NURS 1020 Cognition Exam 3 Questions
and Answers with Rationales 2026 update
When n,admitting n,an n,acutely n,confused n,patient n,with n,a n,head n,injury, n,which n,action n,would n,the n,nurse n,take?
a. Ask n,family n,members n,about n,the n,patient's n,health n,history.
b. Ask n,leading n,questions n,to n,assist n,in n,obtaining n,health n,data.
c. Wait n,until n,the n,patient n,is n,better n,oriented n,to n,ask n,questions.
d. Obtain n,only n,the n,physiologic n,neurologic n,assessment n,data.
a. Ask n,family n,members n,about n,the n,patient's n,health n,history.
When n,admitting n,a n,patient n,who n,is n,confused n,and n,likely n,to n,be n,a n,poor n,historian, n,the n,nurse n,would n,obtain n,health n,history
n,information n,from
others n,who n,have n,knowledge n,about n,the n,patient's n,health. n,Waiting the n,patient n,is n,oriented n,or n,obtaining n,only n,physiologic n,data
n,until n,will
result n,in n,incomplete n,assessment which n,could n,adversely n,affect n,decision n,making n,about n,treatment. n,Asking n,leading n,questions
n,data, n,may
result n,in n,inaccurate n,or n,incomplete n,information.
Which n,finding n,would n,the n,nurse n,expect n,when n,assessing n,the n,legs n,of n,a n,patient n,who n,has n,a n,lower n,motor n,neuron n,lesion?
a. Spasticity
b. Flaccidity
c. Impaired n,sensation
d. Hyperactive n,reflexes
b. Flaccidity
Lower n,motor n,neuron n,lesions n,generally n,cause n,weakness n,or n,paralysis, n,denervation n,atrophy, n,hyporeflexia n,or n,areflexia, n,and
n,decreased n,muscle n,tone n,(flaccidity). n,Spasticity n,and n,hyperactive n,reflexes n,are n,caused n,by n,upper n,motor n,neuron n,damage. n,Sensation
n,is n,not n,impacted n,by n,motor n,neuron n,lesions.
Which n,item n,would n,the n,nurse n,include n,in n,a n,focused n,assessment n,of n,a n,patient's n,left n,posterior n,temporal n,lobe n,functions?
,a. Sensation n,on n,the n,left n,side n,of n,the n,body
b. Reasoning n,and n,problem-solving n,ability
c. Ability n,to n,understand n,written n,and n,oral n,language
d. Voluntary n,movements n,on n,the n,right n,side n,of n,the n,body
c. Ability n,to n,understand n,written n,and n,oral n,language
The n,posterior n,temporal n,lobe n,integrates n,the n,visual n,and n,auditory n,input n,for n,language n,comprehension. n,Reasoning n,and n,problem
n,solving n,are
functions n,of n,the n,anterior n,frontal n,lobe. n,Sensation n,on n,the n,left the n,body n,is n,located n,in n,the n,right n,postcentral n,gyrus.
n,side n,of n,Voluntary
movement n,on n,the n,right n,side n,is the n,left n,precentral n,gyrus.
n,controlled n,in
How n,would n,the n,nurse n,assess n,the n,patient's n,trigeminal n,and n,facial n,nerve n,function n,(CNs n,V n,and n,VII)? n,a. n,Check n,for n,unilateral
n, eyelid n,droop.
b. Shine n,a n,light n,into n,the n,patient's n,pupil.
c. Touch n,a n,cotton n,wisp n,strand n,to n,the n,cornea.
d. Have n,the n,patient n,read n,a n,magazine n,or n,book.
c. n,Touch n,a n,cotton n,wisp n,strand n,to n,the n,cornea.
The n,trigeminal n,and n,facial n,nerves n,are n,responsible n,for n,the n,corneal n,reflex. n,The n,optic n,nerve n,is having n,the n,patient n,read n,a
n,tested n,by n,Snellen
chart n,or n,a n,newspaper. n,Assessment n,of n,pupil n,response n,to n,light n,and are n,used n,to n,evaluate n,function n,of n,the n,oculomotor
n,ptosis n,nerve.
Which n,action n,would n,the n,nurse n,include n,in n,the n,plan n,of n,care n,for n,a n,patient n,with n,impaired n,function n,of n,the n,left n,glossopharyngeal
n,nerve n,(CN n,IX) n,and n,vagus n,nerve n,(CN n,X)?
a. Assist n,to n,stand n,and n,ambulate.
b. Withhold n,oral n,fluids n,and n,food.
c. Insert n,an n,oropharyngeal n,airway.
d. Apply n,artificial n,tears n,every n,hour.
b. n,Withhold n,oral n,fluids n,and n,food.
The n,glossopharyngeal n,and n,vagus n,nerves n,innervate n,the n,pharynx n,and n,control n,the n,gag n,reflex. n,A n,patient n,with n,impaired n,function
n,of n,these n,nerves n,is n,at n,risk n,for n,aspiration. n,An n,oral n,airway n,may n,be n,needed n,when n,a n,patient n,is n,unconscious n,and n,unable n,to
n,maintain n,the n,airway, n,but n,it n,will n,not n,decrease n,aspiration n,risk. n,Taste n,and n,eye n,blink n,are n,controlled n,by n,the n,facial n,nerve. n,Balance
n,and n,coordination n,are n,cerebellar n,functions.
An n,unconscious n,patient n,has n,just n,arrived n,in n,the n,emergency n,department n,with n,a n,head n,injury n,caused n,by n,a n,motorcycle n,crash.
Which n,planned n,intervention n,by n,the n,health n,care n,provider n,would n,the n,nurse n,question? n,a. n,Obtain n,x-rays n,of n,the n,skull n,and
n,
n, spine.
b. Prepare n,the n,patient n,for n,lumbar n,puncture.
c. Send n,for n,computed n,tomography n,(CT) n,scan.
d. Perform n,neurologic n,checks n,every n,15 n,minutes.
, b. n,Prepare n,the n,patient n,for n,lumbar n,puncture.
After n,a n,head n,injury, n,the n,patient n,may n,be n,experiencing n,intracranial n,bleeding n,and n,increased n,intracranial n,pressure. n,Herniation n,of
n,the n,brain n,could n,result n,if n,lumbar n,puncture n,is n,performed. n,The n,other n,orders n,are n,appropriate.
We n,have n,an n,expert-written n,solution n,to n,this n,problem!
A n,patient n,with n,suspected n,meningitis n,is n,scheduled n,for n,a n,lumbar n,puncture. n,What n,action n,would n,the n,nurse n,take n,before n,the
n,procedure?
a. Enforce n,NPO n,status n,for n,4 n,hours.
b. Transfer n,the n,patient n,to n,radiology.
c. Administer n,a n,sedative n,medication.
d. Help n,the n,patient n,to n,a n,lateral n,position.
d. n,Help n,the n,patient n,to n,a n,lateral n,position.
For n,a n,lumbar n,puncture, n,the n,patient n,lies n,in n,the n,lateral n,recumbent n,position. n,The n,procedure n,does n,not n,usually n,require n,a
n,sedative, n,is n,done n,in n,the n,patient n,room, n,and n,has n,no n,risk n,for n,aspiration.
During n,the n,neurologic n,assessment, n,the n,patient n,is n,unable n,to n,respond n,verbally n,to n,the n,nurse n,but n,cooperates n,with n,the n,nurse's
n,directions n,to n,move n,his n,hands n,and n,feet. n,Which n,condition n,would n,the n,nurse n,suspect n,as n,a n,likely n,cause n,of n,these n,findings?
a. Cerebellar n,injury
b. A n,brainstem n,lesion
c. Frontal n,lobe n,damage
d. A n,temporal n,lobe n,lesion
c. n,Frontal n,lobe n,damage
Expressive n,speech n,(ability n,to n,express n,the n,self n,in n,language) n,is n,controlled n,by n,Broca's n,area n,in n,the n,frontal n,lobe. n,The n,temporal n,lobe
n,contains n,Wernicke's n,area, n,which n,is n,responsible n,for n,receptive n,speech n,(ability n,to n,understand n,language n,input). n,The n,cerebellum
n,and n,brainstem n,do n,not n,affect n,higher n,cognitive n,functions n,such n,as n,speech.
A n,patient n,has n,a n,tumor n,in n,the n,cerebellum. n,Which n,goal n,would n,the n,nurse n,use n,to n,focus n,the n,plan n,of n,care? n,a. n,Prevent n,falls.
b. Stabilize n,mood.
c. Avoid n,aspiration.
d. Improve n,memory.
a. Prevent n,falls.
Because n,functions n,of n,the n,cerebellum n,include n,coordination n,and n,balance, n,the n,patient n,with n,dysfunction n,is n,at n,risk n,for n,falls. n,The
n,cerebellum n,does n,not n,affect n,memory, n,mood, n,or n,swallowing n,ability.
and Answers with Rationales 2026 update
When n,admitting n,an n,acutely n,confused n,patient n,with n,a n,head n,injury, n,which n,action n,would n,the n,nurse n,take?
a. Ask n,family n,members n,about n,the n,patient's n,health n,history.
b. Ask n,leading n,questions n,to n,assist n,in n,obtaining n,health n,data.
c. Wait n,until n,the n,patient n,is n,better n,oriented n,to n,ask n,questions.
d. Obtain n,only n,the n,physiologic n,neurologic n,assessment n,data.
a. Ask n,family n,members n,about n,the n,patient's n,health n,history.
When n,admitting n,a n,patient n,who n,is n,confused n,and n,likely n,to n,be n,a n,poor n,historian, n,the n,nurse n,would n,obtain n,health n,history
n,information n,from
others n,who n,have n,knowledge n,about n,the n,patient's n,health. n,Waiting the n,patient n,is n,oriented n,or n,obtaining n,only n,physiologic n,data
n,until n,will
result n,in n,incomplete n,assessment which n,could n,adversely n,affect n,decision n,making n,about n,treatment. n,Asking n,leading n,questions
n,data, n,may
result n,in n,inaccurate n,or n,incomplete n,information.
Which n,finding n,would n,the n,nurse n,expect n,when n,assessing n,the n,legs n,of n,a n,patient n,who n,has n,a n,lower n,motor n,neuron n,lesion?
a. Spasticity
b. Flaccidity
c. Impaired n,sensation
d. Hyperactive n,reflexes
b. Flaccidity
Lower n,motor n,neuron n,lesions n,generally n,cause n,weakness n,or n,paralysis, n,denervation n,atrophy, n,hyporeflexia n,or n,areflexia, n,and
n,decreased n,muscle n,tone n,(flaccidity). n,Spasticity n,and n,hyperactive n,reflexes n,are n,caused n,by n,upper n,motor n,neuron n,damage. n,Sensation
n,is n,not n,impacted n,by n,motor n,neuron n,lesions.
Which n,item n,would n,the n,nurse n,include n,in n,a n,focused n,assessment n,of n,a n,patient's n,left n,posterior n,temporal n,lobe n,functions?
,a. Sensation n,on n,the n,left n,side n,of n,the n,body
b. Reasoning n,and n,problem-solving n,ability
c. Ability n,to n,understand n,written n,and n,oral n,language
d. Voluntary n,movements n,on n,the n,right n,side n,of n,the n,body
c. Ability n,to n,understand n,written n,and n,oral n,language
The n,posterior n,temporal n,lobe n,integrates n,the n,visual n,and n,auditory n,input n,for n,language n,comprehension. n,Reasoning n,and n,problem
n,solving n,are
functions n,of n,the n,anterior n,frontal n,lobe. n,Sensation n,on n,the n,left the n,body n,is n,located n,in n,the n,right n,postcentral n,gyrus.
n,side n,of n,Voluntary
movement n,on n,the n,right n,side n,is the n,left n,precentral n,gyrus.
n,controlled n,in
How n,would n,the n,nurse n,assess n,the n,patient's n,trigeminal n,and n,facial n,nerve n,function n,(CNs n,V n,and n,VII)? n,a. n,Check n,for n,unilateral
n, eyelid n,droop.
b. Shine n,a n,light n,into n,the n,patient's n,pupil.
c. Touch n,a n,cotton n,wisp n,strand n,to n,the n,cornea.
d. Have n,the n,patient n,read n,a n,magazine n,or n,book.
c. n,Touch n,a n,cotton n,wisp n,strand n,to n,the n,cornea.
The n,trigeminal n,and n,facial n,nerves n,are n,responsible n,for n,the n,corneal n,reflex. n,The n,optic n,nerve n,is having n,the n,patient n,read n,a
n,tested n,by n,Snellen
chart n,or n,a n,newspaper. n,Assessment n,of n,pupil n,response n,to n,light n,and are n,used n,to n,evaluate n,function n,of n,the n,oculomotor
n,ptosis n,nerve.
Which n,action n,would n,the n,nurse n,include n,in n,the n,plan n,of n,care n,for n,a n,patient n,with n,impaired n,function n,of n,the n,left n,glossopharyngeal
n,nerve n,(CN n,IX) n,and n,vagus n,nerve n,(CN n,X)?
a. Assist n,to n,stand n,and n,ambulate.
b. Withhold n,oral n,fluids n,and n,food.
c. Insert n,an n,oropharyngeal n,airway.
d. Apply n,artificial n,tears n,every n,hour.
b. n,Withhold n,oral n,fluids n,and n,food.
The n,glossopharyngeal n,and n,vagus n,nerves n,innervate n,the n,pharynx n,and n,control n,the n,gag n,reflex. n,A n,patient n,with n,impaired n,function
n,of n,these n,nerves n,is n,at n,risk n,for n,aspiration. n,An n,oral n,airway n,may n,be n,needed n,when n,a n,patient n,is n,unconscious n,and n,unable n,to
n,maintain n,the n,airway, n,but n,it n,will n,not n,decrease n,aspiration n,risk. n,Taste n,and n,eye n,blink n,are n,controlled n,by n,the n,facial n,nerve. n,Balance
n,and n,coordination n,are n,cerebellar n,functions.
An n,unconscious n,patient n,has n,just n,arrived n,in n,the n,emergency n,department n,with n,a n,head n,injury n,caused n,by n,a n,motorcycle n,crash.
Which n,planned n,intervention n,by n,the n,health n,care n,provider n,would n,the n,nurse n,question? n,a. n,Obtain n,x-rays n,of n,the n,skull n,and
n,
n, spine.
b. Prepare n,the n,patient n,for n,lumbar n,puncture.
c. Send n,for n,computed n,tomography n,(CT) n,scan.
d. Perform n,neurologic n,checks n,every n,15 n,minutes.
, b. n,Prepare n,the n,patient n,for n,lumbar n,puncture.
After n,a n,head n,injury, n,the n,patient n,may n,be n,experiencing n,intracranial n,bleeding n,and n,increased n,intracranial n,pressure. n,Herniation n,of
n,the n,brain n,could n,result n,if n,lumbar n,puncture n,is n,performed. n,The n,other n,orders n,are n,appropriate.
We n,have n,an n,expert-written n,solution n,to n,this n,problem!
A n,patient n,with n,suspected n,meningitis n,is n,scheduled n,for n,a n,lumbar n,puncture. n,What n,action n,would n,the n,nurse n,take n,before n,the
n,procedure?
a. Enforce n,NPO n,status n,for n,4 n,hours.
b. Transfer n,the n,patient n,to n,radiology.
c. Administer n,a n,sedative n,medication.
d. Help n,the n,patient n,to n,a n,lateral n,position.
d. n,Help n,the n,patient n,to n,a n,lateral n,position.
For n,a n,lumbar n,puncture, n,the n,patient n,lies n,in n,the n,lateral n,recumbent n,position. n,The n,procedure n,does n,not n,usually n,require n,a
n,sedative, n,is n,done n,in n,the n,patient n,room, n,and n,has n,no n,risk n,for n,aspiration.
During n,the n,neurologic n,assessment, n,the n,patient n,is n,unable n,to n,respond n,verbally n,to n,the n,nurse n,but n,cooperates n,with n,the n,nurse's
n,directions n,to n,move n,his n,hands n,and n,feet. n,Which n,condition n,would n,the n,nurse n,suspect n,as n,a n,likely n,cause n,of n,these n,findings?
a. Cerebellar n,injury
b. A n,brainstem n,lesion
c. Frontal n,lobe n,damage
d. A n,temporal n,lobe n,lesion
c. n,Frontal n,lobe n,damage
Expressive n,speech n,(ability n,to n,express n,the n,self n,in n,language) n,is n,controlled n,by n,Broca's n,area n,in n,the n,frontal n,lobe. n,The n,temporal n,lobe
n,contains n,Wernicke's n,area, n,which n,is n,responsible n,for n,receptive n,speech n,(ability n,to n,understand n,language n,input). n,The n,cerebellum
n,and n,brainstem n,do n,not n,affect n,higher n,cognitive n,functions n,such n,as n,speech.
A n,patient n,has n,a n,tumor n,in n,the n,cerebellum. n,Which n,goal n,would n,the n,nurse n,use n,to n,focus n,the n,plan n,of n,care? n,a. n,Prevent n,falls.
b. Stabilize n,mood.
c. Avoid n,aspiration.
d. Improve n,memory.
a. Prevent n,falls.
Because n,functions n,of n,the n,cerebellum n,include n,coordination n,and n,balance, n,the n,patient n,with n,dysfunction n,is n,at n,risk n,for n,falls. n,The
n,cerebellum n,does n,not n,affect n,memory, n,mood, n,or n,swallowing n,ability.
