Exam 26: Neurologic System

The community health nurse is preparing a program geared toward primary prevention of hypertension. When preparing the program, what activities will aid the nurse in meeting the goals of primary prevention?

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 is performing the Romberg test and asks the client to stand with the feet together and eyes closed. The nurse notes the findings are normal. Which finding is expected during this assessment?

The nurse is performing a neurological assessment and needs to assess for vibration, as well as sharp and dull sensation. Which objects will the nurse assess to further investigate this issue?

The nurse is assessing a client that experienced a head injury using the Glasgow Coma Scale. Which findings are scored using the best motor response portion of the scale?

Based on the client's images, which cranial nerve is being assessed by the demonstrated activity?

The nurse is preparing to conduct a focused interview on a client who is experiencing back pain. Which questions will the nurse include in this focused interview?

The nurse is admitting a client with suspected meningitis. During the assessment, the nurse asks the client to flex the chin down toward the chest. The client verbalizes pain and stiffness during this action. How will the nurse document this finding in the medical record?

The nurse is assessing cranial nerve XI (spinal accessory). Which statements would the nurse say to the client in order to complete this assessment?

The nurse is assessing the patellar reflex on a client and obtains no reflexive activity. The client is alert and oriented. Which action by the nurse is the most appropriate?

The nurse is providing discharge instructions to the mother of a child admitted for fever of unknown origin. Which of the following statements, if made by the mother, would indicate the need for further instruction?

The nurse is performing a neurological assessment on a client experiencing anosmia. Which cranial nerve does the nurse assess to further investigate this issue?

The nurse is performing a neurological assessment on a client and needs to use stereognosis. Which instruction would the nurse provide for the client?

The nurse is admitting a client with suspected meningitis and notes a positive Brudzinski sign has been noted in the history and physical. Which clinical manifestation would validate this assessment finding?

The nurse is interviewing a client who tells the nurse of experiencing decreased sensation on the left side of the body. After confirmation of this subjective data, which term will the nurse use when documenting this finding in the medical record?

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

The nurse observes drainage from a client's ears after a head injury, and suspects a cerebral spinal fluid (CSF) leak. Which description of the fluid supports the nurse's suspicion?

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?

The nurse is assessing a client to determine tremors associated with Parkinson disease. Which clinical manifestation does the nurse anticipate during the assessment?

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