NEURO - TEST BANKS - BRUNNER & SUDDARTH'S TEXTBOOK OF MEDICAL-SURGICAL NURSING 14E CHAPTER 65 – 70 QUESTIONS WITH CORRECT ANSWERS RATED A+ SURE PASS

1.dAdpatientdisdbroughtdtodthedERdfollowingdadmotordvehicledaccidentdindwhichdhedsustaineddheaddtrauma.d
Preliminarydassessmentdrevealsdadvisionddeficitdindthedpatientsdleftdeye.dThednursedshoulddassociatedthis

abnormaldfindingdwithdtraumadtodwhichdofdthedfollowingdcerebraldlobes?

A)dTemporal

B)dOccipital

C)dParietal

D)dFrontald-ddCORRECTdANSWERSB

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Thedposteriordlobedofdthedcerebraldhemispheredisdresponsibledfordvisualdinterpretation.dThedtemporaldlob
e

containsdthedauditorydreceptivedareas.dThedparietaldlobedcontainsdthedprimarydsensorydcortex,danddis

essentialdtodandindividualsdawarenessdofdthedbodydindspace,dasdwelldasdorientationdindspacedanddspatial

relations.dThedfrontaldlobedfunctionsdindconcentration,dabstractdthought,dinformationdstoragedordmemory,
danddmotordfunction.




2.dAdpatientdscheduleddfordmagneticdresonancedimagingd(MRI)dhasdarriveddatdthedradiologyddepartment.dT
he

nursedwhodpreparesdthedpatientdfordthedMRIdshoulddprioritizedwhichdofdthedfollowingdactions?

A)dWithholdingdstimulantsd24dtod48dhoursdpriordtodexam

B)dRemovingdalldmetal-containingdobjects

C)dInstructingdthedpatientdtodvoiddpriordtodthedMRI

D)dInitiatingdandIVdlinedfordadministrationdofdcontrastd-ddCORRECTdANSWERSB

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PatientdpreparationdfordandMRIdconsistsdofdremovingdalldmetal-containingdobjectsdpriordtodthe

examination.dWithholdingdstimulantsdwoulddnotdaffectdandMRI;dthisdrelatesdtodandelectroencephalograph
y

(EEG).dInstructingdthedpatientdtodvoiddisdpatientdpreparationdfordadlumbardpuncture.dInitiatingdandIVdline

fordadministrationdofdcontrastdwoulddbeddonedifdthedpatientdwasdhavingdadCTdscandwithdcontrast.



3.dAdgerontologicdnursedplanningdthedneurologicdassessmentdofdandolderdadultdisdconsideringdnormal,daged
relateddchanges.dOfdwhatdphenomenondshoulddthednursedbedaware?

A)dHyperactiveddeepdtendondreflexes

B)dReductiondindcerebraldblooddflow

C)dIncreaseddcerebraldmetabolism

D)dHypersensitivitydtodpainfuldstimulid-ddCORRECTdANSWERSB

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Reductiondindcerebraldblooddflowd(CBF)disdadchangedthatdoccursdindthednormaldagingdprocess.dDeep

tendondreflexesdcandbeddecreaseddor,dindsomedcases,dabsent.dCerebraldmetabolismddecreasesdasdthedpatie
nt

advancesdindage.dReactiondtodpainfuldstimulidmaydbeddecreaseddwithdage.dBecausedpaindisdandimportant

warningdsignal,dcautiondmustdbeduseddwhendhotdordcolddpacksdaredused.



4.dThednursedhasdadmitteddadnewdpatientdtodthedunit.dOnedofdthedpatientsdadmittingdordersdisdfordan

adrenergicdmedication.dThednursedknowsdthatdthisdmedicationdwilldhavedwhatdeffectdondthedcirculatory

system?

A)dThin,dwaterydsaliva

B)dIncreaseddheartdrate

C)dDecreaseddBP

D)dConstricteddbronchiolesd-ddCORRECTdANSWERSB

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Thedtermdadrenergicdrefersdtodthedsympatheticdnervousdsystem.dSympatheticdeffectsdincludedandincrease
d

,ratedanddforcedofdthedheartbeat.dCholinergicdeffects,dwhichdcorresponddtodthedparasympatheticddivisiondo
f

thedautonomicdnervousdsystem,dincludedthin,dwaterydsaliva,ddecreaseddratedanddforcedofdheartbeat,dand

decreaseddBP.



5.dAdnursedisdassessingdreflexesdindadpatientdwithdhyperactivedreflexes.dWhendthedpatientsdfootdisdabruptly

dorsiflexed,ditdcontinuesdtodbeatdtwodtodthreedtimesdbeforedsettlingdintodadrestingdposition.dHowdwoulddth
e

nurseddocumentdthisdfinding?

A)dRigidity

B)dFlaccidity

C)dClonus

D)dAtaxiad-ddCORRECTdANSWERSC

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Whendreflexesdaredverydhyperactive,dadphenomenondcalleddclonusdmaydbedelicited.dIfdthedfootdisdabruptly

dorsiflexed,ditdmaydcontinuedtodbeatdtwodtodthreedtimesdbeforeditdsettlesdintodadpositiondofdrest.dRigiditydis

andincreasedindmuscledtonedatdrestdcharacterizeddbydincreaseddresistancedtodpassivedstretch.dFlacciditydis

lackdofdmuscledtone.dAtaxiadisdthedinabilitydtodcoordinatedmuscledmovements,dresultingdinddifficulty

walking,dtalking,danddperformingdself-caredactivities.



6.dThednursedisddoingdandinitialdassessmentdondadpatientdnewlydadmitteddtodthedunitdwithdaddiagnosisdof

cerebrovasculardaccidentd(CVA).dThedpatientdhasddifficultydcopyingdadfiguredthatdthednursedhasddrawndand

isddiagnoseddwithdvisual-receptivedaphasia.dWhatdbraindregiondisdprimarilydinvolveddindthisddeficit?

A)dTemporaldlobe

B)dParietal-occipitaldarea

C)dInferiordposteriordfrontaldareas

D)dPosteriordfrontaldaread-ddCORRECTdANSWERSB

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, Difficultydcopyingdadfiguredthatdthednursedhasddrawndwoulddbedconsidereddvisual-
receptivedaphasia,dwhichdinvolvesdthedparietal-
occipitaldarea.dExpressivedaphasia,dthedinabilitydtodexpressdoneself,disdoften

associateddwithddamagedtodthedfrontaldarea.dReceptivedaphasia,dthedinabilitydtodunderstanddwhatdsomeon
e

elsedisdsaying,disdoftendassociateddwithddamagedtodthedtemporaldlobedarea.



7.dWhatdtermdisduseddtoddescribedthedfibrousdconnectivedtissuedthatdhugsdthedbraindcloselydanddextendsdin
to

everydfolddofdthedbrainsdsurface?

A)dDuradmater

B)dArachnoid

C)dFascia

D)dPiadmaterd-ddCORRECTdANSWERSD

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Thedtermdmeningesddescribesdthedfibrousdconnectivedtissuedthatdcoversdthedbraindanddspinaldcord.dThe

meningesdhavedthreedlayers,dthedduradmater,darachnoid,danddpiadmater.dThedpiadmaterdisdthedinnermost

membranedthatdhugsdthedbraindcloselydanddextendsdintodeverydfolddofdthedbrainsdsurface.dThedduradmater,

thedoutermostdlayer,dcoversdthedbraindanddspinaldcord.dThedarachnoid,dthedmiddledmembrane,dis

responsibledfordthedproductiondofdcerebrospinaldfluid.



8.dThednursedisdcaringdfordadpatientdwithdandupperdmotordneurondlesion.dWhatdclinicaldmanifestationsdsho
uld

thednursedanticipatedwhendplanningdthedpatientsdneurologicdassessment?

A)dDecreaseddmuscledtone

B)dFlacciddparalysis

C)dLossdofdvoluntarydcontroldofdmovement

D)dSlowdreflexesd-ddCORRECTdANSWERSC

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Upperdmotordneurondlesionsddodnotdcausedmuscledatrophy,dflacciddparalysis,dordslowdreflexes.dHowever,du
pperdmotordneurondlesionsdnormallydcausedlossdofdvoluntarydcontrol.