NURS 5050- Neuro Assessment MCQs answer keys
NURS 5050- Neuro Assessment MCQs
Study online at https://quizlet.com/_cgdyi9
1. The husband of a 65-year-old female B
tells the nurse, "My wife is having trou-
ble navigating the steps in our home The cerebellum's primary functions include coor-
and needs my help to step down off a dination and smoothing of voluntary movements,
curb." What part of the nervous system maintenance of equilibrium, and maintenance of
should the nurse assess for a potential muscle tone. The temporal lobe is part of the
source of the problem? cerebrum and helps with receiving and inter-
preting impulses from the ear. The cranial nerves
A. Temporal lobe evolve from the brain or brain stem and transmit
B. Cerebellum motor or sensory messages. Deep tendon reflex-
C. Deep tendon reflexes es are part of the sensory pathway of the spinal
D. Cranial nerves cord, which relay an impulse to the motor nerve
and then to the muscles.
2. Which tests are appropriate for a nurse B
to perform to test the cranial nerve
VIII? Cranial nerve VIII is the acoustic/vestibulo-
cochlear which assesses the client's ability to
A. Clench the teeth, light touch, hear. The nurse should perform the whisper test,
sharp/dull discrimination and the Rinne and Weber test using the tuning
B. Whisper test, Rinne, and Weber fork.
C. Gag reflex, rise of the uvula, ability to
swallow
D. Smile, frown, show teeth, and puff
out cheeks
3. The nurse has positioned a client C
supine and asked her to perform the
heel-to-shin test. An inability to run Deviation of the heel to one side or the other
each heel smoothly down each shin during the heel-to-shin test may be seen in cere-
should prompt the nurse to perform bellar disease. As such, further assessment of
further assessment in what domain? balance and coordination is likely indicated. This
1/7
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, NURS 5050- Neuro Assessment MCQs answer keys
NURS 5050- Neuro Assessment MCQs
Study online at https://quizlet.com/_cgdyi9
assessment finding is not suggestive of deficits
A. Leg strength in reflexes, sensation, or strength.
B. Light touch sensation
C. Balance and coordination
D. Deep tendon reflexes
4. The nurse has completed a Glasgow D
Coma Scale assessment and assigns the
client a score of three. Which is the best The GCS is a tool for assessing a client's response
way for the nurse to assess pain in this to stimuli. Scores range from 3 (deep coma) to
client? 15 (normal).
A score of three indicates deep coma; therefore,
A. Utilize the FACES scale. the client is unable to verbalize pain level on
B. Use a verbal 0-10 rating scale. numerical scale or FACES scale. A client in a coma
C. Clients assigned this low score are can still experience pain.
pain free.
D. Assess for nonverbal signs.
5. What would the nurse most likely find B
when assessing a client diagnosed with
a frontal lobe contusion following a mo- The frontal lobe contains Broca's area, which is
tor vehicle accident? responsible for speech. Injury to this area may
lead to difficulty speaking. Difficulty with sounds
A. Blurred vision would be associated with the temporal lobe. Loss
B. Difficulty speaking of tactile sensation would be associated with the
C. Loss of tactile sensation parietal lobe. Blurred vision would be associated
D. Inability to hear high-pitched sounds with the occipital lobe.
6. The nurse is testing a client for Kernig D, E
sign. Which finding(s) should cause the
nurse to suspect meningeal irritation? The nurse should suspect meningeal irritation
Select all that apply. if the client experiences pain when the knee is
extended and resistance to knee extension when
2/7
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NURS 5050- Neuro Assessment MCQs
Study online at https://quizlet.com/_cgdyi9
1. The husband of a 65-year-old female B
tells the nurse, "My wife is having trou-
ble navigating the steps in our home The cerebellum's primary functions include coor-
and needs my help to step down off a dination and smoothing of voluntary movements,
curb." What part of the nervous system maintenance of equilibrium, and maintenance of
should the nurse assess for a potential muscle tone. The temporal lobe is part of the
source of the problem? cerebrum and helps with receiving and inter-
preting impulses from the ear. The cranial nerves
A. Temporal lobe evolve from the brain or brain stem and transmit
B. Cerebellum motor or sensory messages. Deep tendon reflex-
C. Deep tendon reflexes es are part of the sensory pathway of the spinal
D. Cranial nerves cord, which relay an impulse to the motor nerve
and then to the muscles.
2. Which tests are appropriate for a nurse B
to perform to test the cranial nerve
VIII? Cranial nerve VIII is the acoustic/vestibulo-
cochlear which assesses the client's ability to
A. Clench the teeth, light touch, hear. The nurse should perform the whisper test,
sharp/dull discrimination and the Rinne and Weber test using the tuning
B. Whisper test, Rinne, and Weber fork.
C. Gag reflex, rise of the uvula, ability to
swallow
D. Smile, frown, show teeth, and puff
out cheeks
3. The nurse has positioned a client C
supine and asked her to perform the
heel-to-shin test. An inability to run Deviation of the heel to one side or the other
each heel smoothly down each shin during the heel-to-shin test may be seen in cere-
should prompt the nurse to perform bellar disease. As such, further assessment of
further assessment in what domain? balance and coordination is likely indicated. This
1/7
Actualstudy 1 of 7
, NURS 5050- Neuro Assessment MCQs answer keys
NURS 5050- Neuro Assessment MCQs
Study online at https://quizlet.com/_cgdyi9
assessment finding is not suggestive of deficits
A. Leg strength in reflexes, sensation, or strength.
B. Light touch sensation
C. Balance and coordination
D. Deep tendon reflexes
4. The nurse has completed a Glasgow D
Coma Scale assessment and assigns the
client a score of three. Which is the best The GCS is a tool for assessing a client's response
way for the nurse to assess pain in this to stimuli. Scores range from 3 (deep coma) to
client? 15 (normal).
A score of three indicates deep coma; therefore,
A. Utilize the FACES scale. the client is unable to verbalize pain level on
B. Use a verbal 0-10 rating scale. numerical scale or FACES scale. A client in a coma
C. Clients assigned this low score are can still experience pain.
pain free.
D. Assess for nonverbal signs.
5. What would the nurse most likely find B
when assessing a client diagnosed with
a frontal lobe contusion following a mo- The frontal lobe contains Broca's area, which is
tor vehicle accident? responsible for speech. Injury to this area may
lead to difficulty speaking. Difficulty with sounds
A. Blurred vision would be associated with the temporal lobe. Loss
B. Difficulty speaking of tactile sensation would be associated with the
C. Loss of tactile sensation parietal lobe. Blurred vision would be associated
D. Inability to hear high-pitched sounds with the occipital lobe.
6. The nurse is testing a client for Kernig D, E
sign. Which finding(s) should cause the
nurse to suspect meningeal irritation? The nurse should suspect meningeal irritation
Select all that apply. if the client experiences pain when the knee is
extended and resistance to knee extension when
2/7
Actualstudy 2 of 7
