Nervous System Assessment: Ch. 60 (Lewis’s Med-Surg) Actual Exam Questions With 100% Verified Answers

D. Oligodendrocytes - correct answers In a patient with a disease that affects the myelin sheath of nerves, such as multiple sclerosis, the glial cells affected are the: A. Microglia B. Astrocytes C. Ependymal cells D. Oligodendrocytes D. Automatic movements associated with skeletal muscle activity - correct answers A patient taking a drug that impairs function of the extra-pyramidal system may have loss of: A. Sensations of pain and temperature B. Regulation of the autonomic nervous system C. Integration of somatic and special sensory inputs D. Automatic movements associated with skeletal muscle activity B. Left middle cerebral artery - correct answers During the neurological assessment, the nurse finds the patient has speech problems with weakness of the right arm and lower face. The nurse would expect a CT scan to show pathology in the distribution of the: A. Basilar artery B. Left middle cerebral artery C. Right anterior cerebral artery D. Left posterior communicating artery B. An injury to CN VI on both sides - correct answers A patient is seen in the emergency department after diving into the pool and hitting the bottom with a blow to the face that hyperextended the neck and scraped the skin off the nose. The patient reports double vision when looking down. During the neurological assessment, the nurse finds the patient is unable to abduct either eye. The nurse recognizes this finding is related to: A. A basal skull fracture B. An injury to CN VI on both sides C. A stiff neck from the hyper extension injury A, B, C, E - correct answers Stimulation of the parasympathetic nervous system results in (SATA) A. Constriction of the bronchi B. Dilation of the skin blood vessels C. Increased secretion of insulin D. Increased blood glucose levels E. Relaxation of the urinary sphincters B. Muscle tone and strength decrease in older adults - correct answers When assessing the muscle strength of an older adult, the nurse cannot compare the findings with those of a younger adult because A. Nutrition status is better in young adults B. Muscle tone and strength decrease in older adults C. Muscle strength should be the same for all adults D. Most young adults exercise more than older adults C. Notify the provider if signs of increased intracranial pressure are present - correct answers A patient is admitted with a headache, fever, and general malaise. The HCP has asked that the patient be prepared for a lumbar puncture. What is a priority nursing action to avoid complications? A. Review laboratory results for changes in the WBC count B. Give acetaminophen for the headache and fever before the procedure C. Notify the provider if signs of increased intracranial pressure are present D. Administer antibiotics before the procedure to treat the potential meningitis C. Temperature perception - correct answers During neurological testing, the patient can perceive pain elicited by pinprick. Based on this finding, the nurse may omit testing for: A. Position sense B. Patellar reflexes C. Temperature perception D. Heel-to-shin movements A. Nystagmus - correct answers A patient's eyes jerk while the patient looks to the left. The nurse records this finding as: A. Nystagmus B. CN VI palsy C. Ophthalmic dyskinesia D. Oculocephalic response D. Teach the patient that pain may be experienced during the study - correct answers The nurse is caring for a patient with peripheral neuropathy who is scheduled for EMG studies tomorrow morning. The nurse should A. Ensure the patient has an empty bladder B. Instruct the patient about the risk for electrical shock C. Ensure the patient has no metallic jewelry or metal fragments D. Teach the patient that pain may be experienced during the study