NEURO GAME

Question 1

A client who has sustained a head injury to the parietal lobe cannot identify a familiar object by touch. The nurse knows that this deficit is which of the following?

Answer 1

Tactile agnosia

Question 2

A patient has been diagnosed with damage to Broca’s area of the left frontal lobe. To document the extent of damage, the nurse would assess the patient’s:

Answer 2

Speech

Question 3

The nurse is preparing a client for a neurological examination by the physician and explains tests the physician will be doing, including the Romberg test. The client asks the purpose of this particular test. The correct reply by the nurse is which of the following?

Answer 3

“It is a test for balance.”

Question 3

Which cranial nerve is responsible for muscles that move the eye and lids?

Answer 3

Oculomotor

Question 4

A male client is scheduled for an electroencephalogram (EEG). When the nurse caring for the client is preparing him for the test, the client states that during childhood he was mildly electrocuted but miraculously lived. Therefore, he is quite afraid of going through an EEG. In what ways can the nurse help dispel the client’s fear regarding the test?

Answer 4

Inform the client that he will not experience any electrical shock.

Question 5

A client is diagnosed with a brain tumor. The nurse’s assessment reveals that the client has difficulty interpreting visual stimuli. Based on these findings, the nurse suspects injury to which lobe of the brain?

Answer 5

Occipital

Question 5

A client is weak and drowsy after a lumbar puncture. The nurse caring for the client knows that what priority nursing intervention should be provided after a lumbar puncture?

Answer 5

Position the client flat for at least 3 hours.

Question 6

Which cerebral lobe is thew largest and controls abstract thoughts

Answer 6

Frontal

Question 7

A client who has suffered a stroke is unable to maintain respirations and is intubated and placed on a mechanical ventilator for support.
What portion of the brain is most likely responsible for the inability to breathe?

Answer 7

Brain stem

Question 8

A patient is being tested for a gag reflex. When the nurse places the
tongue blade to the back of the throat, there is no response elicited.
What dysfunction does the nurse determine the patient has?

Answer 8

Dysfunction of the vagus nerve

Question 9

Which of the following drugs may be used after a seizure to maintain a seizure-free state?

Answer 9

Phenobarbital

Question 9

A patient has difficulty interpreting his awareness of body position in space. Which lobe is most likely to be damaged?

Answer 9

Parietal

Question 10

A nurse is performing a neurologic assessment on the client and notes a positive Romberg test. This test for balance is related to which of the following cranial nerves?

Answer 10

VIII

Question 11

A client with increased intracranial pressure has a cerebral perfusion pressure (CPP) of 40 mm/hg. How should the nurse interpret the CPP value?

Answer 11

The CPP is low

Question 12

The nurse is caring for a client with a ventriculostomy. Which assessment finding demonstrates effectiveness of the ventriculostomy?

Answer 12

Increased ICP is 12 mm/ hg

Question 12

To assess a client’s cranial nerve function, a nurse should access

Answer 12

Gag reflex

Question 13

A client with increased intracranial pressure has a cerebral perfusion pressure of 40 mm/hg. This CPP reading is considered to be:

Answer 13

Low

Question 13

When performing a post-op assessment on a client who has undergone surgery
to manage increased intracranial pressure, a nurse notes an ICP reading of 0 mm/hg. Which action should the nurse perform first?

Answer 13

Check the equipment

Question 14

Cerebral edema peaks at which time point after intracranial surgery?

Answer 14

24 hours

Question 14

A client is admitted to an acute care facility with a suspected dysfunction of the lower brain stem. The nurse should monitor this client closely for:

Answer 14

Hypoxia

Question 15

The critical care nurse is giving end-of-shift report on a client. The nurse uses the Glasgow Coma Scale to assess t c LOC of
a female client and
reports to the oncoming nurse that the client has an LOC of 6. What does an
LOC score of 6 in a client indicate?

Answer 15

Comatose

Question 16

A nurse caring for a client with head trauma will be monitoring the client for Cushing’s Triad. What will the nurse recognize as the symptoms associated with Cushing’s Triad?

Answer 16

Htn
Bradycardia
Bradypnea

Question 16

Which lobe of the brain is responsible for spatial relationships?

Answer 16

Parietal

Question 17

The nurse is caring for a client who sustained a moderate head injury following a bicycle accident. The nurse’s most recent assessment reveals that the client’s respiratory effort has increased. What is the nurse’s most appropriate action?

Answer 17

Inform the care team and assess for further signs of possible increased ICP.

Question 17

The nurse is caring for a client who is in status epilepticus. What medication should the nurse anticipate administering to halt the seizure immediately?

Answer 17

Intravenous Diazepam

Question 18

The nurse is caring for a client whose recent health history includes an altered LOC. What should be the nurse’s first action when assessing this client

Answer 18

“Assessing the client’s verbal response”

Question 19

The sympathetic and parasympathetic nervous systems have a direct effect on the
circulatory system. Stimulation of the parasympathetic nervous system causes:

Answer 19

Heartrate to decrease

Question 20

The nurse is assessing the pupils of a client who has had a head injury.
What does the nurse recognize as a parasympathetic effect?

Answer 20

Constricted pupils

Question 20

A client is scheduled for a
myelogram, and the nurse explains to the client that this is an invasive procedure, which assesses for any lesions in the spinal cord. The nurse should explain that the preparation is similar to which of the following neurologic tests?

Answer 20

Lumbar Puncture

Question 21

The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity.
Which method should help the nurse assess for neck rigidity correctly?

Answer 21

Moving the head and chin toward the chest

Question 22

The nurse is assessing the throat of a client with throat main. In asking the client to stick o it the tongue, the nurse is also assessing which cranial nerve?

Answer 22

CnXII

Question 23

A client in the emergency department has a suspected neurologic disorder. To assess gait, the nurse asks the client to take a few steps; with each step, the client’s feet make a half circle. To document the client’s gait, the nurse should use which term?

Answer 23

Helicopod

Question 24

The nurse is doing an initial assessment on a client newly admitted to the unit with a diagnosis of CVA. The client has difficulty copying a figure that the nurse has drawn and is diagnosed with visual-receptive aphasia.
What brain region(s) is primarily involved in this deficit?

Answer 24

Parietal-Occipital area

Question 25

The nurse is performing a neurologic assessment on a client diagnosed with a stroke and cannot elicit a gag reflex. This deficit is related to which of the following cranial nerves?

Answer 25

Cn 10

Question 25

The nurse is assessing the client’s pupils following a sports injury.
Which of the following assessment findings indicates a neurological concern(s)?

Answer 25

Unequal pupils
Pinpoint pupils
No pupil response (fixed)

Question 26

The nurse is caring for a client wh involved in a motor vehicle accident an sustained a head injury. When assessing deep tendon reflexes (DTR’s), the nurse observes diminished or hypoactive reflex How will the nurse document this finding?

Answer 26

1+

Question 27

Which posturing is exhibited by abnormal flexion of the upper extremities and extension of the extremities?

Answer 27

Decorticate

Question 27

Which term describes the fibrous connective tissues that cover the brain and spinal cord?

Answer 27

Meninges

Question 28

Which signs are manifestations of the Cushing Triad?

Answer 28

Bradypnea
Hypertension
Bradycardia

Question 29

A nurse observes that Decerebrate posturing is a comatose client’s response to painful stimuli. Decerebrate posturing as a response to pain indicates:

Answer 29

Dysfunction in the Brainstem

Question 29

The nurse is educating a group of people newly diagnosed with migraine headaches. What information should the nurse include in the educational session?

Answer 29

Keep a food diary
Maintain a headache diary

Question 30

A nurse us performing a neurological assessment on a client at home. During the assessment, the nurse notices that the client has a flat affect. Which lobe of the brain is responsible for a person s affect?

Answer 30

Frontal lobe

Question 31

Which occurs when reflexes are hyperactive when the foot is abruptly dorsiflexed?

Answer 31

Clonus

Question 31

When learning about the nervous system, students learn that which nervous system regulates the expenuture of energy?

Answer 31

Sympathetic

Question 32

What should the nurse suspect when hourly assessment of urine output on a client post- craniotomy exhibits a urine output from a catheter of 1,500ml for the last 2 hours?

Answer 32

Diabetes Insipidus