Health Assessment Exam 3 - Neurological
Health Assessment Exam 3 - Neurological
Study online at https://quizlet.com/_boicje
1. During the Romberg test, a client is unable to D. Cerebellar ataxia
stand with the feet together and demonstrates a
wide-based, staggering, unsteady gait. The nurse
would identify this as which of the following?
A. Spastic hemiparesis
B. Scissors gait
C. Parkinsonian gait
D. Cerebellar ataxia
2. Which of the following is usually the first sign of neu- C. Altered mentation and
rological deterioration? decreasing level of con-
sciousness
A. No response to painful stimulation
B. Posturing
C. Altered mentation and decreasing level of con-
sciousness
D. Dilating pupil
3. What should the nurse assess to test the function of B. Communication
the frontal lobe?
A. Ability to read
B. Communication
C. Tactile sensation
D. Impulses from the ear
4. A nurse is reviewing a client's health record while in- B. Increased or brisk, but
terviewing her. The nurse sees in the patient's record a not pathologic
score of 3+ on the biceps reflex test from her previous
visit. The nurse understands that this finding indicates
which of the following?
Actualstudy 1 of 28
, Health Assessment Exam 3 - Neurological
Health Assessment Exam 3 - Neurological
Study online at https://quizlet.com/_boicje
A. Present but decreased
B. Increased or brisk, but not pathologic
C. Exaggerated; indicator of possible upper motor
neuron lesion
D. Normal
5. The nurse is assessing CN V (trigeminal nerve) in a D. "Clench your teeth to-
newly admitted client. What instruction should the gether tightly."
nurse provide to the client during this phase of assess-
ment?
A. "Open your mouth wide and say 'ah.'"
B. "Look straight at me while I shine this light in your
eye."
C. "Close your left eye and look at me with your right."
D. "Clench your teeth together tightly."
6. A woman has accompanied her 80-year-old husband C. The nurse must differ-
to a scheduled clinic visit and expresses concern entiate between age-re-
about subtle declines in his cognition. Which prin- lated changes and the
ciples would guide the nurse's assessment of the signs and symptoms of
client's mental status? dementia.
A. The nurse should first explain to the couple that
senility is expected among adults over age 80.
B. The nurse must explain that the results of the as-
sessment will be used to determine if admission to
long-term care is necessary.
C. The nurse must differentiate between age-related
changes and the signs and symptoms of dementia.
D. The nurse must modify the cognitive assessment to
exclude assessments requiring reading or writing.
Actualstudy 2 of 28
, Health Assessment Exam 3 - Neurological
Health Assessment Exam 3 - Neurological
Study online at https://quizlet.com/_boicje
7. A client reports resting and skipping exercise during a D. parasympathetic
holiday from work. Which part of the nervous system
is controlling this client's behavior?
A. central
B. cranial nerves
C. sympathetic
D. parasympathetic
8. The portion of the brain that rims the surfaces of the D. gray matter.
cerebral hemispheres forming the cerebral cortex is
the
A. diencephalon.
B. brainstem.
C. cerebellum.
D. gray matter.
9. The nurse is assessing a 39-year-old woman who has a An oral contraceptive
20-year history of cigarette smoking. When reviewing
the client's current medication administration record,
what drug would the nurse identify as increasing the
woman's risk of stroke?
10. When assessing a client's coordination by asking the C. Dominant side will be
client to touch the nose with the finger, what should a more coordinated than
nurse keep in mind about a client's movements? nondominant side
A. Most clients will hesitate before touching the nose
to check their position
B. Uncoordinated movements can be expected in the
elderly
C. Dominant side will be more coordinated than non-
Actualstudy 3 of 28
Health Assessment Exam 3 - Neurological
Study online at https://quizlet.com/_boicje
1. During the Romberg test, a client is unable to D. Cerebellar ataxia
stand with the feet together and demonstrates a
wide-based, staggering, unsteady gait. The nurse
would identify this as which of the following?
A. Spastic hemiparesis
B. Scissors gait
C. Parkinsonian gait
D. Cerebellar ataxia
2. Which of the following is usually the first sign of neu- C. Altered mentation and
rological deterioration? decreasing level of con-
sciousness
A. No response to painful stimulation
B. Posturing
C. Altered mentation and decreasing level of con-
sciousness
D. Dilating pupil
3. What should the nurse assess to test the function of B. Communication
the frontal lobe?
A. Ability to read
B. Communication
C. Tactile sensation
D. Impulses from the ear
4. A nurse is reviewing a client's health record while in- B. Increased or brisk, but
terviewing her. The nurse sees in the patient's record a not pathologic
score of 3+ on the biceps reflex test from her previous
visit. The nurse understands that this finding indicates
which of the following?
Actualstudy 1 of 28
, Health Assessment Exam 3 - Neurological
Health Assessment Exam 3 - Neurological
Study online at https://quizlet.com/_boicje
A. Present but decreased
B. Increased or brisk, but not pathologic
C. Exaggerated; indicator of possible upper motor
neuron lesion
D. Normal
5. The nurse is assessing CN V (trigeminal nerve) in a D. "Clench your teeth to-
newly admitted client. What instruction should the gether tightly."
nurse provide to the client during this phase of assess-
ment?
A. "Open your mouth wide and say 'ah.'"
B. "Look straight at me while I shine this light in your
eye."
C. "Close your left eye and look at me with your right."
D. "Clench your teeth together tightly."
6. A woman has accompanied her 80-year-old husband C. The nurse must differ-
to a scheduled clinic visit and expresses concern entiate between age-re-
about subtle declines in his cognition. Which prin- lated changes and the
ciples would guide the nurse's assessment of the signs and symptoms of
client's mental status? dementia.
A. The nurse should first explain to the couple that
senility is expected among adults over age 80.
B. The nurse must explain that the results of the as-
sessment will be used to determine if admission to
long-term care is necessary.
C. The nurse must differentiate between age-related
changes and the signs and symptoms of dementia.
D. The nurse must modify the cognitive assessment to
exclude assessments requiring reading or writing.
Actualstudy 2 of 28
, Health Assessment Exam 3 - Neurological
Health Assessment Exam 3 - Neurological
Study online at https://quizlet.com/_boicje
7. A client reports resting and skipping exercise during a D. parasympathetic
holiday from work. Which part of the nervous system
is controlling this client's behavior?
A. central
B. cranial nerves
C. sympathetic
D. parasympathetic
8. The portion of the brain that rims the surfaces of the D. gray matter.
cerebral hemispheres forming the cerebral cortex is
the
A. diencephalon.
B. brainstem.
C. cerebellum.
D. gray matter.
9. The nurse is assessing a 39-year-old woman who has a An oral contraceptive
20-year history of cigarette smoking. When reviewing
the client's current medication administration record,
what drug would the nurse identify as increasing the
woman's risk of stroke?
10. When assessing a client's coordination by asking the C. Dominant side will be
client to touch the nose with the finger, what should a more coordinated than
nurse keep in mind about a client's movements? nondominant side
A. Most clients will hesitate before touching the nose
to check their position
B. Uncoordinated movements can be expected in the
elderly
C. Dominant side will be more coordinated than non-
Actualstudy 3 of 28
