Answer D" "The nurse educator is discussing neoplasms with a group of recent graduates. The educator explains that the effects of neoplasms are caused by the compression and infiltration of normal tissue. The physiologic changes that result can cause what pathophysiologic events? Select all that apply. A) Intracranial hemorrhage B) Infection of cerebrospinal fluid C) Increased ICP D) Focal neurologic signs E) Altered pituitary function - Correct Answer C, D, E" "The nurse is caring for a patient newly diagnosed with a primary brain tumor. The patient asks the nurse where his tumor came from. What would be the nurse's best response? A) "Your tumor originated from somewhere outside the CNS." B) "Your tumor likely started out in one of your glands." C) "Your tumor originated from cells within your brain itself." D) "Your tumor is from nerve tissue somewhere in your body - Correct Answer C" "A patient who has been experiencing numerous episodes of headaches and vomiting has subsequently been referred for testing to rule out a brain tumor. What characteristic of the patient's vomiting is most consistent with a brain tumor? A) The patient's vomiting is accompanied by epistaxis. B) The patient's vomiting does not relieve his nausea. C) The patient's vomiting is unrelated to food intake. D) The patient's emesis is blood-tinged. - Correct Answer C" "A male patient presents at the free clinic with complaints of impotency. Upon physical examination, the nurse practitioner notes the presence of hypogonadism. What diagnosis should the nurse suspect? A) Prolactinoma B) Angioma C) Glioma D) Adrenocorticotropic hormone (ACTH)-producing adenoma - Correct Answer A" ". The nurse is planning the care of a patient who has been diagnosed with a cerebellar tumor. Due to the location of this patient's tumor, the nurse should implement measures to prevent what complication? A) Falls B) Audio hallucinations C) Respiratory depression D) Labile BP - Correct Answer A" "A patient has been admitted to the neurologic ICU with a diagnosis of a brain tumor. The patient is scheduled to have a tumor resection/removal in the morning. Which of the following assessment parameters should the nurse include in the initial assessment? A) Gag reflex B) Deep tendon reflexes C) Abdominal girth D) Hearing acuity - Correct Answer A" "A patient with an inoperable brain tumor has been told that he has a short life expectancy. On what aspects of assessment and care should the home health nurse focus? Select all that apply. A) Pain control B) Management of treatment complications C) Interpretation of diagnostic tests D) Assistance with self-care E) Administration of treatments - Correct Answer A, B, D" "A client is diagnosed with an acoustic neuroma. When assessing the client, which manifestation would the nurse expect to find? Select all that apply. A) tinnitus B) vertigo C) staggering gait D) seizures E) headache - Correct Answer C, D, E" "A female client is admitted to the medical unit for evaluation of cerebral metastasis from a primary site. When reviewing the client's history, the nurse would most likely find which site as being the primary site? A) lung B) prostate C) renal D) uterus - Correct Answer A: Lung" "A nurse is conducting an assessment of a client who is suspected of having a brain tumor. Assessment reveals reports of a headache, for which the nurse gathers additional information. The nurse determines that these reports support the suspicion of a brain tumor when the client reports that the headache occurs: A) early in the morning. B) around lunchtime. C) in the middle of the afternoon. D) at bedtime. - Correct Answer A" "23. A client is exhibiting late signs of increased intracranial pressure. Which finding would the nurse most likely assess? Select all that apply. A) hypertension B) bradycardia C) respiratory depression D) headache E) papilledema - Correct Answer A, B, C" "A nurse is reviewing the trend of a patient's scores on the Glasgow Coma Scale (GCS). This allows the nurse to gauge what aspect of the patient's status? A) Reflex activity B) Level of consciousness C) Cognitive ability D) Sensory involvement - Correct Answer B) Level of consciousness" "The nurse is caring for a patient who is rapidly progressing toward brain death. The nurse should be aware of what cardinal signs of brain death? Select all that apply. A) Absence of pain response B) Apnea C) Coma D) Absence of brain stem reflexes E) Absence of deep tendon reflexes - Correct Answer B) Apnea, C) Coma, D) Absence of brain stem reflexes" "Following a spinal cord injury a patient is placed in halo traction. While performing pin site care, the nurse notes that one of the traction pins has become detached. The nurse would be correct in implementing what priority nursing action? A) Complete the pin site care to decrease risk of infection B) Notify the neurosurgeon of the occurrence. C) Stabilize the head in a lateral position. D) Reattach the pin to prevent further head trauma. - Correct Answer B) Notify the neurosurgeon of the occurrence." "A patient is admitted to the neurologic ICU with a suspected diffuse axonal injury. What would be the primary neuroimaging diagnostic tool used on this patient to evaluate the brain structure? A) MRI B) PET scan C) X-ray D) Ultrasound - Correct Answer A) MRI" "A neurologic flow chart is often used to document the care of a patient with a traumatic brain injury. At what point in the patient's care should the nurse begin to use a neurologic flow chart? A) When the patient's condition begins to deteriorate B) As soon as the initial assessment is made C) At the beginning of each shift D) When there is a clinically significant change in the patients condition - Correct Answer B) As soon as the initial assessment is made" "The nurse has implemented interventions aimed at facilitating family coping in the care of a patient with a traumatic brain injury. How can the nurse best facilitate family coping? A) Help the family understand that the patient could have died B) Emphasize the importance of accepting the patient's new limitations. C) Have the members of the family plan the patient's inpatient care. D) Assist the family in setting appropriate short-term goals - Correct Answer D) Assist the family in setting appropriate short-term goals" "17. The school nurse is giving a presentation on preventing spinal cord injuries (SCI). What should the nurse identify as prominent risk factors for SCI? select that apply. A) Young age B) Frequent travel C) African American race D) Male gender E) Alcohol or drug use - Correct Answer A) Young age , D) Male gender, E) Alcohol or drug use" "The nurse is planning the care of a patient with a T1 spinal cord injury. The nurse has identified the diagnosis of "risk for impaired skin integrity." How can the nurse best address this risk? A) Change the patient's position frequently. B) Provide a high-protein diet. C) Provide light massage at least daily. D) Teach the patient deep breathing and coughing exercise - Correct Answer A) Change the patient's position frequently." "The nurse is providing health education to a patient who has a C6 spinal cord injury. The patient asks why autonomic dysreflexia is considered an emergency. What would be the nurse's best answer? A) "The sudden increase in BP can raise the ICP or rupture a cerebral blood vessel." B) "The suddenness of the onset of the syndrome tells us the body is struggling to maintain its normal state." C) "Autonomic dysreflexia causes permanent damage to delicate nerve fibers that are healing." D) "The sudden, severe headache increases muscle tone and can cause further nerve damage." - Correct Answer A) "The sudden increase in BP can raise the ICP or rupture a cerebral blood vessel."" "A patient with a spinal cord injury has experienced several hypotensive episodes. How can the nurse best address the patient's risk for orthostatic hypotension? A) Administer an IV bolus of normal saline prior to repositioning. B) Maintain bed rest until normal BP regulation returns. C) Monitor the patient's BP before and during position changes D) Allow the patient to initiate repositioning. - Correct Answer C) Monitor the patient's BP before and during position changes" "The nurse caring for a patient with a spinal cord injury notes that the patient is exhibiting early signs and symptoms of disuse syndrome. Which of the following is the most appropriate nursing action? A) Limit the amount of assistance provided with ADLs. B) Collaborate with the physical therapist and immobilize the patient's extremities temporarily. C) Increase the frequency of ROM exercises. D) Educate the patient about the importance of frequent position changes. - Correct Answer C) Increase the frequency of ROM exercises." "Splints have been ordered for a patient who is at risk of developing footdrop following a spinal cord injury. The nurse caring for this patient knows that the splints are removed and reapplied when? A) At the patient's request B) Each morning and evening C) Every 2 hours D) One hour prior to mobility exercises - Correct Answer C) Every 2 hours" "A patient who is being treated in the hospital for a spinal cord injury is advocating for the removal of his urinary catheter, stating that he wants to try to resume normal elimination. What principle should guide the care team's decision regarding this intervention? A) Urinary retention can have serious consequences in patients with SCIs. B) Urinary function is permanently lost following an SCI. C) Urinary catheters should not remain in place for more than 7 days. D ) Overuse of urinary catheters can exacerbate nerve damage - Correct Answer A) Urinary retention can have serious consequences in patients with SCIs." "A patient is admitted to the neurologic ICU with a C4 spinal cord injury. When writing the plan of care for this patient, which of the following nursing diagnosis would the nurse prioritize in the immediate care of this patient? A) Risk for impaired skin integrity related to immobility and sensory loss B) Impaired physical mobility related to loss of motor function C) Ineffective breathing patterns related to weakness of the intercostal muscles D) Urinary retention related to inability to void spontaneously - Correct Answer C) Ineffective breathing patterns related to weakness of the intercostal muscles" "A patient with a documented history of seizure disorder experiences a generalized seizure. What nursing action is most appropriate? A) Restrain the patient to prevent injury. B) Open the patient's jaws to insert an oral airway. C) Place patient in high Fowler's position. D) Loosen the patient's restrictive clothing. - Correct Answer D) Loosen the patient's restrictive clothing." "While completing a health history on a patient who has recently experienced a seizure, the nurse would assess for what characteristic associated with the postictal state? A) Epileptic cry B) Confusion C) Urinary incontinence D) Body rigidity - Correct Answer B) Confusion" "The nurse is caring for a patient who is in status epilepticus. What medication does the nurse know may be given to halt the seizure immediately? A) Intravenous phenobarbital (Luminal) B) Intravenous diazepam (Valium) C) Oral lorazepam (Ativan) D) Oral phenytoin (Dilantin) - Correct Answer B) Intravenous diazepam (Valium)" "The nurse is providing care for a patient who is withdrawing from heavy alcohol use. The nurse and other members of the care team are present at the bedside when the patient has a seizure. In preparation for documenting this clinical event, the nurse should note which of the following? A) The ability of the patient to follow instructions during the seizure. B) The success or failure of the care team to physically restrain the patient. C) The patient's ability to explain his seizure during the postictal period. D) The patient's activities immediately prior to the seizure - Correct Answer D) The patient's activities immediately prior to the seizure" "A patient has experienced a seizure in which she became rigid and then experienced alternating muscle relaxation and contraction. What type of seizure does the nurse recognize? A) Unclassified seizure B) Absence seizure C) Generalized seizure D) Focal seizure - Correct Answer C) Generalized seizure" "A hospital patient has experienced a seizure. In the immediate recovery period, what action best protects the patient's safety? A) Place the patient in a side-lying position. B) Pad the patient's bed rails. C) Administer antianxiety medications as ordered. D) Reassure the patient and family members. - Correct Answer A) Place the patient in a side-lying position." "A patient with possible bacterial meningitis is admitted to the ICU. What assessment finding would the nurse expect for a patient with this diagnosis? A) Pain upon ankle dorsiflexion of the foot B) Neck flexion produces flexion of knees and hips C) Inability to stand with eyes closed and arms extended without swaying D) Numbness and tingling in the lower extremities - Correct Answer B) Neck flexion produces flexion of knees and hips" "The nurse is caring for a patient with multiple sclerosis (MS). The patient tells the nurse the hardest thing to deal with is the fatigue. When teaching the patient how to reduce fatigue, what action should the nurse suggest? A) Taking a hot bath at least once daily B) Resting in an air-conditioned room whenever possible C) Increasing the dose of muscle relaxants D) Avoiding naps during the day - Correct Answer B) Resting in an air-conditioned room whenever possible" "A patient with Guillain-Barré syndrome has experienced a sharp decline in vital capacity. What is the nurse's most appropriate action? A) Administer bronchodilators as ordered. B) Remind the patient of the importance of deep breathing and coughing exercises. C) Prepare to assist with intubation. D) Administer supplementary oxygen by nasal cannula. - Correct Answer C) Prepare to assist with intubation." "A patient diagnosed with Bell's palsy is being cared for on an outpatient basis. During health education, the nurse should promote which of the following actions? A) Applying a protective eye shield at night B) Chewing on the affected side to prevent unilateral neglect C) Avoiding the use of analgesics whenever possible D) Avoiding brushing the teeth - Correct Answer A) Applying a protective eye shield at night" "The nurse is working with a patient who is newly diagnosed with MS. What basic information should the nurse provide to the patient? A) MS is a progressive demyelinating disease of the nervous system. B) MS usually occurs more frequently in men. C) MS typically has an acute onset. D) MS is sometimes caused by a bacterial infection. - Correct Answer A) MS is a progressive demyelinating disease of the nervous system" "The nurse is creating a plan of care for a patient who has a recent diagnosis of MS. Which of the following should the nurse include in the patient's care plan? A) Encourage patient to void every hour. B) Order a low-residue diet. C) Provide total assistance with all ADLs. D) Instruct the patient on daily muscle stretching. - Correct Answer D) Instruct the patient on daily muscle stretching." ". A male patient presents to the clinic complaining of a headache. The nurse notes that the patient is guarding his neck and tells the nurse that he has stiffness in the neck area. The nurse suspects the patient may have meningitis. What is another well-recognized sign of this infection? A) Negative Brudzinski's sign B) Positive Kernig's sign C) Hyperpatellar reflex D) Sluggish pupil reaction - Correct Answer B) Positive Kernig's sign" "The nurse is developing a plan of care for a patient newly diagnosed with Bell's palsy. The nurse's plan of care should address what characteristics manifestations of this disease? A) Tinnitus B) Facial paralysis C) Pain at the base of the tongue D) Diplopia - Correct Answer B) Facial paralysis" "A patient with herpes simplex virus encephalitis (HSV) has been admitted to the ICU. What medication would the nurse expect the physician to order for the treatment of this disease process? A) Cyclosporine (Neoral) B) Acyclovir (Zovirax) C) Cyclobenzaprine (Flexeril) D) Ampicillin (Prinicpen - Correct Answer B) Acyclovir (Zovirax)" "A middle-aged woman has sought care from her primary care provider and undergone diagnostic testing that has resulted in a diagnosis of MS. What sign or symptom is most likely to have prompted the woman to seek care? A) Cognitive declines B) Personality changes C) Contractures D) Difficulty in coordination - Correct Answer D) Difficulty in coordination" "A nurse is planning the care of a 28-year-old woman hospitalized with a diagnosis of myasthenia gravis. What approach would be most appropriate for the care and scheduling of diagnostic procedures for this patient? A) All at one time, to provide a longer rest period B) Before meals, to stimulate her appetite C) In the morning, with frequent rest periods D) Before bedtime, to promote rest - Correct Answer C) In the morning, with frequent rest periods" "The critical care nurse is caring for 25-year-old man admitted to the ICU with a brain abscess. What is a priority nursing responsibility in the care of this patient? A) Maintaining the patient's functional independence B) Providing health education C) Monitoring neurologic status closely D) Promoting mobility - Correct Answer C) Monitoring neurologic status closely" "A patient is being admitted to the neurologic ICU with suspected herpes simplex virus encephalitis. What nursing action best addresses the patients complaints of headache? A) Initiating a patient-controlled analgesia (PCA) of morphine sulfate B) Administering hydromorphone (Dilaudid) IV as needed C) Dimming the lights and reducing stimulation D) Distracting the patient with activity - Correct Answer C) Dimming the lights and reducing stimulation" "A patient is admitted through the ED with suspected St. Louis encephalitis. The unique clinical feature of St. Louis encephalitis will make what nursing action a priority? A) Serial assessments of hemoglobin levels B) Blood glucose monitoring C) Close monitoring of fluid balance D) Assessment of pain along dermatome - Correct Answer C) Close monitoring of fluid balance" "A client is diagnosed with a brain tumor of the parietal lobe. Based on the tumor's location, which assessment finding would the nurse most likely note? Select all that apply. A) difficulty with reading B) problems with mathematical calculations C) impaired reasoning D) memory changes E) changing moods - Correct Answer A, B" "21. A nurse is conducting a presentation about brain cancer for a community group. During the presentation, one of the group members asks, "What causes brain tumors?" Which response by the nurse would be most appropriate? A) "There is scientific evidence that cigarette smoking the list of causes." B) "The cause of most brain tumors is still really not known." C) "It's a known fact that using cell phones increases your risk for a tumor." D) "Exposure to residential power lines is a definite cause of brain tumors." - Correct Answer B" "The ED nurse is caring for a patient who has been brought in by ambulance after sustaining a fall at home. What physical assessment finding is suggestive of a basilar skull fracture? A) Epistaxis B) Periorbital edema C) Bruising over the mastoid D) Unilateral facial numbness - Correct Answer C) Bruising over the mastoid" "A nurse is caring for a critically ill patient with autonomic dysreflexia. What clinical manifestations would the nurse expect in this patient? A) Respiratory distress and projectile vomiting B) Bradycardia and hypertension C) Tachycardia and agitation D) Third-spacing and hyperthermia - Correct Answer B) Bradycardia and hypertension" "A patient is brought to the ED by her family after falling. A family member tells the nurse that when the patient fell she was "knocked out," but came to and "seemed okay." Now she is complaining of a severe headache and not feeling well. The care team suspects an epidural hematoma, prompting the nurse to prepare for which priority intervention? A) Insertion of an intracranial monitoring device B) Treatment with antihypertensives C) Emergency craniotomy D) Administration of anticoagulant therapy - Correct Answer C) Emergency craniotomy" "The staff educator is precepting a nurse new to the critical care unit when a patient with a T2 spinal cord injury is admitted. The patient is soon exhibiting manifestations of neurogenic shock. In addition to monitoring the patient closely, what would be the nurse's most appropriate action? A) Prepare to transfuse packed red blood cells. B) Prepare for interventions to increase the patient's BP. C) Place the patient in the Trendelenberg position. D) Prepare an ice bath to lower core body temperature. - Correct Answer B) Prepare for interventions to increase the patient's BP." "ED nurse has just received a call from EMS that a 17-yearold man who has just sustained a spinal cord injury (SCI). The nurse recognizes that the most common cause of this type of injury is what? A) Sports-related injuries B) Acts of violence C) Injuries due to a fall D) Motor vehicle accidents - Correct Answer D) Motor vehicle accidents" "A patient with spinal cord injury has a nursing diagnosis of altered mobility and the nurse recognizes the increased the risk of deep vein thrombosis (DVT). Which of the following would be included as an appropriate nursing intervention to prevent DVT from occurring? A) Placing the patient on a fluid restriction as ordered to prevent a DVT B) Applying thigh-high elastic stockings C) Administering an antifibrinolyic agent D) Assisting the patient with passive range of motion (PROM) exercises - Correct Answer B) Applying thigh-high elastic stockings" "A patient who has sustained a nondepressed skull fracture is admitted to the acute medical unit. Nursing care should include which of the following? A) Preparation for emergency craniotomy B) Watchful waiting and close monitoring C) Administration of inotropic drugs D) Fluid resuscitation - Correct Answer B) Watchful waiting and close monitoring" ". A patient is admitted to the neurologic ICU with a spinal cord injury. In writing the patient's care plan, the nurse specifies that contractures can be prevented by what action? A) Repositioning the patient every 2 hours B) Initiating range-of-motion exercises (ROM) as soon as the patient initiates C) Initiating (ROM) exercises as soon as possible after the accident D) Performing ROM exercises once a day - Correct Answer C) Initiating (ROM) exercises as soon as possible after the accident" "A patient is admitted to the neurologic ICU with a spinal cord injury. When assessing the patient the nurse notes there is a sudden depression of reflex activity in the spinal cord below the level of injury. What should the nurse suspect? A) Epidural hemorrhage B) Hypertensive emergency C) Spinal shock D) Hypovolemia - Correct Answer C) Spinal shock" "A patient with a T2 injury is in spinal shock. The nurse will expect to observe what assessment finding? A) Absence of reflexes along with flaccid extremities B) Positive Babinski's reflex along with spastic extremities C) Hyperreflexia along with spastic extremities D) Spasticity of all four extremities - Correct Answer A) Absence of reflexes along with flaccid extremities" "You are the clinic nurse caring for a patient with a recent diagnosis of myasthenia gravis. The patient has begun treatment with pyridostigmine bromide (Mestinon). What change in status would most clearly suggest a therapeutic benefit of this medication? A) Increased muscle strength B) Decreased pain C) Improved GI function D) Improved cognition - Correct Answer A) Increased muscle strength" "22. The critical care nurse is admitting a patient in myasthenic crisis to the ICU. The nurse should prioritize what nursing action in the immediate care of this patient? A) Suctioning secretions B) Facilitating ABG analysis C) Providing ventilatory assistance D) Administering tube feedings - Correct Answer C) Providing ventilatory assistance" "23. The nurse caring for a patient in ICU diagnosed with Guillain-Barre' syndrome should prioritize monitoring for what potential complication? A) Impaired skin integrity B) Cognitive deficits C) Hemorrhage - Correct Answer D) Autonomic dysfunction" "24. A patient diagnosed with MS has been admitted to the medical unit for treatment of an MS exacerbation. Included in the admission orders is baclofen (Lioresal). What should the nurse identify as an expected outcome of this treatment? A) Reduction in the appearance of new lesions on the MRI B) Decreased muscle spasms in the lower extremities C) Increased muscle strength in the upper extremities D) Decreased severity and duration of exacerbations - Correct Answer B) Decreased muscle spasms in the lower extremities" "25. A patient with MS has developed dysphagia as a result of cranial nerve dysfunction. What nursing action should the nurse consequently perform? A) Arrange for the patient to receive a low residue diet. B) Position the patient upright during feeding. C) Suction the patient following each meal. D) Withhold liquids until the patient has finished eating. - Correct Answer B) Position the patient upright during feeding." "A patient diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid endarterectomy. The nurse explains that this procedure will be done for what purpose? A) To decrease cerebral edema B) To prevent seizure activity that is common in TIA's C) To remove atherosclerotic plaques blocking cerebral flow D) To determine the cause of the TIA - Correct Answer C) To remove atherosclerotic plaques blocking cerebral flow" "When caring for a patient who had a hemorrhagic stroke, close monitoring of vital signs and neurologic changes is imperative. What is the earliest sign of deterioration in a patient with a hemorrhagic stroke of which the nurse should be aware? A) Generalized pain B) Alteration in level of consciousness (LOC) C) Tonic-clonic seizures D) Shortness of breath - Correct Answer B) Alteration in level of consciousness (LOC)" "The nurse is performing stroke risk screenings at a hospital open house. The nurse has identified four patients who might be at risk for a stroke. Which patient is likely at the highest risk for a hemorrhagic stroke? A) White female, age 60, with history of excessive alcohol intake B) White male, age 60, with history of uncontrolled hypertension C) Black male, age 60, with history of diabetes D) Black male, age 50, with history of smoking - Correct Answer B) White male, age 60, with history of uncontrolled hypertension" "A patient who just suffered a suspected ischemic stroke is brought to the ED by ambulance. On what should the nurse's primary assessment focus? A) Cardiac and respiratory status B) Seizure activity C) Pain D) Fluid and electrolyte balance - Correct Answer A) Cardiac and respiratory status" "A patient recovering from a stroke has severe shoulder pain from subluxation of the shoulder and is being cared for on the unit. To prevent further injury and pain, the nurse caring for this patient is aware of what principle of care? A) The patient should be fitted with a cast because use of a sling should be avoided due to adduction of the affected shoulder. B) Elevation of the arm and hand can lead to further complications associated with edema. C) Passively exercising the affected extremity is avoided in order to minimize pain. D) The patient should be taught to interlace fingers, place palms together, and slowly bring scapulae forward to avoid excessive force to shoulder. - Correct Answer D) The patient should be taught to interlace fingers, place palms together, and slowly bring scapulae forward to avoid excessive force to shoulder." "The patient has been diagnosed with aphasia after suffering a stroke. What can the nurse do to best make the patient's atmosphere more conducive to communication? A) Provide a board of commonly used needs and phrases. B) Have the patient speak to loved ones on the phone daily. C) Help the patient complete his or her sentences. D) Speak in a loud and deliberate voice to the patient. - Correct Answer A) Provide a board of commonly used needs and phrases." "The nurse is assessing a patient with a suspected stroke. What assessment finding is most suggestive of a stroke? A) Facial droop B) Dysrhythmias C) Periorbital edema D) Projectile vomiting - Correct Answer A) Facial droop" "A nurse is caring for a patient diagnosed with a hemorrhagic stroke. When creating this patient's plan of care, what goal should be prioritized? A) Prevent complications of immobility. B) Maintain and improve cerebral tissue perfusion. C) Relieve anxiety and pain . D) Relieve sensory deprivation. - Correct Answer B) Maintain and improve cerebral tissue perfusion." "The nurse is preparing health education for a patient who is being discharged after hospitalization for a hemorrhagic stroke. What content should the nurse include in this education? A) Mild, intermittent seizures can be expected. B) Take ibuprofen for complaints of a serious headache. C) Take antihypertensive medication as ordered. D) Drowsiness is normal for the first week after discharge. - Correct Answer C) Take antihypertensive medication as ordered." "A patient diagnosed with a cerebral aneurysm reports a severe headache to the nurse. What action is a priority for the nurse? A) Sit with the patient for a few minutes. B) Administer an analgesic. C) Inform the nurse-manager. D) Call the physician immediately. . - Correct Answer D) Call the physician immediately." "12. A patient is brought by ambulance to the ED after suffering what the family thinks is a stroke. The nurse caring for this patient is aware that an absolute contraindication for thrombolytic therapy is what? A) Evidence of hemorrhagic stroke B) Blood pressure of 180/110 mm Hg C) Evidence of stroke evolution D) Previous thrombolytic therapy within the past 12 months - Correct Answer A) Evidence of hemorrhagic stroke" "13. When caring for a patient who has had a stroke, a priority is reduction of ICP. What patient position is most consistent with this goal? A) Head turned slightly to the right side B) Elevation of the head of the bed C) Position changes every 15 minutes while awake D) Extension of the neck - Correct Answer B) Elevation of the head of the bed" "14. A patient who suffered an ischemic stroke now has disturbed sensory perception. What principle should guide the nurse's care of this patient? A) The patient should be approached on the side where visual perception is intact. B) Attention to the affected side should be minimized in order to decrease anxiety. C) The patient should avoid turning in the direction of the defective visual field to minimize shoulder subluxation. D) The patient should be approached on the opposite side of the visual perception is intact to promote recovery - Correct Answer A) The patient should be approached on the side where visual perception is intact." "15. What should be included in the patient's care plan when establishing an exercise program for a patient affected by a stroke? A) Schedule passive range of motion every other day. B) Keep activity limited, as the patient may be over stimulated C) Have the patient perform active range-of-motion (ROM) exercises once a day. D) Exercise the affected extremities passively four or five times a day - Correct Answer D) Exercise the affected extremities passively four or five times a day" "A patient has informed the home health nurse that she has recently noticed distortions when she looks at the Amsler grid that she has mounted on her refrigerator. What is the nurse's most appropriate action? A) Reassure the patient that this is an age-related change in vision B) Arrange for the patient to have her visual acuity assessed. C) Arrange for the patient to be assessed for macular degeneration. D) Facilitate tonometry testing. - Correct Answer C) Arrange for the patient to be assessed for macular degeneration." "A 56-year-old patient has come to the clinic for a routine eye examination and informed bifocals will be prescribed. The patient asks the nurse what change in his eyes has caused a need for bifocals. How should the nurse respond? A) As you age, vision typically deteriorates to a point where many people require bifocals. B) "The parts of our eyes age, just like the rest of us, and this is nothing to cause you to worry." C) "There is a gradual thickening of the lens of the eye and it can limit the eye's ability for accommodation." D) "The eye gets shorter, back to front, as we age and it changes how we see things." - Correct Answer C) "There is a gradual thickening of the lens of the eye and it can limit the eye's ability for accommodation."" "The public health nurse is addressing eye health and vision projection during an educational event. What statement by a participant best demonstrates an understanding of threats to vision? A) "I'm planning to avoid exposure to direct sunlight on my vacation." B) "I've never exercised regularly, but I'm going to start working out at the gym daily." C) "I'm planning to talk with my pharmacist to review my current medications." D) "I'm certainly going to keep a close eye on my blood pressure from now on." - Correct Answer D) "I'm certainly going to keep a close eye on my blood pressure from now on."" “An older adult patient has been diagnosed with macular degeneration and the nurse is assessing for changes in visual acuity since last visit. When assessing the patient for recent changes in visual acuity, the patient states that the lines on an Amsler grid as being distorted. What is the nurse's most appropriate response? A) Ask if the patient has been using OTC vasoconstrictors. B) Instruct the patient to repeat the test at different times of the day when at home. C) Arrange for the patient to visit an ophthalmologist . D) Encourage the patient to adhere to prescribed drug regimen. - Correct Answer C) Arrange for the patient to visit an ophthalmologist ." "Following a motorcycle accident, a 17-year-old man is brought to the ED. What physical assessment findings related to the ear should be reported by the nurse immediately? A) The malleus can be visualized during otoscopic examination B) The tympanic membrane is pearly gray. C) Tenderness is reported by the patient when the mastoid area is palpated. D) Clear, watery fluid is draining from the patient's ear - Correct Answer D) Clear, watery fluid is draining from the patient's ear" "10. A group of high school students is attending a concert, which will be at a volume of 80 to 90 dB. What is a health consequence of this sound levaebli? A) Hearing will not be affected by a decibel level in this range. B) Hearing loss may occur with a decibel level in this range. C) Sounds in this decibel level are not perceived to be o/tetshte ear. D) Ear plugs will have no effect on these decibel levels. - Correct Answer B) Hearing loss may occur with a decibel level in this range." "11. The nurse is discussing the results of a patient's diagnostic testing with the nurse practitioner. What Weber test result would indicate the presence of a sensorineural loss? A) The sound is heard better in the ear in which hearing is better. B) The sound is heard equally in both ears. C) The sound is heard better in the ear in which hearing is poorer. D) The sound is heard longer in the ear in which hearing is better. - Correct Answer A) The sound is heard better in the ear in which hearing is better." "12. The advanced practice nurse is attempting to examine the patient's ear with an otoscope. Because of impacted cerumen, the tympanic membrane cannot be visualized. The nurse irrigates the patient's ear with a solution of hydrogen peroxide water to remove the impacted cerumen. What nursing intervention is most important to minimize nausea and vertigo during the procedure? A) Maintain the irrigation fluid at a warm temperature. B) Instill short, sharp bursts of fluid into the ear canal. C) Follow the procedure with insertion of a cerumen curette to extract missed ear wax. D) Have the patient stand during the procedure. - Correct Answer A) Maintain the irrigation fluid at a warm temperature." "13. The nurse is assessing a patient with multiple sclerosis who is demonstrating involuntary, rhythmic eye movements. What term will the nurse use when documenting these eye movements? A) Vertigo B) Tinnitus C) Nystagmus D) Astigmatism - Correct Answer C) Nystagmus" "14. A child goes to the school nurse and complains of not being able to hear the teacher. What test could the school nurse perform that would preliminarily indicate hearing loss? A) Audiometry B) Rinne test C) Whisper test D) Weber test - Correct Answer C) Whisper test" "15. A 6-month-old infant is brought to the ED by his parents for inconsolable crying and pulling at his right ear. When assessing this infant, the advanced practice nurse is aware that the tympanic membrane should be what color in a healthy ear? A) Yellowish-white B) Pink C) Gray D) Bluish-white - Correct Answer C) Gray" "16. An advanced practice nurse has performed a Rinne test on a new patient. During the test, the patient reports that air-conducted sound is louder than bone-conducted sound. How should the nurse best interpret this assessment finding? A) The patient's hearing is likely normal. B) The patient is at risk for tinnitus. C) The patient likely has otosclerosis. D) The patient likely has sensorineural hearing loss. - Correct Answer A) The patient's hearing is likely normal" "17. A client comes to the clinic for an evaluation. While reviewing the client's history, the nurse notes that the client has a history of dry eyes. This information is indicating a problem with which structure? A) lacrimal apparatus B) sclera C) cornea D) pupil - Correct Answer A) lacrimal apparatus" "18. A nurse is conducting an examination of a client's inner eye. When viewing the retina, which structure would the nurse identify as a retinal landmark? Select all that apply. A) optic disk B) macula C) posterior chamber D) vitreous humor E) ciliary bod - Correct Answer A) optic disk B) macula" "19. A nurse is interviewing a middle-aged client at the clinic. During the interview, the client states, "I've noticed that I keep having to move the newspaper farther away to read it. Soon my arms will be too short!" The nurse interprets this finding as indicative of which age-related change? A) loss of accommodation B) shrinkage of the vitreous body C) meibomian gland dysfunction (MBG) D) loss of skin elasticity - Correct Answer A) loss of accommodation" "24. A client is scheduled for audiometry to evaluate hearing. When teaching the client about this test, which characteristic would the nurse include as being evaluated? Select all that apply. A) pitch B) frequency C) intensity D) compliance E) postural control capabilities - Correct Answer A) pitch B) frequency C) intensity" "1. The registered nurse taking shift report learns that an assigned patient is blind. How should the nurse best communicate with this patient? A) Provide instructions in simple, clear terms. B) Introduce herself in a firm, loud voice at the doorway. C) Lightly touch the patient's arm and then introduce herself. D) State her name and role immediately after entering the patient's room. - Correct Answer D) State her name and role immediately after entering the patient's room." "20. While inspecting the external eye of a client, the nurse notices that the client's right eyelid droops. Which term would the nurse use to document this finding? A) ptosis B) entropion C) ectropion D) presbyopia - Correct Answer A) ptosis" "21. A nurse is assisting the ophthalmologist who is performing direct ophthalmoscopy. When conducting this examination, which structure would the nurse expect to be examined last? A) red reflex B) vasculature C) optic disc D) macula - Correct Answer D) macula" "22. A nurse is preparing a presentation for a group of elementary school parents about ways to promote the health of the ears and hearing in their children. When describing the structure and function of the ears, which structure would the nurse most likely include as part of the middle ear? Select all that apply. A) pinna B) tympanic membrane C) oval window D) cochlea E) organ of Corti - Correct Answer B) tympanic membrane C) oval window" "23. A older adult client comes to the clinic for an evaluation and says, "It just doesn't seem like I hear as well as I used to hear." As part of the assessment, the nurse evaluates the client's gross auditory acuity. Which test would the nurse most likely conduct? A) whisper test B) Weber test C) Rinne test D) audiometry - Correct Answer A) whisper test" "2. During discharge teaching the nurse realizes that the patient is not able to read medication bottles accurately and has not been taking her medications consistently at home. How should the nurse intervene most appropriately? A) Ask the social worker to investigate alternative housing arrangements. B) Ask the social worker to investigate community support agencies. C) Encourage the patient to explore surgical correctional problem. D) Arrange for referral to a rehabilitation facility for vision training. - Correct Answer B) Ask the social worker to investigate community support agencies." "3. The nurse is providing health education to a patient newly diagnosed with glaucoma. The nurse teaches the patient that this disease has a familial tendency. The nurse should encourage the patient's immediate family members to undergo clinical examinations how often? A) At least monthly B) At least once every 2 years C) At least once every 5 years D) At least once every 10 years - Correct Answer B) At least once every 2 years" "4. A patient is exploring treatment options after being diagnosed with age-related cataracts that affect her vision. What treatment is most likely to be used in this patient's care? A) Antioxidant supplements, vitamin C and E, beta-carotene, and selenium B) Eyeglasses or magnifying lenses C) Corticosteroid eye drops D) Surgical intervention - Correct Answer D) Surgical intervention" "5. A patient presents at the ED after receiving a chemical burn to the eye. What would be the nurse's initial intervention for this patient? A) Generously flush the affected eye with a dilute antibiotic solution. B) Surgical intervention C) Apply a patch to the affected eye. D) Apply direct pressure to the affected eye. - Correct Answer B) Surgical intervention" "6. A patient is being discharged home from the ambulatory surgical center after cataract surgery. In reviewing the discharge instructions with the patient, the nurse instructs the patient to immediately call the office if the patient experiences what? A) Slight morning discharge from the eye B) Any appearance of redness of the eye C) A "scratchy" feeling in the eye D) A new floater in vision - Correct Answer D) A new floater in vision" "7. A patient's ocular tumor has necessitated enucleation and the patient will be fitted with a prosthesis. The nurse should address what nursing diagnosis when planning the patient's discharge education? A) Disturbed body image B) Chronic pain C) Ineffective protection D) Unilateral neglect - Correct Answer A) Disturbed body image" "8. A nurse is teaching a patient with glaucoma how to administer eye drops to achieve maximum absorption. The nurse should teach the patient to perform what action? A) Instill the medication in the conjunctival sac. B) Maintain a supine position for 10 minutes after administration. C) Keep the eyes closed for 1 to 2 minutes after administration. D) Apply the medication evenly to the sclera - Correct Answer A) Instill the medication in the conjunctival sac." "9. A patient with chronic open-angle glaucoma is being taught to self-administer pilocarpine. After the patient administers the pilocarpine the patient states that her vision is blurred. Which nursing action is most appropriate? A) Holding the next dose and notifying the physician B) Treating the patient for an allergic reaction C) Suggesting that the patient put on her glasses D) Explaining that this is an expected adverse effect - Correct Answer D) Explaining that this is an expected adverse effect" "10. The nurse should recognize the greatest risk for the development of blindness in which of the following patients? A) A 58-year-old Caucasian woman with macular degeneration B) A 28-year-old Caucasian man with astigmatism C) A 58-year-old African American woman with hyperopia D) A 28-year-old African American man with myopia - Correct Answer A) A 58-year-old Caucasian woman with macular degeneration" "11. A 6-year-old is brought to the pediatric clinic for the assessment of redness and discharge from the eye and is diagnosed with viral conjunctivitis. What is the most important information to discuss with the parents and child? A) Handwashing can prevent the spread of the disease B) The importance of compliance with antibiotic therapy C) Signs and symptoms of complications, such as meningitis and septicemia D) The likely need for surgery to prevent scarring of the tissue - Correct Answer A) Handwashing can prevent the spread of the disease" "12. The nurse is admitting a 55-year-old patient diagnosed with a left eye retinal detachment. While assessing this patient, what characteristic symptom would the nurse expect to find? A) Flashing lights in the visual field B) Sudden eye pain C) Loss of color vision D) Colored halos around lights - Correct Answer A) Flashing lights in the visual field" "13. Several residents of a long-term care facility have developed signs and symptoms of viral conjunctivitis. What is the most appropriate action of the nurse who oversees care in the facility? A) Arrange for the administration of prophylactic antibiotics to una

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Neuro Exam Questions and
Correct Answers – 100%
Correct and Verified
"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

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