Exam 24: Neurologic System

The nurse performing reflex testing on a client uses the reflex hammer to gently strike the forearm about two inches above the wrist.The nurse is assessing which of the following reflexes?

The nurse is assessing cranial nerve XI (spinal accessory).Which of the following statements would the nurse say to the client?

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 of the following client responses occurred in this situation? The client:

The nurse is performing a neurological assessment on a client and needs to use stereognosis[0] Which of the following instructions would the nurse provide for the client?

The nurse in the photograph is performing an assessment on which of the following cranial nerves?

The nurse is observing a client's ambulation abilities and notes a scissors gait.The nurse would suspect which of the following disorders in this client?

The nurse is assessing a client to determine tremors associated with Parkinson's disease.The nurse would correctly observe for which of the following movements?

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.The nurse would document this as which of the following?

The nurse is interviewing a client that states he does not have any feeling on right side of the body.After confirmation of this subjective data,the nurse would correctly document which of the following?

Review the 2 photographs below.Which of the following cranial nerves is being evaluated by this activity being demonstrated?

The nurse is caring for a client with a traumatic brain injury.The client has begun to experience bradycardia.What area of the brain is likely responsible for the changes in heart rate?

The nurse is assessing cognitive function in a client who experienced a cerebral vascular accident.The nurse should focus on which of the following?

The nurse is admitting a client with suspected meningitis and notes a positive Brudzinski's sign has been noted in the history and physical.To validate this assessment finding,the nurse would note which of the following?