Exam 23: Neurologic System

The assessment of a 60-year-old patient has taken longer than anticipated.In testing his pain perception the nurse decides to complete the test as quickly as possible.When the nurse applies the sharp point of the pin on his arm several times,he is only able to identify these as one "very sharp prick." What would be the most accurate explanation for this?

Which of these tests would the nurse use to check the motor coordination of an 11-month-old infant?

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's disease? Select all that apply.

To test for gross motor skill and coordination of a 6-year-old child,which of these techniques would be appropriate?

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

The nurse is performing a neurologic assessment on a 41-year-old woman with a history of diabetes.When testing her ability to feel the vibrations of a tuning fork,the nurse notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally,but she is able to feel vibrations on both patellae.Given this information,what would the nurse suspect?

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?

A 21-year-old patient has a head injury resulting from trauma and is unconscious.There are no other injuries.During the assessment what would the nurse expect to find when testing the patient's deep tendon reflexes?

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

During the history,a patient tells the nurse that "it feels like the room is spinning around me." The nurse would document this as:

The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor.With the reflex hammer,the nurse draws a light stroke up the lateral side of the sole of the foot and inward,across the ball of the foot.In response,the patient's toes fan out,and the big toe shows dorsiflexion.The nurse interprets this result as:

Which of these statements concerning areas of the brain is true?

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

A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance.Which area of the brain would the nurse be concerned about with these findings?

The area of the nervous system that is responsible for mediating reflexes is the:

During an assessment of a 22-year-old woman who has a head injury from a car accident 4 hours ago,the nurse notices the following change: pupils were equal,but now the right pupil is fully dilated and nonreactive,left pupil is 4 mm and reacts to light.What does finding this suggest?

The nurse is testing the deep tendon reflexes of a 30-year-old woman who is in the clinic for an annual physical examination.When striking the Achilles and quadriceps,the nurse is unable to elicit a reflex.The nurse's next response should be to:

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

In obtaining a history on a 74-year-old patient the nurse notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold things.With this information,what should the nurse's response be?

During the assessment of an 80-year-old patient,the nurse notices that his hands show tremors when he reaches for something and his head is always nodding.There is no associated rigidity with movement.Which of these statements is most accurate?