1/21/2018 Chapter 53: Care of the Patient with a Neurologic Disorder | Nursing Test Banks
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Chapter 53: Care of the Patient with a Neurologic
Disorder
Chapter 53: Care of the Patient with a Neurologic Disorder
Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition
MULTIPLE CHOICE
1. What are the two divisions of the nervous system?
a. Somatic and the autonomic
b. Cerebellum and the brainstem
c. Medulla oblongata and the diencephalon
d. Central and the peripheral
ANS: D
The central and the peripheral are the two divisions of the nervous system. The autonomic and the somatic are
the division of the peripheral nervous system.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1896
OBJ:1TOP:Anatomy and physiology
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
2. What is the cranial nerve that supplies most of the organs in the thoracic and abdominal cavities and also
carries motor fibers to glands that produce digestive juices and other secretions?
,1/21/2018 Chapter 53: Care of the Patient with a Neurologic Disorder | Nursing Test Banks
a. Somatic motor nerve
b. Visceral sensory nerve
c. Abducens nerve
d. Vagus nerve
ANS: D
The vagus nerve extends from the throat, larynx, and organs in the thoracic and abdominal cavities. It is
responsible for sensations and will accelerate peristalsis when stimulated.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1901, Table 53-1
OBJ:5TOP:Anatomy and physiology
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
3. The newly admitted patient to the emergency room 30 minutes ago after a fall off a ladder has gradually
decreased in consciousness and has slowly reacting pupils, a widening pulse pressure, and verbal responses
that are slow and unintelligible. What is the most appropriate position for the patient?
a. Neck placed in a neutral position
b. Head raised slightly with hips flexed
c. Supine in gravity neutral position
d. Turn on right side with head elevated
ANS: A
Place the neck in a neutral position (not flexed or extended) to promote venous drainage.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1915
OBJ:12TOP:Intracranial pressure (ICP)
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
4. Which question is likely to elicit the most valid response from the patient who is being interviewed about a
neurologic problem?
, 1/21/2018 Chapter 53: Care of the Patient with a Neurologic Disorder | Nursing Test Banks
a. “Do you have any sensations of pins and needles in your feet?”
b. “Does the pain radiate from your back into your legs?”
c. “Can you describe the sensations you are having?”
d. “Do you ever have any nausea or dizziness?”
ANS: C
For patients with suspected neurologic conditions, the presence of many symptoms or subjective data may be
significant. Offering leading questions is not beneficial and may allow the patient to give misinformation.
Questions should be specific about symptoms.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1902
OBJ: 8 TOP: Assessment KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5. What is the cardinal sign of increased intracranial pressure in a brain injured patient?
a. Pupil changes
b. Ipsilateral paralysis
c. Vomiting
d. Decrease in the level of consciousness
ANS: D
Collection of objective data includes a change in level of consciousness. A change in the level of consciousness
is the earliest sign of increased intracranial pressure.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1913
OBJ:12TOP:Intracranial pressure (ICP)
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
Nursing Test Banks
One Account Get all Test Banks
Chapter 53: Care of the Patient with a Neurologic
Disorder
Chapter 53: Care of the Patient with a Neurologic Disorder
Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition
MULTIPLE CHOICE
1. What are the two divisions of the nervous system?
a. Somatic and the autonomic
b. Cerebellum and the brainstem
c. Medulla oblongata and the diencephalon
d. Central and the peripheral
ANS: D
The central and the peripheral are the two divisions of the nervous system. The autonomic and the somatic are
the division of the peripheral nervous system.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1896
OBJ:1TOP:Anatomy and physiology
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
2. What is the cranial nerve that supplies most of the organs in the thoracic and abdominal cavities and also
carries motor fibers to glands that produce digestive juices and other secretions?
,1/21/2018 Chapter 53: Care of the Patient with a Neurologic Disorder | Nursing Test Banks
a. Somatic motor nerve
b. Visceral sensory nerve
c. Abducens nerve
d. Vagus nerve
ANS: D
The vagus nerve extends from the throat, larynx, and organs in the thoracic and abdominal cavities. It is
responsible for sensations and will accelerate peristalsis when stimulated.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1901, Table 53-1
OBJ:5TOP:Anatomy and physiology
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
3. The newly admitted patient to the emergency room 30 minutes ago after a fall off a ladder has gradually
decreased in consciousness and has slowly reacting pupils, a widening pulse pressure, and verbal responses
that are slow and unintelligible. What is the most appropriate position for the patient?
a. Neck placed in a neutral position
b. Head raised slightly with hips flexed
c. Supine in gravity neutral position
d. Turn on right side with head elevated
ANS: A
Place the neck in a neutral position (not flexed or extended) to promote venous drainage.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1915
OBJ:12TOP:Intracranial pressure (ICP)
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
4. Which question is likely to elicit the most valid response from the patient who is being interviewed about a
neurologic problem?
, 1/21/2018 Chapter 53: Care of the Patient with a Neurologic Disorder | Nursing Test Banks
a. “Do you have any sensations of pins and needles in your feet?”
b. “Does the pain radiate from your back into your legs?”
c. “Can you describe the sensations you are having?”
d. “Do you ever have any nausea or dizziness?”
ANS: C
For patients with suspected neurologic conditions, the presence of many symptoms or subjective data may be
significant. Offering leading questions is not beneficial and may allow the patient to give misinformation.
Questions should be specific about symptoms.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1902
OBJ: 8 TOP: Assessment KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5. What is the cardinal sign of increased intracranial pressure in a brain injured patient?
a. Pupil changes
b. Ipsilateral paralysis
c. Vomiting
d. Decrease in the level of consciousness
ANS: D
Collection of objective data includes a change in level of consciousness. A change in the level of consciousness
is the earliest sign of increased intracranial pressure.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1913
OBJ:12TOP:Intracranial pressure (ICP)
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
