Unit 10 Neurological Review Questions

A CLIENT WAS ADMITTED TO THE ED WITH SLURRED SPEECH. THE NURSE NOTES THAT THIS COULD BE DUE TO DYSFUNCTION OF WHAT CRANIAL NERVE(S)?

• CN I

• CN V

• CN IX and X

• CN III

The wife of a 65-year-old client tells the nurse that she is concerned because she has noticed a change in her husband’s personality and ability to understand. He also cries and becomes angry very easily. The nurse recalls that the cerebral lobe responsible for these behaviors is the _____ lobe.

• frontal

• occipital

• parietal

• temporal

The nurse is testing the function of cranial nerve XI. Which of these best describes the response the nurse should expect if the nerve is intact? The client:

• Demonstrates ability to hear normal conversation

• Sticks tongue out to midline without tremors or deviation

• Follows objects with both eyes without nystagmus or strabismus

• Moves head and shoulders against resistance with equal strength

A female client is in the clinic with weakness in her left arm and leg that she has noticed for the past week. which type of neurologic examination would be most appropriate for this client?

• Glasgow Coma Scale

• Neurologic Recheck Examination

• Neurologic Screening Examination

• Complete Neurologic Examination

During a neurological assessment, the nurse finds the following: asymmetry when the client smiles or frowns, uneven lifting of eyebrows, sagging of the lower eyelids, and escape of air from one side only when the nurse presses against the puffed cheeks. This would indicate dysfunction of which of these cranial nerves?

• Motor component of CN IV

• Motor component of CN VII

• Motor and sensory components of CN XI

• Motor component of X and sensory of VII

A female client tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance. The nurse suspects this could be due to dysfunction of which area of the brain?

• Thalamus

• Brainstem

• Cerebellum

• Extrapyramdial Tract

During the assessment of the Biceps reflexes, the nurse finds that a client’s responses are normal bilaterally. The Nurse would be Correct in documenting this finding As ____+

• 3

• 2

• 1

• 4

A CLIENT TELLS THE NURSE HE IS HAVING NUMBNESS ON THE LEFT SIDE OF HIS FACE. THE NURSE ASKS HIM TO CLOSE HIS EYES AND TOUCHES A COTTON BALL TO HIS FOREHEAD, CHIN, AND BOTH CHEEKS. THE NURSE IS TESTING THE FUNCTION OF WHICH CRANIAL NERVE?

• CN III

• CN IV

• CN V

• CN VII

A NURSE RECEIVING REPORT ON A CLIENT ADMITTED WITH SYMPTOMS OF A STROKE ASKS WHEN THE CLIENT’S SYMPTOMS BEGAN. SHE KNOWS THIS INFORMATION IS IMPORTANT IN ORDER TO: SELECT ALL THAT APPLY

• Reduce long term brain damage

• Reduce disability

• Provide appropriate treatment

• Save the person's life

A FEMALE CLIENT CALLS OUT TO THE NURSE STATING, “I SEE SPIDERS ON MY ARM.” THE NURSE SUSPECTS THE CLIENT IS DISPLAYING SYMPTOMS OF DELIRIUM. WHICH TOOL SHOULD THE NURSE USE WHEN ASSESSING THIS CLIENT?

• The Glasgow Coma Scale

• The Neurologic Recheck Exam

• The Confusion Assessment Method (CAM)

• The Complete Neurologic Examination