Exam 24: Neurologic System

The nurse is reviewing questions to include in a focused assessment on a client who has presented to the clinic with complaints of back pain.Which of the following questions should be included in the interview?

The nurse is interviewing a client with suspected Lyme disease.Which of the following questions would be a priority in this situation?

The nurse has assessed a client and notes diminished reflexes.The nurse would correctly document which of the following?

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?

While interviewing a client the nurse notes the client's eyes moving involuntarily.The nurse would correctly document which of the following findings?

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 reviewing the history and physical on a client and notes a history of syncope.The nurse would implement which of the following for this client?

The nurse observes drainage from a client's ears after a head injury,and suspects a cerebral spinal fluid (CSF)leak.Which of the following descriptions would best support this finding?

The nurse is preparing a neurological health seminar for the staff on the unit.Which of the following statements would the nurse include in the teaching plan?

The nurse is assessing the patellar reflex on a client and obtains no reflexive activity.The client is alert and oriented.The nurse should do which of the following in this situation?

The student nurse is reviewing the cranial nerves.The student recognizes some of the nerves are exclusively sensory nerves.Which of the following cranial nerves belong to this group?

The nurse is performing a neurological assessment on a client experiencing anosmia.The nurse would suspect cranial nerve involvement in which of the following?

The nurse notes that a client has difficulty with ambulation due to an unsteady gait.The nurse would correctly document this finding as which of the following?

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

The nurse is interviewing a client and notes that the left eyelid is drooping.The nurse would correctly chart which of the following conditions?

The nurse is examining a client experiencing vertigo and wants to perform the Romberg test.The nurse would correctly provide which set of instructions to the client?

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.The nurse is assessing the function of which of the following cranial nerves?

The nurse notes fanning of the toes when the sole of the foot is stimulated during assessment of the plantar reflex.The nurse would correctly chart which of the following?

The nurse is caring for a client having problems with emotional appropriateness as a result of a brain injury.Mark the area that has most likely been damaged.

The nurse is performing a neurological assessment and needs to assess for vibration,as well as sharp and dull sensation.The nurse would use which of the following objects to obtain this information?