Exam 23: Neurologic System

In the assessment of a 1-month-old infant,the nurse notices a lack of response to noise or stimulation.The mother reports that in the last week he has been sleeping all of the time,and when he is awake all he does is cry.The nurse hears that the infant's cries are very high pitched and shrill.What should be the nurse's appropriate response to these findings?

During an assessment of a 32-year-old patient with a recent head injury,the nurse notices that the patient responds to pain by extending,adducting,and internally rotating his arms.His palms pronate,and his lower extremities extend with plantar flexion.Which statement concerning these findings is most accurate? This patient's response:

During an assessment of a 62-year-old man,the nurse notices the patient has a stooped posture,shuffling walk with short steps,flat facial expression,and pill-rolling finger movements.These findings would be consistent with:

To assess the head control of a 4-month-old infant,the nurse lifts up the infant in a prone position while supporting his chest.The nurse looks for what normal response? The infant:

During an assessment of a 22-year-old woman who sustained a head injury from an automobile accident 4 hours earlier,the nurse notices the following changes: pupils were equal,but now the right pupil is fully dilated and nonreactive,and the left pupil is 4 mm and reacts to light.What do these findings suggest?

The ability that humans have to perform very skilled movements such as writing is controlled by the:

A mother of a 1-month-old infant asks the nurse why it takes so long for infants to learn to roll over.The nurse knows that the reason for this is:

During an examination,the nurse notices severe nystagmus in both eyes of a patient.Which conclusion by the nurse is correct? Severe nystagmus in both eyes:

The nurse knows that testing kinesthesia is a test of a person's:

A patient is unable to perform rapid alternating movements such as rapidly patting her knees.The nurse should document this inability as:

The nurse is reviewing a patient's medical record and notes that he is in a coma.Using the Glasgow Coma Scale,which number indicates that the patient is in a coma?

The nurse places a key in the hand of a patient and he identifies it as a penny.What term would the nurse use to describe this finding?

The two parts of the nervous system are the:

A 69-year-old patient has been admitted to an adult psychiatric unit because his wife thinks he is getting more and more confused.He laughs when he is found to be forgetful,saying "I'm just getting old!" After the nurse completes a thorough neurologic assessment,which findings would be indicative of Alzheimer disease? Select all that apply.

A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has noticed for the past week.The nurse should perform which type of neurologic examination?

While assessing a 7-month-old infant,the nurse makes a loud noise and notices the following response: abduction and flexion of the arms and legs; fanning of the fingers,and curling of the index finger and thumb in a C position,followed by the infant bringing in the arms and legs to the body.What does the nurse know about this response?

Which statement concerning the areas of the brain is true?

During the assessment of deep tendon reflexes,the nurse finds that a patient's responses are bilaterally normal.What number is used to indicate normal deep tendon reflexes when the documenting this finding? ____+

While gathering equipment after an injection,a nurse accidentally received a prick from an improperly capped needle.To interpret this sensation,which of these areas must be intact?

A man who was found wandering in a park at 2 AM has been brought to the emergency department for an examination; he said he fell and hit his head.During the examination,the nurse asks him to use his index finger to touch the nurse's finger,then his own nose,then the nurse's finger again (which has been moved to a different location).The patient is clumsy,unable to follow the instructions,and overshoots the mark,missing the finger.The nurse should suspect which of the following?