Neurological Assessment Quiz 1
Neurological Assessment Quiz 1.pdf
Study online at https://quizlet.com/_cfq1jr
1. When evaluating a client's risk 68-year-old African American with hypertension
for cerebrovascular accident,
which client would the nurse Risk factors include older adulthood (risk doubling each
identify as being at highest risk? decade after age 55), male sex, African American race,
hypertension, smoking, chronic alcohol intake (more than
42-year-old Caucasian woman 3 drinks per day), and sleep apnea. In the clients listed, the
who smokes 68-year-old African American male with hypertension has
68-year-old African American the greatest risk due to his age, race, and hypertension. The
with hypertension other clients would be at risk but the risk would be less.
35-year-old African American
who has sleep apnea
55-year-old Caucasian male who
has a two beers a week
2. What task should a nurse ask a shrug shoulders against resistance
client to perform to assess the
function of cranial nerve XI? The function of cranial nerve XI can be assessed by asking
the client to shrug his or her shoulders against resistance.
walk in heel-to-toe fashion Asking the client to move the tongue from side to side
swallow water assesses function of the hypoglossal nerve, Cranial nerve
move tongue side to side XII. The nurse asks the client to swallow water to assess the
shrug shoulders against resis- function of cranial nerves IX and X. Asking the client to walk
tance in heel-to-toe fashion helps in assessment of balance.
3. A client sustains an injury to the Depth of respirations
brain stem. What is the most im-
portant assessment parameter The brain stem controls many functions. The medulla ob-
that the nurse should perform longata contains the nuclei for the cranial nerves and has
for this client? centers that control and regulate respiratory function, heart
rate and force, and blood pressure. Movement and sen-
Depth of respirations sation of the extremities is controlled by various functions
Movement of all extremities
1
, Neurological Assessment Quiz 1
Neurological Assessment Quiz 1.pdf
Study online at https://quizlet.com/_cfq1jr
Level of consciousness of the nervous system. Level of consciousness occurs when
Sensation in extremities the brain does not receive enough oxygen.
4. During an assessment of the VIII
cranial nerves, a client reports
spontaneously losing balance. Sensory function of the acoustic nerve is both hearing
The nurse should focus addition- (cochlear division) and balance (vestibular division). The
al assessment on which cranial sensory function of the olfactory nerve is the sense of smell.
nerve? The sensory function of the trigeminal nerve covers three
areas of the face: around the eyes, along the maxilla, and
XII along the mandible. The hypoglossal nerve does not have
V a sensory function.
VIII
I
5. The nurse is preparing to as- Hearing
sess a client's cranial nerves us- Eye movements
ing a screening neurologic exam- Visual acuity
ination. Which of the following Facial strength
should the nurse include in this
assessment? (Select all that ap- When assessing the cranial nerves using a screening neu-
ply.) rologic examination, the nurse should assess visual acuity,
pupillary light reflex, eye movements, hearing, and facial
Hearing strength. Finger proprioception would be a part of the
Finger proprioception sensory system assessment.
Eye movements
Visual acuity
Facial strength
6. A 37-year-old comatose woman Decerebrate rigidity
arrives at the emergency room.
Paramedics say her husband In this type of rigidity the jaws are clenched and the neck
found her unconscious at home. is extended. The arms are adducted and stiffly extended
2
Neurological Assessment Quiz 1.pdf
Study online at https://quizlet.com/_cfq1jr
1. When evaluating a client's risk 68-year-old African American with hypertension
for cerebrovascular accident,
which client would the nurse Risk factors include older adulthood (risk doubling each
identify as being at highest risk? decade after age 55), male sex, African American race,
hypertension, smoking, chronic alcohol intake (more than
42-year-old Caucasian woman 3 drinks per day), and sleep apnea. In the clients listed, the
who smokes 68-year-old African American male with hypertension has
68-year-old African American the greatest risk due to his age, race, and hypertension. The
with hypertension other clients would be at risk but the risk would be less.
35-year-old African American
who has sleep apnea
55-year-old Caucasian male who
has a two beers a week
2. What task should a nurse ask a shrug shoulders against resistance
client to perform to assess the
function of cranial nerve XI? The function of cranial nerve XI can be assessed by asking
the client to shrug his or her shoulders against resistance.
walk in heel-to-toe fashion Asking the client to move the tongue from side to side
swallow water assesses function of the hypoglossal nerve, Cranial nerve
move tongue side to side XII. The nurse asks the client to swallow water to assess the
shrug shoulders against resis- function of cranial nerves IX and X. Asking the client to walk
tance in heel-to-toe fashion helps in assessment of balance.
3. A client sustains an injury to the Depth of respirations
brain stem. What is the most im-
portant assessment parameter The brain stem controls many functions. The medulla ob-
that the nurse should perform longata contains the nuclei for the cranial nerves and has
for this client? centers that control and regulate respiratory function, heart
rate and force, and blood pressure. Movement and sen-
Depth of respirations sation of the extremities is controlled by various functions
Movement of all extremities
1
, Neurological Assessment Quiz 1
Neurological Assessment Quiz 1.pdf
Study online at https://quizlet.com/_cfq1jr
Level of consciousness of the nervous system. Level of consciousness occurs when
Sensation in extremities the brain does not receive enough oxygen.
4. During an assessment of the VIII
cranial nerves, a client reports
spontaneously losing balance. Sensory function of the acoustic nerve is both hearing
The nurse should focus addition- (cochlear division) and balance (vestibular division). The
al assessment on which cranial sensory function of the olfactory nerve is the sense of smell.
nerve? The sensory function of the trigeminal nerve covers three
areas of the face: around the eyes, along the maxilla, and
XII along the mandible. The hypoglossal nerve does not have
V a sensory function.
VIII
I
5. The nurse is preparing to as- Hearing
sess a client's cranial nerves us- Eye movements
ing a screening neurologic exam- Visual acuity
ination. Which of the following Facial strength
should the nurse include in this
assessment? (Select all that ap- When assessing the cranial nerves using a screening neu-
ply.) rologic examination, the nurse should assess visual acuity,
pupillary light reflex, eye movements, hearing, and facial
Hearing strength. Finger proprioception would be a part of the
Finger proprioception sensory system assessment.
Eye movements
Visual acuity
Facial strength
6. A 37-year-old comatose woman Decerebrate rigidity
arrives at the emergency room.
Paramedics say her husband In this type of rigidity the jaws are clenched and the neck
found her unconscious at home. is extended. The arms are adducted and stiffly extended
2
