NSG 223 Exam 1 Study Guide:NSG 223 Exam 1
A nurse is caring for a client who is being treated for a nervous system disorder. What clinical assessment
should the nurse conduct to see whether the nervous system is working properly? - ANSWER:*The nurse
should check for deep tendon reflexes*
For which effect should the nurse monitor the client who has had a stroke? - ANSWER:*Paralysis of the
body*
Which is the function of the myelin sheath around an axon? - ANSWER:*To electrically insulate the nerve
cell*
A nurse is caring for a client with a head injury caused by a bicycle accident. Which could be the
consequence of an injury close to where the brain and spinal cord connect? - ANSWER:*Damage to the
respiratory system*
A nurse is caring for a client with a neurologic problem who has been advised to have an
electroencephalogram (EEG). What information should the nurse provide the client and family regarding
the use of an EEG? - ANSWER:*It records the electrical activity of neurons.*
Which conditions are the effects of aging on the nervous system? Select all that apply. -
ANSWER:*Electrolyte imbalances*
*True dementia*
*Loss of equilibrium*
A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). What condition
might increased ICP indicate? - ANSWER:*Hydrocephalus*
Which nursing interventions should the nurse implement when caring for elderly clients? Select all that
apply. - ANSWER:*Treat the clients as normal and intelligent*
*Evaluate any changes in the personality of the clients*
*Caution the clients against excessive use of sleep aids*
Which is a function of the nervous system? - ANSWER:*It monitors information from internal stimuli*
Which is a function of the thalamus? - ANSWER:*It integrates sensations*
A client sustains a head trauma after falling from a roof. The nurse observes clear fluid leaking from the
nose. What is the priority action by the nurse? - ANSWER:*Have the fluid checked for glucose*
A client suffers a stroke located in the medulla. What is the priority action by the nurse? -
ANSWER:*Support the client's respiratory function*
A client with chronic alcoholism and late-stage cirrhosis of the liver has significant damage to Wernicke's
area. What data obtained by the nurse is indicative of this damage? - ANSWER:*The client does not
comprehend written and spoken language but speaks*
,A client who sustained head trauma in a motor vehicle crash is determined to have an increase in
intracranial pressure (ICP). What related complication should the nurse be aware of? Select all that
apply. - ANSWER:*Brain hypoxia*
*Herniation of the brain*
*Brain compression*
A client who is having a colonoscopy and suddenly the client's heart rate drops from 72 beats per minute
(BPM) to 52 BPM. What cranial nerve does the nurse determine has been stimulated? -
ANSWER:*Cranial Nerve X (Vagus)*
An elderly client arrives at a healthcare facility with complaints of loss of sensation. The nurse
understands that a change in which part of the brain is responsible for changes in the client's ability to
perceive sensation? - ANSWER:*Cerebral cortex*
The nurse assesses the client's pupils and notes the client's pupils are unequal. The nurse would expect
the healthcare provider to further assess the client for a midbrain disorder based on what function of
the midbrain? - ANSWER:*To integrate visual and auditory reflexes*
A young adult client arrives at the community clinic with reports of changes in eating habits. The client
reports a sudden loss of appetite with no apparent cause. The nurse understands that which part of the
brain could be responsible for the client's condition? - ANSWER:*Hypothalamus*
The nurse is educating a client who reports a loss of sensation in right upper and lower extremities about
the role of dendrites in the neuron. What would the nurses include in the teaching plan? Select all that
apply. - ANSWER:*Dendrites receive impulses from the axons of other neurons*
*Dendrites transmit impulses toward the cell body*
*Dendrites respond to chemical messages sent across the synapse*
A nurse is caring for a client who reports a loss of sense of smell. The nurse understands that which part
of the brain is responsible for the client's condition? - ANSWER:*Temporal lobe*
What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach
the dendrites? - ANSWER:*Neurotransmitters*
What part of the central nervous system has its major divisions as the cerebrum, cerebellum, and
medulla oblongata? - ANSWER:*Brain*
What lobe of the cerebral cortex is largely responsible for the ability of humans to achieve higher levels
of mental functioning and is also involved with motor functions that direct body movements? -
ANSWER:*Frontal*
The family member of a client asked the nurse what part of the brain the client's cerebrovascular
accident (stroke) was in since the client is paralyzed on the right side. What does the nurse understand
about the client's symptoms? - ANSWER:*The left side of the brain controls the right side of the body*
, The nursing student is reviewing the neurologic system and desires to know what portion of the brain is
vital to human functioning due to its ability to regulate homeostasis. What portion of the brain would
the student review? - ANSWER:*Hypothalamus*
The nurse is caring for a client admitted to the hospital after sustaining a severe head injury. The nurse
assesses fluid leaking from the ears which tests positive for glucose. What action should the nurse take?
- ANSWER:*Notify the healthcare provider immediately*
Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight"
response? - ANSWER:*The parasympathetic division of the ANS*
A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-
sided hemiplegia. What important steps should the nurse follow when providing care for this client?
Select all that apply. - ANSWER:*Use special devices such as pressure relief pads.*
*Provide care to keep skin dry and lines wrinkle-free.*
*Use splints to prevent development of footdrop.*
The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. What
action by the student would alert the nurse to provide additional teaching to the student? Select all that
apply. - ANSWER:*The student puts a gown on the client with the opening in the front*
*The student asks the client to lie on the left side with top knee flexed*
*The student reminds the client to sign the consent form after the procedure*
A nurse is caring for a client following a craniotomy. What important measure should the nurse take
when providing postoperative care for this client? - ANSWER:*Perform careful nasogastric suction.*
A nurse is caring for a client with multiple sclerosis (MS). What important consideration should the nurse
keep in mind when providing care to such a client? - ANSWER:*Use special devices to maintain proper
body alignment.*
A nurse is caring for a client with herpes zoster. What key area should the nurse prioritize when
educating this client? - ANSWER:*Instructions on how to avoid pain triggers*
The client is preparing for cerebral arteriogram and makes the following statements. Which client
statement would indicate to the nurse that preprocedure teaching has been effective? - ANSWER:*"I told
my family how grateful I am to be discharged as soon as this procedure is finished."*
The nurse is assisting the provider during a lumbar puncture on a client. What assessment findings
would be a priority for the nurse to alert the provider? Select all that apply. - ANSWER:*The client's skin
appears pale and lacks the color it had prior to the procedure.*
*The client's pulse was 87 prior to the procedure and is now 110 with cool, moist skin.*
The client tells the nurse, "I am nervous about my upcoming EEG because I am afraid the shocks will
hurt." What is the best response by the nurse? - ANSWER:*"The electrodes only monitor the brain's
electrical impulses and do not deliver electrical shocks."*
A nurse is caring for a client who is being treated for a nervous system disorder. What clinical assessment
should the nurse conduct to see whether the nervous system is working properly? - ANSWER:*The nurse
should check for deep tendon reflexes*
For which effect should the nurse monitor the client who has had a stroke? - ANSWER:*Paralysis of the
body*
Which is the function of the myelin sheath around an axon? - ANSWER:*To electrically insulate the nerve
cell*
A nurse is caring for a client with a head injury caused by a bicycle accident. Which could be the
consequence of an injury close to where the brain and spinal cord connect? - ANSWER:*Damage to the
respiratory system*
A nurse is caring for a client with a neurologic problem who has been advised to have an
electroencephalogram (EEG). What information should the nurse provide the client and family regarding
the use of an EEG? - ANSWER:*It records the electrical activity of neurons.*
Which conditions are the effects of aging on the nervous system? Select all that apply. -
ANSWER:*Electrolyte imbalances*
*True dementia*
*Loss of equilibrium*
A nurse is caring for a client who is diagnosed with increased intracranial pressure (ICP). What condition
might increased ICP indicate? - ANSWER:*Hydrocephalus*
Which nursing interventions should the nurse implement when caring for elderly clients? Select all that
apply. - ANSWER:*Treat the clients as normal and intelligent*
*Evaluate any changes in the personality of the clients*
*Caution the clients against excessive use of sleep aids*
Which is a function of the nervous system? - ANSWER:*It monitors information from internal stimuli*
Which is a function of the thalamus? - ANSWER:*It integrates sensations*
A client sustains a head trauma after falling from a roof. The nurse observes clear fluid leaking from the
nose. What is the priority action by the nurse? - ANSWER:*Have the fluid checked for glucose*
A client suffers a stroke located in the medulla. What is the priority action by the nurse? -
ANSWER:*Support the client's respiratory function*
A client with chronic alcoholism and late-stage cirrhosis of the liver has significant damage to Wernicke's
area. What data obtained by the nurse is indicative of this damage? - ANSWER:*The client does not
comprehend written and spoken language but speaks*
,A client who sustained head trauma in a motor vehicle crash is determined to have an increase in
intracranial pressure (ICP). What related complication should the nurse be aware of? Select all that
apply. - ANSWER:*Brain hypoxia*
*Herniation of the brain*
*Brain compression*
A client who is having a colonoscopy and suddenly the client's heart rate drops from 72 beats per minute
(BPM) to 52 BPM. What cranial nerve does the nurse determine has been stimulated? -
ANSWER:*Cranial Nerve X (Vagus)*
An elderly client arrives at a healthcare facility with complaints of loss of sensation. The nurse
understands that a change in which part of the brain is responsible for changes in the client's ability to
perceive sensation? - ANSWER:*Cerebral cortex*
The nurse assesses the client's pupils and notes the client's pupils are unequal. The nurse would expect
the healthcare provider to further assess the client for a midbrain disorder based on what function of
the midbrain? - ANSWER:*To integrate visual and auditory reflexes*
A young adult client arrives at the community clinic with reports of changes in eating habits. The client
reports a sudden loss of appetite with no apparent cause. The nurse understands that which part of the
brain could be responsible for the client's condition? - ANSWER:*Hypothalamus*
The nurse is educating a client who reports a loss of sensation in right upper and lower extremities about
the role of dendrites in the neuron. What would the nurses include in the teaching plan? Select all that
apply. - ANSWER:*Dendrites receive impulses from the axons of other neurons*
*Dendrites transmit impulses toward the cell body*
*Dendrites respond to chemical messages sent across the synapse*
A nurse is caring for a client who reports a loss of sense of smell. The nurse understands that which part
of the brain is responsible for the client's condition? - ANSWER:*Temporal lobe*
What is the chemical released by the axon that enables nerve impulses to cross the synapse and reach
the dendrites? - ANSWER:*Neurotransmitters*
What part of the central nervous system has its major divisions as the cerebrum, cerebellum, and
medulla oblongata? - ANSWER:*Brain*
What lobe of the cerebral cortex is largely responsible for the ability of humans to achieve higher levels
of mental functioning and is also involved with motor functions that direct body movements? -
ANSWER:*Frontal*
The family member of a client asked the nurse what part of the brain the client's cerebrovascular
accident (stroke) was in since the client is paralyzed on the right side. What does the nurse understand
about the client's symptoms? - ANSWER:*The left side of the brain controls the right side of the body*
, The nursing student is reviewing the neurologic system and desires to know what portion of the brain is
vital to human functioning due to its ability to regulate homeostasis. What portion of the brain would
the student review? - ANSWER:*Hypothalamus*
The nurse is caring for a client admitted to the hospital after sustaining a severe head injury. The nurse
assesses fluid leaking from the ears which tests positive for glucose. What action should the nurse take?
- ANSWER:*Notify the healthcare provider immediately*
Which system is responsible for preparing individuals for an emergency, known as the "fight-or-flight"
response? - ANSWER:*The parasympathetic division of the ANS*
A nurse is caring for a client admitted to the healthcare facility with a history of hypertension and right-
sided hemiplegia. What important steps should the nurse follow when providing care for this client?
Select all that apply. - ANSWER:*Use special devices such as pressure relief pads.*
*Provide care to keep skin dry and lines wrinkle-free.*
*Use splints to prevent development of footdrop.*
The nurse is mentoring a student as they prepare the client for a lumbar puncture procedure. What
action by the student would alert the nurse to provide additional teaching to the student? Select all that
apply. - ANSWER:*The student puts a gown on the client with the opening in the front*
*The student asks the client to lie on the left side with top knee flexed*
*The student reminds the client to sign the consent form after the procedure*
A nurse is caring for a client following a craniotomy. What important measure should the nurse take
when providing postoperative care for this client? - ANSWER:*Perform careful nasogastric suction.*
A nurse is caring for a client with multiple sclerosis (MS). What important consideration should the nurse
keep in mind when providing care to such a client? - ANSWER:*Use special devices to maintain proper
body alignment.*
A nurse is caring for a client with herpes zoster. What key area should the nurse prioritize when
educating this client? - ANSWER:*Instructions on how to avoid pain triggers*
The client is preparing for cerebral arteriogram and makes the following statements. Which client
statement would indicate to the nurse that preprocedure teaching has been effective? - ANSWER:*"I told
my family how grateful I am to be discharged as soon as this procedure is finished."*
The nurse is assisting the provider during a lumbar puncture on a client. What assessment findings
would be a priority for the nurse to alert the provider? Select all that apply. - ANSWER:*The client's skin
appears pale and lacks the color it had prior to the procedure.*
*The client's pulse was 87 prior to the procedure and is now 110 with cool, moist skin.*
The client tells the nurse, "I am nervous about my upcoming EEG because I am afraid the shocks will
hurt." What is the best response by the nurse? - ANSWER:*"The electrodes only monitor the brain's
electrical impulses and do not deliver electrical shocks."*
