Exam 24: Neurologic System

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A client is unable to perform a simple math calculation during a neurological examination. Which action should the nurse take?

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B

The nurse is unable to elicit a patellar reflex on a client that is alert and oriented. Which action by the nurse is the most appropriate?

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D

The client suspected of having meningitis verbalizes pain and stiffness in the neck when asked to flex their chin down toward their chest. Which terminology should the nurse use to document the finding?

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C

The nurse has tested a client's sense of smell. Which cranial nerve should the nurse document the findings?

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The nurse is using stereognosis to assess a client. Which instruction would the nurse provide for the client?

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The nurse is performing a neurological assessment on a client experiencing anosmia. Which cranial nerve should the nurse assess?

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The nurse notes fanning of the toes when the sole of the foot is stimulated during assessment of the plantar reflex. Which term is appropriate for the nurse to use when documenting this finding in the medical record?

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The nurse is reviewing the cranial nerves. Which cranial nerves are sensory nerves? Select all that apply.

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The nurse is assessing a client's triceps reflex. Which nerves should the nurse understand are being assessed?

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The nurse is caring for a client having problems with emotional appropriateness as a result of a brain injury. Based on this data, which area of the brain has been damaged?

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The nurse is preparing to assess the oculomotor (III), trochlear (IV), and abducens cranial nerves (IV)of a client. Which tests should the nurse conduct? Select all that apply.

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The nurse is monitoring a client with a traumatic brain injury. Which statements made by the client are associated with the injury? Select all that apply.

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Which instruction for the Romberg's test should the nurse provide the client?

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While interviewing a client, the nurse notes the client's eyes moving involuntarily. Which terminology should the nurse use to document the finding?

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The nurse is preparing to conduct a focused interview on a client who is experiencing back pain. Which questions should the nurse include in the focused interview? Select all that apply.

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The nurse is assessing the motor function of a client. Which finding should the nurse anticipate when the client performs the heel to shin test?

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The nurse is assessing cranial nerve XI (spinal accessory). Which statement should the nurse include in the instructions to the client to conduct the assessment?

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The nurse notes that a client has difficulty with ambulation due to an unsteady gait. Which term will the nurse use to document this finding in the medical record?

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The nurse has assessed a client and notes diminished reflexes. How would the nurse document this finding in the medical record?

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The nurse is assessing a client's muscle tremors associated with Parkinson's disease. Which clinical finding does the nurse anticipate?

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