Question 1

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?

Accepted Answer

A)  "How long have you been experiencing this pain?"
B)  "What activities seem to increase your pain?"
C)  "Do any members of your family have neurological problems?"
D)  "What things do you do to relieve your pain?"
E)  "Are you able to perform your employment responsibilities since the pain began?"F)  None of the above  A,B,C,D,E

Question 2

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

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?" B

Question 3

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

Accepted Answer

A)  4+/0-4+
B)  3+/0-4+
C)  2+/0-4+
D)  1+/0-4+ A

Question 4

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?

Accepted Answer

A)  "I should use Tylenol or aspirin to bring down the temperature."
B)  "I should contact the doctor if I cannot wake up my child."
C)  "I should observe how much my child urinates."
D)  "I should monitor my child's intake of fluids throughout the day."

Question 5

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

Accepted Answer

A)  Nystagmus
B)  Presbyopia
C)  Anosmia
D)  Polyneuritis

Question 6

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?

Accepted Answer

A)  Providing dietary counseling for clients with hypertension
B)  Offering free blood pressure screening to participants
C)  Having a contest for participants to win an automatic blood pressure cuff for home use
D)  Providing literature to discuss modifiable risk factors

Question 7

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?

Accepted Answer

A)  Soft diet
B)  Seizure precautions
C)  Fall precautions
D)  Intake and output

Question 8

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?

Accepted Answer

A)  Yellow without sediment
B)  Blood-tinged without sediment
C)  Clear,colorless
D)  Pink without sediment

Question 9

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?

Accepted Answer

A)  Older adults experience fewer accidents and injuries.
B)  Alcohol or drug use increases the risk for accidents and injury.
C)  Head injuries are more common in adults than children.
D)  Epilepsy occurs only in children under age 15.

Question 10

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?

Accepted Answer

A)  Document the findings as normal.
B)  Notify the healthcare provider immediately.
C)  Look at the medication records for central nervous system depressants.
D)  Retest the reflex after having the client use distraction during the exam.

Question 11

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?

Accepted Answer

A)  Olfactory nerve (cranial nerve I) 
B)  Optic nerve (cranial nerve II) 
C)  Trochlear nerve (cranial nerve IV) 
D)  Trigeminal nerve (cranial nerve V) 
E)  Facial nerve (cranial nerve VII)

Question 12

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

Accepted Answer

A)  Trochlear (cranial nerve IV) 
B)  Trigeminal (cranial nerve V) 
C)  Olfactory (cranial nerve I) 
D)  Oculomotor (cranial nerve III)

Question 13

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?

Accepted Answer

A)  Flaccidity
B)  Paralysis
C)  Hemiparesis
D)  Ataxia

Question 14

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?

Accepted Answer

A)  Early prenatal care
B)  Eating a balanced diet
C)  Avoiding stress
D)  Regular exercise

Question 15

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

Accepted Answer

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

Question 16

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?

Accepted Answer

A)  "Touch your finger to your nose,alternating hands."
B)  "Walk across the room by placing one foot in front of the other,heel to toes."
C)  "Walk on your toes,then on your heels,then on your toes again."
D)  "Stand with your feet together,arms at sides,and eyes open."

Question 17

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?

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 18

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?

Accepted Answer

A)  Hyperreflexia
B)  Babinski response
C)  Brudzinski sign
D)  Nuchal rigidity

Question 19

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.

Accepted Answer

The answer of The nurse is caring for a client...

Question 20

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?

Accepted Answer

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

Exam 24: Neurologic System