©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Chapter 55: Assessment of Nervous
System Lewis: Medical-Surgical Nursing,
10th Edition Exam Study Questions and
Answers Updated 2024
When admitting an acutely confused patient with a head injury, which action should the nurse
take?
a. Ask family members about the patient's health history.
b. Ask leading questions to assist in obtaining health data.
c. Wait until the patient is better oriented to ask questions.
d. Obtain only the physiologic neurologic assessment data. - Ans:✔✔-ANS: A
When admitting a patient who is likely to be a poor historian, the nurse should obtain health
history information from others who have knowledge about the patient's health. Waiting until
the patient is oriented or obtaining only physiologic data will result in incomplete assessment
Page 1/17
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
data, which could adversely affect decision making about treatment. Asking leading questions
may result in inaccurate or incomplete information.
DIF: Cognitive Level: Apply (application) REF: 1301
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Which finding would the nurse expect when assessing the legs of a patient who has a lower
motor neuron lesion?
a. Spasticity c. Impaired sensation
b. Flaccidity d. Hyperactive reflexes - Ans:✔✔-ANS: B
Because the cell bodies of lower motor neurons are located in the spinal cord, damage to the
neuron will decrease motor activity of the affected muscles. Spasticity and hyperactive
reflexes are caused by upper motor neuron damage. Sensation is not impacted by motor
neuron lesions.
DIF: Cognitive Level: Understand (comprehension) REF: 1296
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Page 2/17
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
The nurse performing a focused assessment of left posterior temporal lobe functions will
assess the patient for
a. sensation on the left side of the body.
b. reasoning and problem-solving ability.
c. ability to understand written and oral language.
d. voluntary movements on the right side of the body. - Ans:✔✔-ANS: C
The posterior temporal lobe integrates the visual and auditory input for language
comprehension. Reasoning and problem solving are functions of the anterior frontal lobe.
Sensation on the left side of the body is located in the right postcentral gyrus. Voluntary
movement on the right side is controlled in the left precentral gyrus.
DIF: Cognitive Level: Apply (application) REF: 1298
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Propranolol (Inderal), a b-adrenergic blocker that inhibits sympathetic nervous system
activity, is prescribed for a patient who has extreme anxiety about public speaking. The nurse
Page 3/17
FIRST PUBLISH OCTOBER 2024
Chapter 55: Assessment of Nervous
System Lewis: Medical-Surgical Nursing,
10th Edition Exam Study Questions and
Answers Updated 2024
When admitting an acutely confused patient with a head injury, which action should the nurse
take?
a. Ask family members about the patient's health history.
b. Ask leading questions to assist in obtaining health data.
c. Wait until the patient is better oriented to ask questions.
d. Obtain only the physiologic neurologic assessment data. - Ans:✔✔-ANS: A
When admitting a patient who is likely to be a poor historian, the nurse should obtain health
history information from others who have knowledge about the patient's health. Waiting until
the patient is oriented or obtaining only physiologic data will result in incomplete assessment
Page 1/17
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
data, which could adversely affect decision making about treatment. Asking leading questions
may result in inaccurate or incomplete information.
DIF: Cognitive Level: Apply (application) REF: 1301
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Which finding would the nurse expect when assessing the legs of a patient who has a lower
motor neuron lesion?
a. Spasticity c. Impaired sensation
b. Flaccidity d. Hyperactive reflexes - Ans:✔✔-ANS: B
Because the cell bodies of lower motor neurons are located in the spinal cord, damage to the
neuron will decrease motor activity of the affected muscles. Spasticity and hyperactive
reflexes are caused by upper motor neuron damage. Sensation is not impacted by motor
neuron lesions.
DIF: Cognitive Level: Understand (comprehension) REF: 1296
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Page 2/17
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
The nurse performing a focused assessment of left posterior temporal lobe functions will
assess the patient for
a. sensation on the left side of the body.
b. reasoning and problem-solving ability.
c. ability to understand written and oral language.
d. voluntary movements on the right side of the body. - Ans:✔✔-ANS: C
The posterior temporal lobe integrates the visual and auditory input for language
comprehension. Reasoning and problem solving are functions of the anterior frontal lobe.
Sensation on the left side of the body is located in the right postcentral gyrus. Voluntary
movement on the right side is controlled in the left precentral gyrus.
DIF: Cognitive Level: Apply (application) REF: 1298
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
Propranolol (Inderal), a b-adrenergic blocker that inhibits sympathetic nervous system
activity, is prescribed for a patient who has extreme anxiety about public speaking. The nurse
Page 3/17
