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Chapter 53: Care of the Patient with a Neuro
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 division of the peripheral nervous system.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1896
OBJ:1TOP:Anatomy and physiology
,carries motor fibers to glands that produce digestive juices and other secretions?
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 cav
sponsible 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 ha
creased in consciousness and has slowly reacting pupils, a widening pulse pressure, and verbal
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.
, 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 intervie
neurologic problem?
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 subjecti
significant. Offering leading questions is not beneficial and may allow the patient to give misinf
tions 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
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Chapter 53: Care of the Patient with a Neuro
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 division of the peripheral nervous system.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1896
OBJ:1TOP:Anatomy and physiology
,carries motor fibers to glands that produce digestive juices and other secretions?
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 cav
sponsible 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 ha
creased in consciousness and has slowly reacting pupils, a widening pulse pressure, and verbal
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.
, 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 intervie
neurologic problem?
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 subjecti
significant. Offering leading questions is not beneficial and may allow the patient to give misinf
tions 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
