Nursing Assessment Neurologic Function answer keys
Nursing Assessment: Neurologic Function
Study online at https://quizlet.com/_9e8u69
1. Lower motor neuron lesions flaccid muscles.
cause
2. The nurse is preparing a client "It is a test for balance."
for a neurological examina-
tion by the physician and
explains tests the physician
will be doing, including the
Romberg test. The client asks
the purpose of this particular
test. The correct reply by the
nurse is which of the follow-
ing?
3. The nurse is performing a The inability to tell how a mouse and a cat are alike
neurological assessment of a
client who has sustained dam-
age to the frontal cortex.
Which of the following deficits
will the nurse look for during
assessment?
4. Which of the following is a Decreased peristalsis
sympathetic nervous system
effect?
5. The Glasgow Coma Scale is a 15
common screening tool used
for patients with a head injury.
During the physical exam, the
nurse documents that the pa-
tient is able to spontaneous-
Actualstudy Page 1
, Nursing Assessment Neurologic Function answer keys
Nursing Assessment: Neurologic Function
Study online at https://quizlet.com/_9e8u69
ly open her eyes, obey verbal
commands, and is oriented.
The nurse records the highest
score of:
6. Which is a sympathetic effect Dilated pupils
of the nervous system?
7. A nursing educator is talking Reduction in cerebral blood flow (CBF)
with nurses about the effects
of the aging process and neu-
rologic changes. What would
the educator identify as a
normal neurological change
that accompanies the aging
process?
8. A neurological nurse is con- IX (glossopharyngeal) and X (vagus)
ducting a focused neurolog-
ical assessment of a patient
who has just been admitted
to the rehabilitative facility.
During this assessment, the
nurse has asked the patient
to swallow and has tested
the patient's gag reflex with
a tongue depressor. These as-
sessments test the function of
which of the patient's cranial
nerves?
9. The nurse is performing a de- "What would you do if you found a stamped envelope on the
tailed mental status assess- street?"
Actualstudy Page 2
, Nursing Assessment Neurologic Function answer keys
Nursing Assessment: Neurologic Function
Study online at https://quizlet.com/_9e8u69
ment of an older adult pa-
tient who has a diagnosis
of mild Alzheimer's disease.
What assessment most accu-
rately gauges the patient's ab-
stract reasoning?
10. Low levels of the neuro- Depression
transmitter serotonin lead to
which of the following disease
processes?
11. A client is diagnosed with Occipital
a brain tumor. The nurse's
assessment reveals that the
client has difficulty interpret-
ing visual stimuli. Based on
these findings, the nurse sus-
pects injury to which lobe of
the brain?
12. A male client is scheduled Inform the client that he will not experience any electrical shock.
for an electroencephalogram
(EEG). When the nurse caring
for the client is preparing him
for the test, the client states
that during childhood he was
mildly electrocuted but mirac-
ulously lived. Therefore, he is
quite afraid of going through
an EEG. In what ways can the
Actualstudy Page 3
Nursing Assessment: Neurologic Function
Study online at https://quizlet.com/_9e8u69
1. Lower motor neuron lesions flaccid muscles.
cause
2. The nurse is preparing a client "It is a test for balance."
for a neurological examina-
tion by the physician and
explains tests the physician
will be doing, including the
Romberg test. The client asks
the purpose of this particular
test. The correct reply by the
nurse is which of the follow-
ing?
3. The nurse is performing a The inability to tell how a mouse and a cat are alike
neurological assessment of a
client who has sustained dam-
age to the frontal cortex.
Which of the following deficits
will the nurse look for during
assessment?
4. Which of the following is a Decreased peristalsis
sympathetic nervous system
effect?
5. The Glasgow Coma Scale is a 15
common screening tool used
for patients with a head injury.
During the physical exam, the
nurse documents that the pa-
tient is able to spontaneous-
Actualstudy Page 1
, Nursing Assessment Neurologic Function answer keys
Nursing Assessment: Neurologic Function
Study online at https://quizlet.com/_9e8u69
ly open her eyes, obey verbal
commands, and is oriented.
The nurse records the highest
score of:
6. Which is a sympathetic effect Dilated pupils
of the nervous system?
7. A nursing educator is talking Reduction in cerebral blood flow (CBF)
with nurses about the effects
of the aging process and neu-
rologic changes. What would
the educator identify as a
normal neurological change
that accompanies the aging
process?
8. A neurological nurse is con- IX (glossopharyngeal) and X (vagus)
ducting a focused neurolog-
ical assessment of a patient
who has just been admitted
to the rehabilitative facility.
During this assessment, the
nurse has asked the patient
to swallow and has tested
the patient's gag reflex with
a tongue depressor. These as-
sessments test the function of
which of the patient's cranial
nerves?
9. The nurse is performing a de- "What would you do if you found a stamped envelope on the
tailed mental status assess- street?"
Actualstudy Page 2
, Nursing Assessment Neurologic Function answer keys
Nursing Assessment: Neurologic Function
Study online at https://quizlet.com/_9e8u69
ment of an older adult pa-
tient who has a diagnosis
of mild Alzheimer's disease.
What assessment most accu-
rately gauges the patient's ab-
stract reasoning?
10. Low levels of the neuro- Depression
transmitter serotonin lead to
which of the following disease
processes?
11. A client is diagnosed with Occipital
a brain tumor. The nurse's
assessment reveals that the
client has difficulty interpret-
ing visual stimuli. Based on
these findings, the nurse sus-
pects injury to which lobe of
the brain?
12. A male client is scheduled Inform the client that he will not experience any electrical shock.
for an electroencephalogram
(EEG). When the nurse caring
for the client is preparing him
for the test, the client states
that during childhood he was
mildly electrocuted but mirac-
ulously lived. Therefore, he is
quite afraid of going through
an EEG. In what ways can the
Actualstudy Page 3
