Chapter 33 Patient Assessment- Nervous System

Chapter 33  Patient Assessment- Nervous System

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is conducting tests of a patient’s cerebellar synchronization of movement with balance. What result of the finger-to-nose test would indicate cerebellar dysfunction?
A)
The patient has trouble understanding the nurse’s instructions.
B)
The patient cannot reach his or her nose due to restricted range of motion in the elbow.
C)
The patient overshoots when trying to touch his or her nose.
D)
The patient cannot touch his or her nose due to a trembling hand.

2.
A neurologist who is testing a patient for neurological deficits has her close her eyes and then hands her a stethoscope. He asks her to identify the object by touch, but she cannot do so. The nurse, observing this result, should suspect possible damage to which part of the brain?
A)
Cerebellum
B)
Temporal lobe
C)
Frontal lobe
D)
Parietal lobe

3.
A nurse is assessing the plantar reflex in a patient. Which of the following results would indicate abnormal response and a possible lesion in the pyramidal tract? Select all that apply.
A)
Plantar flexion of all toes
B)
Dorsiflexion of the big toe with fanning of the other toes
C)
No response at all
D)
Dorsiflexion of the big toe without fanning of the other toes
E)
Ticklishness

4.
A patient admitted to the ICU following a car accident in which she suffered multiple traumatic injuries. She has a fever of 101°F and complains of headache. When the physician tries to examine her eyes with a bright light, she jerks away. The nurse suspects meningeal irritation. What other signs would likely accompany this condition? Select all that apply.
A)
Nuchal rigidity
B)
Drainage of cerebrospinal fluid from the nose
C)
Drainage of cerebrospinal fluid from the ear
D)
Bruising over the mastoid areas
E)
Pain in the neck when the thigh is flexed and the leg is extended at the knee
F)
Involuntary flexion of the hips when the neck is flexed toward the chest

5.
A patient suffered damage to cranial nerve VIII in a jet ski accident. What symptom or symptoms should the nurse tell the patient to expect? Select all that apply.
A)
Loss of the sense of smell
B)
Partial blindness in one eye
C)
Paralysis of face muscles on one side of the face
D)
Tinnitus
E)
Dizziness
F)
Inhibited ability to move the tongue

Answer Key

1.
C
2.
D
3.
B, D
4.
A, E, F
5.
D, E