Med Surg/Neuro Test bank
Study online at https://quizlet.com/_bwfy8y
1. 1. A patient is brought to the ER following a motor B) Occipital
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 ab-
normal finding with trauma to which of the following
cerebral lobes?
A) Temporal
B) Occipital
C) Parietal
D) Frontal
2. .A patient scheduled for magnetic resonance imaging B) Removing all met-
(MRI) at the radiology department. The nurse who al-containing objects
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
3. A gerontologic nurse planning the neurologic as- B) Reduction in cerebral
sessment of an older adult is considering normal, blood flow
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
, Med Surg/Neuro Test bank
Study online at https://quizlet.com/_bwfy8y
4. The nurse has admitted a new patient to the unit. One B) Increased heart rate
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
5. A nurse is assessing reflexes in a patient with hyper- C) Clonus
active 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
6. he nurse is doing an initial assessment on a patient B) Parietal-occipital area
newly admitted to the unit with a diagnosis of cere-
brovascular accident (CVA). The patient has difficul-
ty 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
, Med Surg/Neuro Test bank
Study online at https://quizlet.com/_bwfy8y
7. The nurse is admitting a patient to the unit who is di- D) "Patient demonstrates
agnosed with lower motor neuron lesion. What entry an absence of deep ten-
in the patient's electronic record is most consistent don reflexes."
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 re-
flexes."
D) "Patient demonstrates an absence of deep tendon
reflexes."
8. 8. An elderly patient is being discharged home. The D) A smoke detector
patient lives alone and has atrophy of his olfactory or-
gans. 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
9. A nurse is caring for a patient diagnosed with D) Hearing and equilibri-
Ménière's disease. While completing a neurologic ex- um
amination 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
, Med Surg/Neuro Test bank
Study online at https://quizlet.com/_bwfy8y
10. . A patient exhibiting an uncoordinated gait has pre- A
sented 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
11. The nursing students are learning how to assess func- D
tion of cranial nerve VIII. To assess the function of
cranial nerve VIII the students would be correct in
completing which of the following assessment tech-
niques?
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).
12. A patient is being given a medication that stimulates A) Constricted pupils
her parasympathetic system. Following administra-
tion 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
13. C
Study online at https://quizlet.com/_bwfy8y
1. 1. A patient is brought to the ER following a motor B) Occipital
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 ab-
normal finding with trauma to which of the following
cerebral lobes?
A) Temporal
B) Occipital
C) Parietal
D) Frontal
2. .A patient scheduled for magnetic resonance imaging B) Removing all met-
(MRI) at the radiology department. The nurse who al-containing objects
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
3. A gerontologic nurse planning the neurologic as- B) Reduction in cerebral
sessment of an older adult is considering normal, blood flow
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
, Med Surg/Neuro Test bank
Study online at https://quizlet.com/_bwfy8y
4. The nurse has admitted a new patient to the unit. One B) Increased heart rate
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
5. A nurse is assessing reflexes in a patient with hyper- C) Clonus
active 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
6. he nurse is doing an initial assessment on a patient B) Parietal-occipital area
newly admitted to the unit with a diagnosis of cere-
brovascular accident (CVA). The patient has difficul-
ty 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
, Med Surg/Neuro Test bank
Study online at https://quizlet.com/_bwfy8y
7. The nurse is admitting a patient to the unit who is di- D) "Patient demonstrates
agnosed with lower motor neuron lesion. What entry an absence of deep ten-
in the patient's electronic record is most consistent don reflexes."
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 re-
flexes."
D) "Patient demonstrates an absence of deep tendon
reflexes."
8. 8. An elderly patient is being discharged home. The D) A smoke detector
patient lives alone and has atrophy of his olfactory or-
gans. 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
9. A nurse is caring for a patient diagnosed with D) Hearing and equilibri-
Ménière's disease. While completing a neurologic ex- um
amination 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
, Med Surg/Neuro Test bank
Study online at https://quizlet.com/_bwfy8y
10. . A patient exhibiting an uncoordinated gait has pre- A
sented 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
11. The nursing students are learning how to assess func- D
tion of cranial nerve VIII. To assess the function of
cranial nerve VIII the students would be correct in
completing which of the following assessment tech-
niques?
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).
12. A patient is being given a medication that stimulates A) Constricted pupils
her parasympathetic system. Following administra-
tion 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
13. C
