Neuro Assessment
Neuro Assessment QS.pdf answer keys
Study online at https://quizlet.com/_cqmque
1. Which are the nurse's priority . B, D, E
concepts during assessment of
a client with a neurologic prob- The priority concepts for neurological assess-ment are: cog-
lem ? Select all that apply . nition, mobility, and sensory per-ception. The interrelated
A. Fluid and electrolyte balance concept for this chapter is perfusion.
B. Sensory perception C. Perfu-
sion D. Cognition E. Mobility F.
Acid - base balance .
2. Which functions will the nurse A, B, D, E
assess as cere bellar when
checking a client's neurologic
Cerebellar function enables a person to: keep an extremity
sta tus ? Select all that ap-
from overshooting an intended target; move from one skilled
ply . A. Keeping an extremity
movement to another in an orderly sequence; predict dis-
from overshooting an intend-
tance or gauge the speed with which one is approaching an
ed target B. Moving from one
ob-ject; control voluntary (not involuntary) move-ment; and
skilled movement to another in
maintain equilibrium. The brainstem (not the cerebellum)
an orderly sequence C. Control-
contains special cells that constitute the reticular activating
ling involuntary movement D.
system (RAS) which controls awareness and alertness
Maintaining equilibrium E. Pre-
dicting distance or gauging the
speed with which one is ap-
proaching an object F. Control-
ling awakeness and awareness
3. Which assessment finding indi- A
cates to the nurse that a client's Throughout the brainstem are special cells that constitute the
reticular activating system ( RAS reticular activating system (RAS), which controls awareness
) is functioning normally ? A. and alertness. This tissue awakens a person from sleep when
The client awakens from sleep presented with a stimulus such as loud noise or pain or when
in response to a loud noise . B. it is time to awaken.
The client can move all four ex-
Actualstudy 1
, Neuro Assessment
Neuro Assessment QS.pdf answer keys
Study online at https://quizlet.com/_cqmque
tremities . C. The client's respi-
rations are within normal range
. D. The client can sense sharp
and dull stimuli
4. What is the nurse's priority con- C
cern when a client has an is-
chemic brainstem stroke with Brainstem functions of the medulla include: respiratory cen-
damage to the medulla area ter; cardiac slowing center; and functions of these cranial
of the brain ? A. Increased in- nerves: cranial nerve nuclei IX (glossopharyngeal), X (vagus),
tracranial pressure B. Seizure XI (accessory), and XII (hypoglossal) and parts of cranial
activity C. Respiratory arrest D. nerves VII (facial) and VIII (vestibulo-cochlear). The priority
Brainstem herniation concern for this client is the risk for respiratory arrest which
is life threatening.
5. Which client does the nurse find D
at the greatest disadvantage
with regard to the blood - brain The blood-brain barrier keeps some substances in the blood-
barrier ( BBB ) ? A. Client with stream out of the cerebrospinal circulation and out of brain
pneumonia who needs supple- tissue. Substances that can pass through the BBB include oxy-
mental oxygen B. Client who is gen, glucose, carbon dioxide, alcohol, anesthetics, and water.
dehydrated and needs IV fluids Large molecules such as albumin, any substance bound to
to correct fluid status C. Client albumin, and many antibiotics are prevented from crossing
in need of major surgery and the barrier.
requires general anesthesia D.
Client with bacterial meningitis
in need of antibiotics
6. Which change will the nurse ex- B
pect to observe when a client's
sympathetic nervous system is The SNS stimulates the functions of the body needed for
stimulated ? A. Increased sali- "fight or flight" (e.g., increased heart and respiratory rate).
vation B. Increased heart rate It also inhibits certain functions not needed in urgent and
Actualstudy 2
Neuro Assessment QS.pdf answer keys
Study online at https://quizlet.com/_cqmque
1. Which are the nurse's priority . B, D, E
concepts during assessment of
a client with a neurologic prob- The priority concepts for neurological assess-ment are: cog-
lem ? Select all that apply . nition, mobility, and sensory per-ception. The interrelated
A. Fluid and electrolyte balance concept for this chapter is perfusion.
B. Sensory perception C. Perfu-
sion D. Cognition E. Mobility F.
Acid - base balance .
2. Which functions will the nurse A, B, D, E
assess as cere bellar when
checking a client's neurologic
Cerebellar function enables a person to: keep an extremity
sta tus ? Select all that ap-
from overshooting an intended target; move from one skilled
ply . A. Keeping an extremity
movement to another in an orderly sequence; predict dis-
from overshooting an intend-
tance or gauge the speed with which one is approaching an
ed target B. Moving from one
ob-ject; control voluntary (not involuntary) move-ment; and
skilled movement to another in
maintain equilibrium. The brainstem (not the cerebellum)
an orderly sequence C. Control-
contains special cells that constitute the reticular activating
ling involuntary movement D.
system (RAS) which controls awareness and alertness
Maintaining equilibrium E. Pre-
dicting distance or gauging the
speed with which one is ap-
proaching an object F. Control-
ling awakeness and awareness
3. Which assessment finding indi- A
cates to the nurse that a client's Throughout the brainstem are special cells that constitute the
reticular activating system ( RAS reticular activating system (RAS), which controls awareness
) is functioning normally ? A. and alertness. This tissue awakens a person from sleep when
The client awakens from sleep presented with a stimulus such as loud noise or pain or when
in response to a loud noise . B. it is time to awaken.
The client can move all four ex-
Actualstudy 1
, Neuro Assessment
Neuro Assessment QS.pdf answer keys
Study online at https://quizlet.com/_cqmque
tremities . C. The client's respi-
rations are within normal range
. D. The client can sense sharp
and dull stimuli
4. What is the nurse's priority con- C
cern when a client has an is-
chemic brainstem stroke with Brainstem functions of the medulla include: respiratory cen-
damage to the medulla area ter; cardiac slowing center; and functions of these cranial
of the brain ? A. Increased in- nerves: cranial nerve nuclei IX (glossopharyngeal), X (vagus),
tracranial pressure B. Seizure XI (accessory), and XII (hypoglossal) and parts of cranial
activity C. Respiratory arrest D. nerves VII (facial) and VIII (vestibulo-cochlear). The priority
Brainstem herniation concern for this client is the risk for respiratory arrest which
is life threatening.
5. Which client does the nurse find D
at the greatest disadvantage
with regard to the blood - brain The blood-brain barrier keeps some substances in the blood-
barrier ( BBB ) ? A. Client with stream out of the cerebrospinal circulation and out of brain
pneumonia who needs supple- tissue. Substances that can pass through the BBB include oxy-
mental oxygen B. Client who is gen, glucose, carbon dioxide, alcohol, anesthetics, and water.
dehydrated and needs IV fluids Large molecules such as albumin, any substance bound to
to correct fluid status C. Client albumin, and many antibiotics are prevented from crossing
in need of major surgery and the barrier.
requires general anesthesia D.
Client with bacterial meningitis
in need of antibiotics
6. Which change will the nurse ex- B
pect to observe when a client's
sympathetic nervous system is The SNS stimulates the functions of the body needed for
stimulated ? A. Increased sali- "fight or flight" (e.g., increased heart and respiratory rate).
vation B. Increased heart rate It also inhibits certain functions not needed in urgent and
Actualstudy 2
