NSG 460- Exam 3
which areas must be intact to interpret the sensation of a needle prick - CORRECT
ANSWER-lateral spinothalamic tract, thalamus, sensory cortex
A patient with a lack of oxygen to his heart will have pain in his chest and possibly in the
shoulder, arms, or jaw. The nurse knows that the best explanation why this occurs is
which one of these statements - CORRECT ANSWER-the sensory cortex does not
have the ability to localize pain in the heart; consequently, the pain is felt elsewhere
The ability that humans have to perform very skilled movements such as writing is
controlled by the: - CORRECT ANSWER-Corticospinal tract
A 30-year-old woman tells the nurse that she has been very unsteady and has had
difficulty in maintaining her balance. Which area of the brain that is related to these
findings would concern the nurse - CORRECT ANSWER-cerebellum
The peripheral nerves carry input to the central nervous system by ------- and away from
the central nervous system by -------- - CORRECT ANSWER-afferent fibers; efferent
fibers
a dermatome is a - CORRECT ANSWER-circumscirbed skin area that is primarily
supplied from one spinal cord segment through a particular spinal nerve
A 21-year-old patient has a head injury resulting from trauma and is unconscious. There
are no other injuries. During the assessment what would the nurse expect to find when
testing the patient's deep tendon reflexes? - CORRECT ANSWER-reflexes will be
normal
A mother of a 1-month-old infant asks the nurse why it takes so long for infants to learn
to roll over. The nurse knows that the reason for this is: - CORRECT ANSWER-Myelin
is needed to conduct the impulses and the neurons of a newborn are not yet myelinated
two parts of the nervous system are the - CORRECT ANSWER-Central and peripheral
Peripheral nervous system has how many nerves - CORRECT ANSWER-12 pairs of
cranial nerves, 31 pairs of spinal nerves and all of their branches
Frontal lobe is responsible for - CORRECT ANSWER-personality, behavior, emotions,
intellectual function
65 y/o male has a change in personality and ability to understand. Cries easily and
becomes angry which lobe is responsible for this - CORRECT ANSWER-frontal lobe
, the hypothalamus functions - CORRECT ANSWER-body temperature controller, sleep
center, anterior and posterior pituitary gland regulator, and coordinate of ANS and
emotional status
cerebellum controls the - CORRECT ANSWER-motor coordination, equilibrium and
balance
basal ganglia control - CORRECT ANSWER-the autonomic movements of the body
area of the nervous system that is responsible for mediating reflexes is - CORRECT
ANSWER-the spinal cord
During an assessment of an 80-year-old patient, the nurse notices the following: an
inability to identify vibrations at her ankle and to identify the position of her big toe, a
slower and more deliberate gait, and a slightly impaired tactile sensation. All other
neurologic findings are normal. The nurse should interpret that these findings indicat -
CORRECT ANSWER-normal changes attributable to aging
A 70-year-old woman tells the nurse that every time she gets up in the morning or after
she's been sitting, she gets "really dizzy" and feels like she is going to fall over. The
nurse's best response would be - CORRECT ANSWER-you need to get up slowly when
you've been lying down or sitting
During the taking of the health history, a patient tells the nurse that "it feels like the room
is spinning around me." The nurse would document this finding as: - CORRECT
ANSWER-vertigo
When taking the health history on a patient with a seizure disorder, the nurse assesses
whether the patient has an aura. Which of these would be the best question for
obtaining this information - CORRECT ANSWER-do you have any warning sign before
your seizure starts
While obtaining a health history of a 3-month-old infant from the mother, the nurse asks
about the infant's ability to suck and grasp the mother's finger. What is the nurse
assessing? - CORRECT ANSWER-reflexes
In obtaining a health history on a 74-year-old patient, the nurse notes that he drinks
alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold
things. With this information, what response should the nurse make? - CORRECT
ANSWER-Does the tremor change when you drink alcohol
A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has
noticed for the past week. The nurse should perform which type of neurologic
examination? - CORRECT ANSWER-complete neurologic examination
which areas must be intact to interpret the sensation of a needle prick - CORRECT
ANSWER-lateral spinothalamic tract, thalamus, sensory cortex
A patient with a lack of oxygen to his heart will have pain in his chest and possibly in the
shoulder, arms, or jaw. The nurse knows that the best explanation why this occurs is
which one of these statements - CORRECT ANSWER-the sensory cortex does not
have the ability to localize pain in the heart; consequently, the pain is felt elsewhere
The ability that humans have to perform very skilled movements such as writing is
controlled by the: - CORRECT ANSWER-Corticospinal tract
A 30-year-old woman tells the nurse that she has been very unsteady and has had
difficulty in maintaining her balance. Which area of the brain that is related to these
findings would concern the nurse - CORRECT ANSWER-cerebellum
The peripheral nerves carry input to the central nervous system by ------- and away from
the central nervous system by -------- - CORRECT ANSWER-afferent fibers; efferent
fibers
a dermatome is a - CORRECT ANSWER-circumscirbed skin area that is primarily
supplied from one spinal cord segment through a particular spinal nerve
A 21-year-old patient has a head injury resulting from trauma and is unconscious. There
are no other injuries. During the assessment what would the nurse expect to find when
testing the patient's deep tendon reflexes? - CORRECT ANSWER-reflexes will be
normal
A mother of a 1-month-old infant asks the nurse why it takes so long for infants to learn
to roll over. The nurse knows that the reason for this is: - CORRECT ANSWER-Myelin
is needed to conduct the impulses and the neurons of a newborn are not yet myelinated
two parts of the nervous system are the - CORRECT ANSWER-Central and peripheral
Peripheral nervous system has how many nerves - CORRECT ANSWER-12 pairs of
cranial nerves, 31 pairs of spinal nerves and all of their branches
Frontal lobe is responsible for - CORRECT ANSWER-personality, behavior, emotions,
intellectual function
65 y/o male has a change in personality and ability to understand. Cries easily and
becomes angry which lobe is responsible for this - CORRECT ANSWER-frontal lobe
, the hypothalamus functions - CORRECT ANSWER-body temperature controller, sleep
center, anterior and posterior pituitary gland regulator, and coordinate of ANS and
emotional status
cerebellum controls the - CORRECT ANSWER-motor coordination, equilibrium and
balance
basal ganglia control - CORRECT ANSWER-the autonomic movements of the body
area of the nervous system that is responsible for mediating reflexes is - CORRECT
ANSWER-the spinal cord
During an assessment of an 80-year-old patient, the nurse notices the following: an
inability to identify vibrations at her ankle and to identify the position of her big toe, a
slower and more deliberate gait, and a slightly impaired tactile sensation. All other
neurologic findings are normal. The nurse should interpret that these findings indicat -
CORRECT ANSWER-normal changes attributable to aging
A 70-year-old woman tells the nurse that every time she gets up in the morning or after
she's been sitting, she gets "really dizzy" and feels like she is going to fall over. The
nurse's best response would be - CORRECT ANSWER-you need to get up slowly when
you've been lying down or sitting
During the taking of the health history, a patient tells the nurse that "it feels like the room
is spinning around me." The nurse would document this finding as: - CORRECT
ANSWER-vertigo
When taking the health history on a patient with a seizure disorder, the nurse assesses
whether the patient has an aura. Which of these would be the best question for
obtaining this information - CORRECT ANSWER-do you have any warning sign before
your seizure starts
While obtaining a health history of a 3-month-old infant from the mother, the nurse asks
about the infant's ability to suck and grasp the mother's finger. What is the nurse
assessing? - CORRECT ANSWER-reflexes
In obtaining a health history on a 74-year-old patient, the nurse notes that he drinks
alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold
things. With this information, what response should the nurse make? - CORRECT
ANSWER-Does the tremor change when you drink alcohol
A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has
noticed for the past week. The nurse should perform which type of neurologic
examination? - CORRECT ANSWER-complete neurologic examination
