Exam 23: Neurologic System

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 of these statements about these findings is accurate?

A patient has a severed spinal nerve as a result of trauma.Which of these statements is true in this situation?

The nurse is caring for a patient who has just had neurosurgery.To assess for increased intracranial pressure,what would the nurse include in the assessment?

In assessing a 70-year-old patient who has had a recent cerebrovascular accident,the nurse notices right-sided weakness.What might the nurse expect to find when testing his reflexes on the right side?

When taking the history on a patient with a seizure disorder,the nurse assesses whether the patient has an aura.Which of these would be the best question for obtaining this information?

While obtaining a history of a 3-month-old infant from the mother,the nurse asks about the infant's ability to suck and grasp the mother's finger.What is the nurse assessing?

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 patient:

A 32-year-old woman tells the nurse that she has noticed "very sudden,jerky movements" mainly in her hands and arms.She says,"They seem to come and go,primarily when I am trying to do something.I haven't noticed them when I'm sleeping." This description suggests:

The two parts of the nervous system are the:

A 78-year-old man has a history of a cerebrovascular accident.The nurse notes that when he walks his left arm is immobile against the body with flexion of the shoulder,elbow,wrist,and fingers and adduction of the shoulder.His left leg is stiff and extended and circumducts with each step.What type of gait disturbance is this individual experiencing?

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 that:

During an assessment of the cranial nerves,the nurse finds the following: asymmetry when the patient smiles or frowns,uneven lifting of eyebrows,sagging of the lower eyelids,and escape of air when the nurse presses against the right puffed cheek.This would indicate dysfunction of which of these cranial nerves?

During an assessment of an 80-year-old patient,the nurse notices the following: inability to identify vibrations at the ankle and to identify position of big toe,slower and more deliberate gait,and slightly impaired tactile sensation.All other neurologic findings are normal.The nurse should interpret that these findings indicate:

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:

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?

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

A 70-year-old woman tells the nurse that every time she gets up in the morning or after she's been sitting she gets "really dizzy" and feels like she is going to fall over.The nurse's best response would be:

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

A man who was found wandering in a park at 2 AM has been brought to the emergency department for an examination because 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?

The nurse knows that determining whether a person is oriented to his or her surroundings will test the functioning of which of these structures?