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MED SURG/NEURO TEST BANK
QUESTIONS AND ANSWERS 2025
1. A patient is brought to the ER following a motor vehicle
accident in which he sustained head trauma. Preliminary
assessment reveals a vision deficit in the patient's left eye. The
nurse should associate this abnormal finding with trauma to
which of the following cerebral lobes?
A) Temporal
B) Occipital
C) Parietal
D) Frontal - correct answer- B) Occipital
.A patient scheduled for magnetic resonance imaging (MRI) at
the radiology department. The nurse who prepares the patient
for the MRI should prioritize which of the following actions?
A) Withholding stimulants 24 to 48 hours prior to exam
B) Removing all metal-containing objects
C) Instructing the patient to void prior to the MRI
D) Initiating an IV line for administration of contrast - correct
answer- B) Removing all metal-containing objects
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A gerontologic nurse planning the neurologic assessment of an
older adult is considering normal, age-related changes. Of what
phenomenon should the nurse be aware?
A) Hyperactive deep tendon reflexes
B) Reduction in cerebral blood flow
C) Increased cerebral metabolism
D) Hypersensitivity to painful stimuli - correct answer- B)
Reduction in cerebral blood flow
The nurse has admitted a new patient to the unit. One of the
patient's admitting orders is for an adrenergic medication. The
nurse knows that this medication will have what effect on the
circulatory system?
A) Thin, watery saliva
B) Increased heart rate
C) Decreased BP
D) Constricted bronchioles - correct answer- B) Increased heart
rate
A nurse is assessing reflexes in a patient with hyperactive
reflexes. When the patient's foot is abruptly dorsiflexed, it
continues to "beat" two times before settling into a resting
position. How would the nurse document this finding?
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A) Rigidity
B) Flaccidity
C) Clonus
D) Ataxia - correct answer- C) Clonus
he nurse is doing an initial assessment on a patient newly
admitted to the unit with a diagnosis of cerebrovascular
accident (CVA). The patient has difficulty copying a figure that
the nurse has drawn and is diagnosed with visual-receptive
aphasia. What brain region is primarily involved in this deficit?
A) Temporal lobe
B) Parietal-occipital area
C) Inferior posterior frontal areas
D) Posterior frontal area - correct answer- B) Parietal-occipital
area
The nurse is admitting a patient to the unit who is diagnosed
with lower motor neuron lesion. What entry in the patient's
electronic record is most consistent with this diagnosis?
A) "Patient exhibits increased muscle tone."
B) "Patient demonstrates normal muscle structure with no
evidence of atrophy."
C) "Patient demonstrates hyperactive deep tendon reflexes."
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D) "Patient demonstrates an absence of deep tendon reflexes."
- correct answer- D) "Patient demonstrates an absence of deep
tendon reflexes."
8. An elderly patient is being discharged home. The patient
lives alone and has atrophy of his olfactory organs. The nurse
tells the patient's family its essential that the patient have what
installed in the home?
A) Grab bars
B) Nonslip mats
C) Baseboard heaters
D) A smoke detector - correct answer- D) A smoke detector
A nurse is caring for a patient diagnosed with Ménière's
disease. While completing a neurologic examination on the
patient, the nurse assesses cranial nerve VIII. The nurse would
be correct in identifying the function of this nerve as what?
A) Movement of the tongue
B) Visual acuity
C) Sense of smell
D) Hearing and equilibrium - correct answer- D) Hearing and
equilibrium
MED SURG/NEURO TEST BANK
QUESTIONS AND ANSWERS 2025
1. A patient is brought to the ER following a motor vehicle
accident in which he sustained head trauma. Preliminary
assessment reveals a vision deficit in the patient's left eye. The
nurse should associate this abnormal finding with trauma to
which of the following cerebral lobes?
A) Temporal
B) Occipital
C) Parietal
D) Frontal - correct answer- B) Occipital
.A patient scheduled for magnetic resonance imaging (MRI) at
the radiology department. The nurse who prepares the patient
for the MRI should prioritize which of the following actions?
A) Withholding stimulants 24 to 48 hours prior to exam
B) Removing all metal-containing objects
C) Instructing the patient to void prior to the MRI
D) Initiating an IV line for administration of contrast - correct
answer- B) Removing all metal-containing objects
,2 | Page
A gerontologic nurse planning the neurologic assessment of an
older adult is considering normal, age-related changes. Of what
phenomenon should the nurse be aware?
A) Hyperactive deep tendon reflexes
B) Reduction in cerebral blood flow
C) Increased cerebral metabolism
D) Hypersensitivity to painful stimuli - correct answer- B)
Reduction in cerebral blood flow
The nurse has admitted a new patient to the unit. One of the
patient's admitting orders is for an adrenergic medication. The
nurse knows that this medication will have what effect on the
circulatory system?
A) Thin, watery saliva
B) Increased heart rate
C) Decreased BP
D) Constricted bronchioles - correct answer- B) Increased heart
rate
A nurse is assessing reflexes in a patient with hyperactive
reflexes. When the patient's foot is abruptly dorsiflexed, it
continues to "beat" two times before settling into a resting
position. How would the nurse document this finding?
,3 | Page
A) Rigidity
B) Flaccidity
C) Clonus
D) Ataxia - correct answer- C) Clonus
he nurse is doing an initial assessment on a patient newly
admitted to the unit with a diagnosis of cerebrovascular
accident (CVA). The patient has difficulty copying a figure that
the nurse has drawn and is diagnosed with visual-receptive
aphasia. What brain region is primarily involved in this deficit?
A) Temporal lobe
B) Parietal-occipital area
C) Inferior posterior frontal areas
D) Posterior frontal area - correct answer- B) Parietal-occipital
area
The nurse is admitting a patient to the unit who is diagnosed
with lower motor neuron lesion. What entry in the patient's
electronic record is most consistent with this diagnosis?
A) "Patient exhibits increased muscle tone."
B) "Patient demonstrates normal muscle structure with no
evidence of atrophy."
C) "Patient demonstrates hyperactive deep tendon reflexes."
, 4 | Page
D) "Patient demonstrates an absence of deep tendon reflexes."
- correct answer- D) "Patient demonstrates an absence of deep
tendon reflexes."
8. An elderly patient is being discharged home. The patient
lives alone and has atrophy of his olfactory organs. The nurse
tells the patient's family its essential that the patient have what
installed in the home?
A) Grab bars
B) Nonslip mats
C) Baseboard heaters
D) A smoke detector - correct answer- D) A smoke detector
A nurse is caring for a patient diagnosed with Ménière's
disease. While completing a neurologic examination on the
patient, the nurse assesses cranial nerve VIII. The nurse would
be correct in identifying the function of this nerve as what?
A) Movement of the tongue
B) Visual acuity
C) Sense of smell
D) Hearing and equilibrium - correct answer- D) Hearing and
equilibrium
