Question 1

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?

Accepted Answer

A)  Brain stem. 
B)  Occipital lobe. 
C)  Parietal lobe. 
D)  Temporal lobe.

Question 2

The nurse reviewing records notes that a client has a positive Brudzinski's sign. Which clinical manifestation should the nurse recognize validates the assessment finding?

Accepted Answer

A)  Seizure activity. 
B)  Neck pain and stiffness. 
C)  Flexion of the legs and thighs. 
D)  Neck extension.

Question 3

The nurse notes that a client has decreased sensation on the left side of their body. Which term should the nurse use in the documentation of the finding?

Accepted Answer

A)  Anesthesia. 
B)  Analgesia. 
C)  Hypoalgesia. 
D)  Hypoesthesia.

Question 4

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

Accepted Answer

A)  Older adults lose the ability to taste and smell. 
B)  Alcohol or drug use increases the risk for neurological disorders. 
C)  Head injuries are more common in the young adult population. 
D)  Epilepsy generally occurs in children under age 15.

Question 5

The nurse is assessing a client that experienced a head injury using the Glasgow Coma Scale. Which findings reflect the motor response portion of the scale? Select all that apply.

Accepted Answer

A)  No response with eyes to commands. 
B)  Abnormal flexion to pain. 
C)  Pupil response sluggish. 
D)  Abnormal extension to pain. 
E)  Pupils fixed and dilated.

Question 6

The nurse is performing the Romberg's test and asks the client to stand with their feet together and eyes closed. Which is an expected finding during this assessment?

Accepted Answer

A)  Swaying from side to side. 
B)  Exhibiting minimal swaying. 
C)  Feeling moderately dizzy. 
D)  Having complete loss of balance.

Question 7

The nurse uses a reflex hammer to gently strike the forearm about two inches above the wrist. Which reflex is the nurse assessing?

Accepted Answer

A)  Brachioradialis. 
B)  Biceps. 
C)  Triceps. 
D)  Achilles.

Question 8

The nurse is performing a focused neurological assessment on a client. Which question should the nurse include when assessing the client's behaviors?

Accepted Answer

A)  "Do you get headaches?" 
B)  "Do you need to write things down to remember them?" 
C)  "Can you tell me what brought you here today?" 
D)  "Are you currently taking any medications?"

Question 9

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

Accepted Answer

A)  Parkinson's disease. 
B)  Multiple sclerosis. 
C)  Myasthenia gravis. 
D)  Muscular dystrophy.

Question 10

Which cranial nerve is the nurse testing using the technique to touch the client's face with a wisp of cotton while their eyes are closed?

Accepted Answer

A)  Trigeminal nerve (cranial nerve V). 
B)  Abducens nerve (cranial nerve VI). 
C)  Facial nerve (cranial nerve VII). 
D)  Optic nerve (cranial nerve II).

Question 11

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?

Accepted Answer

A)  Ptosis. 
B)  Nystagmus. 
C)  Strabismus. 
D)  Myopia.

Question 12

The nurse is preparing to assess a client's ability to feel vibration, as well as sharp and dull sensation. Which equipment should the nurse use? Select all that apply.

Accepted Answer

A)  Tuning fork. 
B)  Paper clip. 
C)  Safety pin. 
D)  Cotton ball. 
E)  Tongue blade.

Question 13

The nurse is caring for a client with Bell's palsy. In which cranial nerve should the nurse anticipate an abnormal finding?

Accepted Answer

A)  Cranial nerve X. 
B)  Cranial nerve IX. 
C)  Cranial nerve VII. 
D)  Cranial nerve VIII.

Question 14

The nurse is interviewing a client with suspected Lyme disease. Which question is the nurse's priority question?

Accepted Answer

A)  "When was your last seizure?" 
B)  "Have you been hiking or camping lately?" 
C)  "What has your temperature been running?" 
D)  "Do you have an appetite?"

Question 15

The nurse asks the client to stick their tongue out and move it back and forth. Which cranial nerve is the nurse assessing?

Accepted Answer

A)  V. 
B)  VII. 
C)  X. 
D)  XII.

Exam 24: Neurologic System

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?