And Answers
A nurse is caring for a client who is being treated for a nervous
system disorder. What clinical assessment should the nurse conduct
to see whether the nervous system is working properly? -
correct answer ✅*The nurse should check for deep tendon
reflexes*
For which effect should the nurse monitor the client who has had a
stroke? -
correct answer ✅*Paralysis of the body*
Which is the function of the myelin sheath around an axon? -
correct answer ✅*To electrically insulate the nerve cell*
A nurse is caring for a client with a head injury caused by a bicycle
accident. Which could be the consequence of an injury close to
where the brain and spinal cord connect? -
correct answer ✅*Damage to the respiratory system*
A nurse is caring for a client with a neurologic problem who has
been advised to have an electroencephalogram (EEG). What
information should the nurse provide the client and family
regarding the use of an EEG? -
correct answer ✅*It records the electrical activity of neurons.*
,Med-Surg II - Blueprint Exam 1 Questions
And Answers
Which conditions are the effects of aging on the nervous system?
Select all that apply. -
correct answer ✅*Electrolyte imbalances*
*True dementia*
*Loss of equilibrium*
A nurse is caring for a client who is diagnosed with increased
intracranial pressure (ICP). What condition might increased ICP
indicate? -
correct answer ✅*Hydrocephalus*
Which nursing interventions should the nurse implement when
caring for elderly clients? Select all that apply. -
correct answer ✅*Treat the clients as normal and intelligent*
*Evaluate any changes in the personality of the clients*
*Caution the clients against excessive use of sleep aids*
Which is a function of the nervous system? -
correct answer ✅*It monitors information from internal stimuli*
,Med-Surg II - Blueprint Exam 1 Questions
And Answers
Which is a function of the thalamus? -
correct answer ✅*It integrates sensations*
A client sustains a head trauma after falling from a roof. The nurse
observes clear fluid leaking from the nose. What is the priority
action by the nurse? -
correct answer ✅*Have the fluid checked for glucose*
A client suffers a stroke located in the medulla. What is the priority
action by the nurse? -
correct answer ✅*Support the client's respiratory function*
A client with chronic alcoholism and late-stage cirrhosis of the liver
has significant damage to Wernicke's area. What data obtained by
the nurse is indicative of this damage? -
correct answer ✅*The client does not comprehend written and
spoken language but speaks*
A client who sustained head trauma in a motor vehicle crash is
determined to have an increase in intracranial pressure (ICP). What
related complication should the nurse be aware of? Select all that
apply. -
correct answer ✅*Brain hypoxia*
, Med-Surg II - Blueprint Exam 1 Questions
And Answers
*Herniation of the brain*
*Brain compression*
A client who is having a colonoscopy and suddenly the client's heart
rate drops from 72 beats per minute (BPM) to 52 BPM. What
cranial nerve does the nurse determine has been stimulated? -
correct answer ✅*Cranial Nerve X (Vagus)*
An elderly client arrives at a healthcare facility with complaints of
loss of sensation. The nurse understands that a change in which
part of the brain is responsible for changes in the client's ability to
perceive sensation? -
correct answer ✅*Cerebral cortex*
The nurse assesses the client's pupils and notes the client's pupils
are unequal. The nurse would expect the healthcare provider to
further assess the client for a midbrain disorder based on what
function of the midbrain? -
correct answer ✅*To integrate visual and auditory reflexes*
A young adult client arrives at the community clinic with reports of
changes in eating habits. The client reports a sudden loss of