Nervous MC

Question 1

Sensations of temperature, pain, and crude & light touch are carried by way of the:

Answer 1

Spinothalamic Tract

Question 2

The cranial nerve that has sensory fibers for taste and fibers that result in the “gag reflex” is the:

Answer 2

Glossopharyngeal

Question 3

The nurse is assessing older client, when client says she has experienced transient blind spots for last few days. Possible?

Answer 3

CVA - Cerebral Vascular Accident

Question 4

Nurse is planning to educate a group of adults of CVA’s. What should be included?

Answer 4

Smoking & High Cholesterol are risks for CVA.

Question 5

Nurse is caring for a client post-op abdominal surgery. While performing neuro check we should assess?

Answer 5

Sensation in the extremities

Question 6

Nurse is preparing to percuss arm reflexes. To reinforce we should ask client to:

Answer 6

Clench Jaw

Question 7

Glasgow Coma Scale measures the LOC in clients at high risk for rapid NS deterioration. 13 indicates:

Answer 7

Some Impairment

Question 8

Client speech is slow, disheveled and maintains poor eye contact. Diagnosis?

Answer 8

Depression

Question 9

Confused older adult unable to recall past events. Signs of…

Answer 9

Cerebral Cortex Disorder

Question 10

Assessing NS of adult client. To test new information retention the nurse should ask:

Answer 10

Can you repeat…Brown, chair, textbook, tomato

Question 11

Assessing pupils of hospitalzied adult client, nurse observes that the pupils are dilated to 6cm, Signs of?

Answer 11

Oculomotor Nerve Paralysis

Question 12

Assessing NS of an adult. To test motor function of facial nerve, the nurse should:

Answer 12

Ask client to purse lips

Question 13

Assessing NS of client who has spastic muscle tone. Explain spastic muscle tone associated w/ impairment to:

Answer 13

Corticospinal Tract

Question 14

Preparing to perform Romberg test. Instruct client to:

Answer 14

Stand erect with arms at sides and feet together.

Question 15

Test position sensation in adult female. To perform, ask client to close eyes while nurse moves:

Answer 15

Toes/fingers up/down

Question 16

While assessing Achilles reflex in 84yo client, nurse observes Achilles is difficult to elicit. Nurse should:

Answer 16

Document the finding in clients record.

Question 17

While assessing plantar reflex, nurse observes a + Babinski reflex. Exhibiting sings of…?

Answer 17

Drug Intoxication