Detailed Questions And Correct
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Symptoms indicative of shaken baby syndrome are related to -Answer Uncontrollable
cerebral edema and hypoxia
Brain damage resulting from shaking of the body and rapid flexing and extension of the
head results in hypoxia and cerebral edema leading to symptoms of blindness, inability
to perform previously learned milestones, and very flaccid muscle tone.
When assessing coordination of muscle movement, four areas of the nervous system
function in an integrated way. These areas include the motor, cerebellar, the vestibular,
and the sensory systems. Which system coordinates a steady posture. -Answer
Cerebellar System
Coordination of muscle movement requires that four areas of the nervous system
function in an integrated way:
motor system for muscle strength
cerebellar system for rhythmic movements and steady posture
vestibular system for balance and coordinating eye, head, and body movements
sensory system for position sense
When assessing the cranial nerves, the nurse practitioner touches the cornea lightly
with a wisp of cotton. This maneuver assesses which cranial nerve -Answer Cranial
nerve V
Touching the cornea and assessing for a reflex assesses cranial nerve V
When eliciting deep tendon reflexes in the biceps, the nurse practitioner notes an
abnormal reflex in the right biceps. This abnormality is probable consistent with a
pathological lesion in which segmented level of the spine? -Answer Cervical 5 and 6
The segmented levels of the deep tendon reflexes are
Ankle: sacral 1
, Knee: lumbar 2,3 &4
Supinator and biceps: cervical 5&6
Triceps: cervical 6&7
Uncontrolled electrical activity in the brain, which may produce minor physical signs,
thought disturbances, or disturbed motor activity is: -Answer Seizure
Dystonia is a neurological disorder that causes involuntary muscle spasms and twisting
of the limbs.
Bradykinesia is the term used to describe the impaired ability to adjust to one's body
position. This symptom is noted in patients who have parkinson's disease.
A rhythmic oscillatory movement of a body part resulting from the contraction of
opposing muscle groups is a tremor.
A band of skin innervated by the sensory root of a single spinal nerve is termed a -
Answer Dermatome
A band of skin innervated by the sensory root of a single spinal or dorsal nerve root is
termed a dermatome.
A peripheral nerve field refers to an area of the skin innervated by a single nerve and is
described as a cutaneous nerve distribution. A synapse is a structure that permits a
neuron to pass an electrical or chemical signal to another cell.
Asterixis refers to an abnormal tremor consisting of involuntary jerking movements,
especially in the hands, frequently occurring with impending hepatic coma and other
forms of metabolic encephalopathy. This is known as flapping tremor.
A patient is asked to visually follow a finger through the cardinal fields of gaze. Which
cranial nerves are being assessed? -Answer 3, 4, and 6
CN 1 is the olfactory nerve and assesses smell
CN 2 is the optic nerve and assesses visual acuity
CN 5 is the trigeminal nerve and assesses both sensory and motor functions.
A patient presents with history of temp of 102, headache, and pink papules on the upper
chest several hours ago. Petechiae and ecchymosis are noted on the trunk. These skin
lesions may be indicative of: -Answer meningococcemia
Skin lesions associated with meningococcemia initally present as pink macules and
papules. Within minutes to a few hours, petechiae, hemorrhagic petechiae, hemorrhagic
bullae, and purpura fulminans become apparent. With meningococcemia meningitis, the
temperature may be 102 or greater and the patient appears very ill.