NSG 1173 Chapter 24 questions well
answered already passed
Neurological Determination - correct answer ✔✔Nurses use experience, knowledge of anatomy
and physiology, and the patient's acuity, current deficits, and risk for deterioration to select
elements of the neurological examination most appropriate for the situation.
Neurological Changes and Intervention - correct answer ✔✔Although some neurological
changes are evident instantaneously, most progress over time. Consistent, accurate, and clearly
communicated serial assessments are critical for timely identification and intervention.
Urgent Intervention - correct answer ✔✔Early recognition of events requiring urgent
intervention maximizes the patient's chance of optimal outcome.
Health Promotion - correct answer ✔✔Common areas of health promotion include reducing
the risk of neurovascular disease and injury prevention.
Common Signs and Symptoms of Neurological Disorder - correct answer ✔✔Common
symptoms and signs associated with the neurological system include headache, weakness,
blurry vision, impaired motor function, and impaired speech.
Collecting Headache History - correct answer ✔✔When collecting a headache history,
characteristics such as pain worse in the morning on awakening and pain precipitated or made
worse by straining or sneezing may indicate potentially elevated ICP.
Urgent Neurological Findings - correct answer ✔✔Clinical situations that require urgent
communication of neurological assessment findings include a change in LOC (level of
consciousnes), pupillary reaction, and verbal or motor response.
, Consciousness and Cognition - correct answer ✔✔Consciousness and cognition are assessed
early in the neurological examination because these functions direct the method used to elicit
further information.
Glasgow Coma Scale - correct answer ✔✔Use of the GCS helps to provide relatively objective
information about LOC but is most reliable with staff training.
Assessment of Cranial Nerves - correct answer ✔✔Assessment of the function of the CNs is
performed at the bedside through observation of vision, pupils, EOMs, facial expression and
strength, and uvula tongue movement.
Spinal and Peripheral Nerve Funtions - correct answer ✔✔Spinal and peripheral nerve function
may be assessed by testing for motor strength and sensation at different levels of the spinal
cord according to dermatomes.
Unexpected Reflex Response - correct answer ✔✔Unexpected reflex responses include
hyperactive or diminished DTR (deep tendon reflex), decreased superficial reflexes, and a
positive Babinski.
Posturing - correct answer ✔✔occurs in late stages of injury, including unexpected flexion and
extension responses.
Unexpected Motor Functions - correct answer ✔✔includes disorders of movement such as
tremor and unusual gait.
Common Nursing Diagnosis - correct answer ✔✔Common nursing diagnoses are impaired
verbal communication, acute confusion, impaired memory, unilateral neglect, risk for aspiration,
risk for intracranial adaptive capacity, and ineffective brain tissue perfusion.
Diagnostic Testing - correct answer ✔✔While neurological assessment findings can highlight
location and acuity of neuropathology, diagnostic testing provides the critical next step in
answered already passed
Neurological Determination - correct answer ✔✔Nurses use experience, knowledge of anatomy
and physiology, and the patient's acuity, current deficits, and risk for deterioration to select
elements of the neurological examination most appropriate for the situation.
Neurological Changes and Intervention - correct answer ✔✔Although some neurological
changes are evident instantaneously, most progress over time. Consistent, accurate, and clearly
communicated serial assessments are critical for timely identification and intervention.
Urgent Intervention - correct answer ✔✔Early recognition of events requiring urgent
intervention maximizes the patient's chance of optimal outcome.
Health Promotion - correct answer ✔✔Common areas of health promotion include reducing
the risk of neurovascular disease and injury prevention.
Common Signs and Symptoms of Neurological Disorder - correct answer ✔✔Common
symptoms and signs associated with the neurological system include headache, weakness,
blurry vision, impaired motor function, and impaired speech.
Collecting Headache History - correct answer ✔✔When collecting a headache history,
characteristics such as pain worse in the morning on awakening and pain precipitated or made
worse by straining or sneezing may indicate potentially elevated ICP.
Urgent Neurological Findings - correct answer ✔✔Clinical situations that require urgent
communication of neurological assessment findings include a change in LOC (level of
consciousnes), pupillary reaction, and verbal or motor response.
, Consciousness and Cognition - correct answer ✔✔Consciousness and cognition are assessed
early in the neurological examination because these functions direct the method used to elicit
further information.
Glasgow Coma Scale - correct answer ✔✔Use of the GCS helps to provide relatively objective
information about LOC but is most reliable with staff training.
Assessment of Cranial Nerves - correct answer ✔✔Assessment of the function of the CNs is
performed at the bedside through observation of vision, pupils, EOMs, facial expression and
strength, and uvula tongue movement.
Spinal and Peripheral Nerve Funtions - correct answer ✔✔Spinal and peripheral nerve function
may be assessed by testing for motor strength and sensation at different levels of the spinal
cord according to dermatomes.
Unexpected Reflex Response - correct answer ✔✔Unexpected reflex responses include
hyperactive or diminished DTR (deep tendon reflex), decreased superficial reflexes, and a
positive Babinski.
Posturing - correct answer ✔✔occurs in late stages of injury, including unexpected flexion and
extension responses.
Unexpected Motor Functions - correct answer ✔✔includes disorders of movement such as
tremor and unusual gait.
Common Nursing Diagnosis - correct answer ✔✔Common nursing diagnoses are impaired
verbal communication, acute confusion, impaired memory, unilateral neglect, risk for aspiration,
risk for intracranial adaptive capacity, and ineffective brain tissue perfusion.
Diagnostic Testing - correct answer ✔✔While neurological assessment findings can highlight
location and acuity of neuropathology, diagnostic testing provides the critical next step in
