Med Surg Ch 35 Assessment of Neurological Function answer keys
Med Surg Ch 35 Assessment of Neurological Function
Study online at https://quizlet.com/_5bgg3r
1. Mr. Smith presents with complaints of severe Answer: A
headaches for several weeks. The nurse recognizes Rationale: Cranial nerve assess-
which parameter as an important component of ment is an important compo-
the neurological examination for this patient? nent of a comprehensive neuro-
A. Cranial nerve assessment logical assess- ment. The Glas-
B. Glasgow Coma Scale assessment gow Coma Scale is used to as-
C. Assessing the Babinski's reflex sess wakefulness and arousal
D. Assessing cerebral perfusion pressure state. Mr. Smith is awake and
has been working and partici-
pating in life activ- ities. A Babin-
ski reflex would be assessed
if an upper motor neuron le-
sion, multiple sclerosis, or drug
and alcohol problems were sus-
pected, not for someone pre-
senting with a headache. Cere-
bral perfusion pressure requires
a ICP monitoring, not indicat-
ed in a patient complaining of
headache.
2. The nurse anticipates which as the next step in the Answer: D
assessment process after the neurological exami- Rationale: A lumbar puncture is
nation? an invasive proce- dure and is
A. An MRI not part of an initial diagnostic
B. Evoked potentials work-up for headache. Evoked
C. Lumbar puncture potentials are nerve conduc- tive
D. A CT scan studies, not appropriate for this
patient. A CT scan is an inexpen-
sive and quick diagnostic tool
and is usually the first screen-
ing procedure ordered. MRIs
1/7
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, Med Surg Ch 35 Assessment of Neurological Function answer keys
Med Surg Ch 35 Assessment of Neurological Function
Study online at https://quizlet.com/_5bgg3r
are expensive and take a much
longer time to process. If the CT
reveals problems, an MRI may
be done to gather more infor-
mation.
3. What information from Mr. Smith's history may Answer: B
make him ineligible for magnetic resonance imag- Rationale: If the patient has a
ing (MRI)? permanent cardiac pacemaker,
A. History of cerebrovascular accident with residual this would be a contraindica-
hemiplegia tion for an MRI. This diagnos-
B. History of cardiac dysrhythmias requiring pace- tic study uses magnetic fields to
maker obtain images. Metal may inter-
C. History of seizure disorders controlled by fere with the magnetic field and
antiepileptic drugs may also be a safety hazard. An
D. History of deep vein thrombosis requiring anti- implanted device that contains
coagulant therapy metal such as
a pacemaker may make the
MRI contraindicated because
the magnetic field may disable
the device.
4. Due to Mr. Smith's complaints of persistent Answer: A
headaches, the nurse assesses for other signs of Rationale: Patients with in-
increased intracranial pressure. Which finding may creased ICP demonstrate symp-
also be associated with increased intracranial pres- toms of changes in lev-
sure? el of consciousness, vomiting,
A. Change in level of consciousness headaches, and seizures. Late
B. Tachycardia symptoms are alterations in vi-
C. Diaphoresis tal signs. The classic signs of
D. Hypotension increased ICP include elevated
blood pressure
2/7
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Med Surg Ch 35 Assessment of Neurological Function
Study online at https://quizlet.com/_5bgg3r
1. Mr. Smith presents with complaints of severe Answer: A
headaches for several weeks. The nurse recognizes Rationale: Cranial nerve assess-
which parameter as an important component of ment is an important compo-
the neurological examination for this patient? nent of a comprehensive neuro-
A. Cranial nerve assessment logical assess- ment. The Glas-
B. Glasgow Coma Scale assessment gow Coma Scale is used to as-
C. Assessing the Babinski's reflex sess wakefulness and arousal
D. Assessing cerebral perfusion pressure state. Mr. Smith is awake and
has been working and partici-
pating in life activ- ities. A Babin-
ski reflex would be assessed
if an upper motor neuron le-
sion, multiple sclerosis, or drug
and alcohol problems were sus-
pected, not for someone pre-
senting with a headache. Cere-
bral perfusion pressure requires
a ICP monitoring, not indicat-
ed in a patient complaining of
headache.
2. The nurse anticipates which as the next step in the Answer: D
assessment process after the neurological exami- Rationale: A lumbar puncture is
nation? an invasive proce- dure and is
A. An MRI not part of an initial diagnostic
B. Evoked potentials work-up for headache. Evoked
C. Lumbar puncture potentials are nerve conduc- tive
D. A CT scan studies, not appropriate for this
patient. A CT scan is an inexpen-
sive and quick diagnostic tool
and is usually the first screen-
ing procedure ordered. MRIs
1/7
Actualstudy 1 of 7
, Med Surg Ch 35 Assessment of Neurological Function answer keys
Med Surg Ch 35 Assessment of Neurological Function
Study online at https://quizlet.com/_5bgg3r
are expensive and take a much
longer time to process. If the CT
reveals problems, an MRI may
be done to gather more infor-
mation.
3. What information from Mr. Smith's history may Answer: B
make him ineligible for magnetic resonance imag- Rationale: If the patient has a
ing (MRI)? permanent cardiac pacemaker,
A. History of cerebrovascular accident with residual this would be a contraindica-
hemiplegia tion for an MRI. This diagnos-
B. History of cardiac dysrhythmias requiring pace- tic study uses magnetic fields to
maker obtain images. Metal may inter-
C. History of seizure disorders controlled by fere with the magnetic field and
antiepileptic drugs may also be a safety hazard. An
D. History of deep vein thrombosis requiring anti- implanted device that contains
coagulant therapy metal such as
a pacemaker may make the
MRI contraindicated because
the magnetic field may disable
the device.
4. Due to Mr. Smith's complaints of persistent Answer: A
headaches, the nurse assesses for other signs of Rationale: Patients with in-
increased intracranial pressure. Which finding may creased ICP demonstrate symp-
also be associated with increased intracranial pres- toms of changes in lev-
sure? el of consciousness, vomiting,
A. Change in level of consciousness headaches, and seizures. Late
B. Tachycardia symptoms are alterations in vi-
C. Diaphoresis tal signs. The classic signs of
D. Hypotension increased ICP include elevated
blood pressure
2/7
Actualstudy 2 of 7
