Neuro - Test Banks - Brunner & Suddarth's
Textbook of Medical-Surgical Nursing 14e
Chapter 65 – 70 TEST BANK
,3. 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
ANSWER:
B
Feedback:
Reduction in cerebral blood flow (CBF) is a change that occurs in the normal aging
process. Deep
tendon reflexes can be decreased or, in some cases, absent. Cerebral metabolism
decreases as the patient
advances in age. Reaction to painful stimuli may be decreased with age. Because pain
is an important
warning signal, caution must be used when hot or cold packs are used.
12. The nurse is conducting a focused neurologic assessment. When assessing the
patients cranial nerve
function, the nurse would include which of the following assessments?
A) Assessment of hand grip
,B) Assessment of orientation to person, time, and place
C) Assessment of arm drift
D) Assessment of gag reflex
ANSWER:
D
Feedback:
The gag reflex is governed by the glossopharyngeal nerve, one of the cranial nerves.
Hand grip and arm
drifting are part of motor function assessment. Orientation is an assessment parameter
related to a mental
status examination.
14. A patient exhibiting an uncoordinated gait has presented at the clinic. Which of the
following is the most
plausible cause of this patients health problem?
A) Cerebellar dysfunction
B) A lesion in the pons
C) Dysfunction of the medulla
D) A hemorrhage in the midbrain
ANSWER:
A
Feedback:
, The cerebellum controls fine movement, balance, position sense, and integration of
sensory input. Portions of the pons control the heart, respiration, and blood pressure.
Cranial nerves IX through XII
connect to the brain in the medulla. Cranial nerves III and IV originate in the midbrain.
21. The nurse is planning the care of a patient with Parkinsons 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
ANSWER:
B
Feedback:
Parkinsons disease develops from decreased availability of dopamine, not
acetylcholine, epinephrine, or
serotonin.
22. 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
Textbook of Medical-Surgical Nursing 14e
Chapter 65 – 70 TEST BANK
,3. 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
ANSWER:
B
Feedback:
Reduction in cerebral blood flow (CBF) is a change that occurs in the normal aging
process. Deep
tendon reflexes can be decreased or, in some cases, absent. Cerebral metabolism
decreases as the patient
advances in age. Reaction to painful stimuli may be decreased with age. Because pain
is an important
warning signal, caution must be used when hot or cold packs are used.
12. The nurse is conducting a focused neurologic assessment. When assessing the
patients cranial nerve
function, the nurse would include which of the following assessments?
A) Assessment of hand grip
,B) Assessment of orientation to person, time, and place
C) Assessment of arm drift
D) Assessment of gag reflex
ANSWER:
D
Feedback:
The gag reflex is governed by the glossopharyngeal nerve, one of the cranial nerves.
Hand grip and arm
drifting are part of motor function assessment. Orientation is an assessment parameter
related to a mental
status examination.
14. A patient exhibiting an uncoordinated gait has presented at the clinic. Which of the
following is the most
plausible cause of this patients health problem?
A) Cerebellar dysfunction
B) A lesion in the pons
C) Dysfunction of the medulla
D) A hemorrhage in the midbrain
ANSWER:
A
Feedback:
, The cerebellum controls fine movement, balance, position sense, and integration of
sensory input. Portions of the pons control the heart, respiration, and blood pressure.
Cranial nerves IX through XII
connect to the brain in the medulla. Cranial nerves III and IV originate in the midbrain.
21. The nurse is planning the care of a patient with Parkinsons 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
ANSWER:
B
Feedback:
Parkinsons disease develops from decreased availability of dopamine, not
acetylcholine, epinephrine, or
serotonin.
22. 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
