The nurse is preparing to assess balance in an older adult client. Which test would the nurse plan on
possibly omitting from the exam? - Answers Hop on 1 foot
A nurse is preparing to assess the cranial nerves of a client. The nurse is about to test cranial nerve I.
Which of the following would the nurse do? - Answers Ask the pt to identify scents
Which tests are appropriate for a nurse to perform to test the cranial nerve VIII? - Answers Whisper test,
Rinne, and Weber
A client's patellar reflex is normal for the right side but diminished on the left. Using the scale for grading
reflexes, how should the nurse document this finding? - Answers Right knee +2; Left knee +1
What should the nurse assess to test the function of the occipital lobe? - Answers Ability to read
The husband of a 65-year-old female tells the nurse, "My wife is having trouble navigating the steps in
our home and needs my help to step down off a curb." What part of the nervous system should the
nurse assess for a potential source of the problem? - Answers cerebellum
A client cannot differentiate between sharp and dull pain sensations when a nurse tests with a safety
pin. What is an appropriate action by the nurse? - Answers Determine the ability to differentiate hot and
cold temperatures
A client visits the clinic and tells the nurse that he has not been feeling very well. The nurse observes
that the client's speech is slow, the client has a disheveled appearance, and he maintains poor eye
contact with the nurse. The nurse should further assess the client for - Answers Depression
A client says that an object placed in the hand is a pair of scissors when the object is a paper clip. Which
aspect of the client's neurologic system should the nurse identify as being compromised? - Answers
Sensory
Which assessment procedure should a nurse institute to test a client for stereognosis? - Answers With
eyes closed, ask the client to identify a familiar object that is placed in their hand
When performing an assessment of the nervous system, it is most appropriate for a nurse to complete it
in which sequence? - Answers Mental status, cranial nerves, motor/cerebellar, sensory, reflexes
The nurse plans to test which cranial nerve when testing an elderly patient's hearing status? - Answers
VIII
Which of the following assessments is most likely to provide insight into the function of the client's CN
VIII? - Answers Test the client's hearing for lateralization and bone and air conduction.
When assessing deep tendon reflexes in an elderly client what finding would the nurse anticipate? -
Answers Decreased reaction time