Exam 26: Neurologic System

The nurse is caring for a client experiencing vertigo and plans to perform the Romberg test during the assessment. Which instruction from the nurse regarding this test is the most appropriate?

While interviewing a client the nurse notes the client's eyes moving involuntarily. Which term will the nurse use to document this finding in the medical record?

The client in the photograph is having a cranial nerve assessment. Which cranial nerve is the nurse assessing?

The nurse is performing a neurological assessment and needs to test cranial nerves. The nurse asks the client to close both eyes and report when a touch with a wisp of cotton is felt on their face. Which cranial nerve is the nurse assessing?

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 notes that a client has difficulty with ambulation due to an unsteady gait. Which term will the nurse use to document this finding in the medical record?

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 providing education to a group of pregnant women. Which should the nurse stress as the greatest tool in the prevention of low-birth-weight babies?

The nurse is reviewing the cranial nerves prior to a PRN shift on a neurological unit. Upon the review, the nurse notes that some of the nerves are exclusively sensory nerves. Which cranial nerves belong to this group?

The nurse is interviewing a client with suspected Lyme disease. Which question is the priority in this situation?

The nurse notes fanning of the toes when the sole of the foot is stimulated during assessment of the plantar reflex. Which is appropriate for the nurse to use when documenting this finding in the medical record?

The nurse is reviewing the history and physical on a client and notes a history of syncope. Based on this finding, which should the nurse implement for this client?

The nurse performing reflex testing on a client uses the reflex hammer to gently strike the forearm about two inches above the wrist. Which reflex is the nurse assessing with this technique?

The nurse is assessing cognitive function in a client who experienced a cerebral vascular accident (CVA). Which should the nurse focus on during the assessment process?