Exam 24: Neurologic System

The nurse is caring for a client with a traumatic brain injury (TBI). The client begins to experience bradycardia. Which area of the brain is likely responsible for the changes in heart rate?

The nurse reviewing records notes that a client has a positive Brudzinski's sign. Which clinical manifestation should the nurse recognize validates the assessment finding?

The nurse notes that a client has decreased sensation on the left side of their body. Which term should the nurse use in the documentation of the finding?

The nurse is preparing a neurological health seminar for the staff on the unit. Which statement would the nurse include in the teaching plan?

The nurse is assessing a client that experienced a head injury using the Glasgow Coma Scale. Which findings reflect the motor response portion of the scale? Select all that apply.

The nurse is performing the Romberg's test and asks the client to stand with their feet together and eyes closed. Which is an expected finding during this assessment?

The nurse uses a reflex hammer to gently strike the forearm about two inches above the wrist. Which reflex is the nurse assessing?

The nurse is performing a focused neurological assessment on a client. Which question should the nurse include when assessing the client's behaviors?

The nurse is observing a client's ambulation abilities and notes a scissors gait. Based on this data, which does the nurse suspect?

Which cranial nerve is the nurse testing using the technique to touch the client's face with a wisp of cotton while their eyes are closed?

The nurse is interviewing a client and notes that the left eyelid is drooping. Which term will the nurse use when documenting this finding in the medical record?

The nurse is preparing to assess a client's ability to feel vibration, as well as sharp and dull sensation. Which equipment should the nurse use? Select all that apply.

The nurse is caring for a client with Bell's palsy. In which cranial nerve should the nurse anticipate an abnormal finding?

The nurse is interviewing a client with suspected Lyme disease. Which question is the nurse's priority question?

The nurse asks the client to stick their tongue out and move it back and forth. Which cranial nerve is the nurse assessing?