Question 1

The tandem walk is tested by instructing the patient to walk

Accepted Answer

A)  first on tiptoe and then on the heels. 
B)  with the arms swinging opposite the movement of the legs. 
C)  hopping first on one foot and then on the other. 
D)  in a straight line, touching the heel to the toe of the other foot. 
A)  first on tiptoe and then on the heels. 
B)  with the arms swinging opposite the movement of the legs. 
C)  hopping first on one foot and then on the other. 
D)  in a straight line, touching the heel to the toe of the other foot.

Question 2

When testing your patient for two-point discrimination,you should

Accepted Answer

A)  first touch one fingertip with a sharp object and then a second fingertip, and assess if she can accurately report the sequence. 
B)  simultaneously touch two points of one of her fingers with sharp objects, and assess if she can distinguish the two points. 
C)  simultaneously touch a finger on her right hand and the corresponding finger on her left hand with two sharp objects, and assess if she can distinguish the two points. 
D)  simultaneously touch a fingertip with two sharp objects, remove one stimulus, and then assess if she can detect that one point has been removed. 
A)  first touch one fingertip with a sharp object and then a second fingertip, and assess if she can accurately report the sequence. 
B)  simultaneously touch two points of one of her fingers with sharp objects, and assess if she can distinguish the two points. 
C)  simultaneously touch a finger on her right hand and the corresponding finger on her left hand with two sharp objects, and assess if she can distinguish the two points. 
D)  simultaneously touch a fingertip with two sharp objects, remove one stimulus, and then assess if she can detect that one point has been removed.

Question 3

Which substance should not be used in assessing the olfactory nerve because its odor can also stimulate the trigeminal nerve endings in the nasal mucus?

Accepted Answer

A)  cloves 
B)  coffee 
C)  camphor 
D)  chocolate 
A)  cloves 
B)  coffee 
C)  camphor 
D)  chocolate

Question 4

A positive Babinski's reflex is characterized by

Accepted Answer

A)  extension and fanning of all toes. 
B)  plantar flexion of the foot. 
C)  adduction of the toes with plantar flexion of the great toe. 
D)  abduction of the toes with dorsiflexion of the great toe. 
A)  extension and fanning of all toes. 
B)  plantar flexion of the foot. 
C)  adduction of the toes with plantar flexion of the great toe. 
D)  abduction of the toes with dorsiflexion of the great toe.

Question 5

During your assessment of a patient,you observe on several occasions the abnormal thought process of blocking,which is

Accepted Answer

A)  changing subjects within a sentence. 
B)  making up answers unrelated to the facts. 
C)  repeating words or phrases that another person has spoken. 
D)  pausing in the middle of a sentence, then continuing on an unrelated topic. 
A)  changing subjects within a sentence. 
B)  making up answers unrelated to the facts. 
C)  repeating words or phrases that another person has spoken. 
D)  pausing in the middle of a sentence, then continuing on an unrelated topic.

Question 6

Which of the following describes a positive Romberg sign?

Accepted Answer

A)  downward drift of right arm 
B)  inability to run heel down 
C)  unsteady after 10 seconds with eyes closed 
D)  inability to walk in a straight line, touching heel to toe 
A)  downward drift of right arm 
B)  inability to run heel down 
C)  unsteady after 10 seconds with eyes closed 
D)  inability to walk in a straight line, touching heel to toe

Question 7

Your patient has suffered a cerebrovascular accident and is presenting with erratic respirations and heart rate.The portion of the brain most likely affected is the _________________________.

Accepted Answer

medulla oblongata
Explanation:The medull

Question 8

Ms.N has an elevated temperature and complains of a severe headache,nausea,and vomiting.Suspecting meningitis,you decide to assess for other signs of meningeal irritation,which include

Accepted Answer

A)  Lasègue's and Hoffman's signs. 
B)  Chaddock's reflex and Tromner's sign. 
C)  Kernig's and Brudzinski's signs. 
D)  Oppenheim's sign and Gordon's reflex. 
A)  Lasègue's and Hoffman's signs. 
B)  Chaddock's reflex and Tromner's sign. 
C)  Kernig's and Brudzinski's signs. 
D)  Oppenheim's sign and Gordon's reflex.

Question 9

Your patient is undergoing a neurological assessment after experiencing head trauma during a vehicular accident.You would assess for doll's eyes phenomenon by holding the patient's eyelids open and assessing the movement of his eyes after

Accepted Answer

A)  rotating his head from the center to one side and then to the opposite side. 
B)  turning him onto one side and then to the opposite side. 
C)  raising the head of the bed and then lowering it until it is level. 
D)  light stimulus followed by painful stimulus. 
A)  rotating his head from the center to one side and then to the opposite side. 
B)  turning him onto one side and then to the opposite side. 
C)  raising the head of the bed and then lowering it until it is level. 
D)  light stimulus followed by painful stimulus.

Question 10

Your patient is in a recumbent position when you lift his leg and flex the knee at a right angle.As you attempt to extend his knee by pushing down,there is a resistance and he complains of pain.This response

Accepted Answer

A)  is normal in nonathletes. 
B)  indicates he is prone to leg spasms. 
C)  indicates meningeal irritation. 
D)  indicates sciatic nerve irritation. 
A)  is normal in nonathletes. 
B)  indicates he is prone to leg spasms. 
C)  indicates meningeal irritation. 
D)  indicates sciatic nerve irritation.

Question 11

Which structures are included in the cerebral hemispheres? Select all that apply.

Accepted Answer

A)  Distal lobes 
B)  Frontal lobes 
C)  Cerebral cortex 
D)  Parietal lobes 
E)  Temporal lobes
F) Occipital lobes 
A)  Distal lobes 
B)  Frontal lobes 
C)  Cerebral cortex 
D)  Parietal lobes 
E)  Temporal lobes
F) Occipital lobes

Question 12

A 21-year-old has been diagnosed with hallucinogen drug ingestion.Which of the following neurological findings support this diagnosis? Select all that apply.

Accepted Answer

A)  Dilated pupils 
B)  Pinpoint pupils 
C)  Dulled sensorium 
D)  Clear sensorium 
E)  Hyperactive deep tendon reflexes
F) Dorsiflexion of feet 
A)  Dilated pupils 
B)  Pinpoint pupils 
C)  Dulled sensorium 
D)  Clear sensorium 
E)  Hyperactive deep tendon reflexes
F) Dorsiflexion of feet

Question 13

Which of the following characterize decerebration,a result of bilateral diencephalic injury? Select all that apply.

Accepted Answer

A)  Arm extension 
B)  Arm flexion 
C)  Back and neck arching 
D)  Plantar flexion of feet 
E)  Teeth clenching
F) Dorsiflexion of feet 
A)  Arm extension 
B)  Arm flexion 
C)  Back and neck arching 
D)  Plantar flexion of feet 
E)  Teeth clenching
F) Dorsiflexion of feet

Question 14

To test the corneal reflex of a patient's right eye,you would ask him to open his eyes and look away from you,and then

Accepted Answer

A)  lightly brush the conjunctiva with a cotton-tipped applicator. 
B)  place one drop of warmed sterile saline into his eye. 
C)  shine a bright light onto the cornea from the side. 
D)  lightly stroke the cornea with a slightly moistened cotton wisp. 
A)  lightly brush the conjunctiva with a cotton-tipped applicator. 
B)  place one drop of warmed sterile saline into his eye. 
C)  shine a bright light onto the cornea from the side. 
D)  lightly stroke the cornea with a slightly moistened cotton wisp.

Question 15

You test a patient for temperature sensation.Why is this test included?

Accepted Answer

A)  It is part of the routine sensory assessment. 
B)  Abnormal findings in superficial pain sensation were found. 
C)  It is recommended for all patients over the age of 40. 
D)  This test is more discriminating in patients with diabetes than the tests for touch and pain. 
A)  It is part of the routine sensory assessment. 
B)  Abnormal findings in superficial pain sensation were found. 
C)  It is recommended for all patients over the age of 40. 
D)  This test is more discriminating in patients with diabetes than the tests for touch and pain.

Question 16

To assess a patient's ability to identify the taste of a sweet substance,you would apply the flavor-soaked cotton swab

Accepted Answer

A)  to the tip of the tongue. 
B)  to the back of the tongue and the soft palate. 
C)  along the borders of the tongue. 
D)  on the top of the hard palate. 
A)  to the tip of the tongue. 
B)  to the back of the tongue and the soft palate. 
C)  along the borders of the tongue. 
D)  on the top of the hard palate.

Question 17

Your are conducting a mental status examination on a patient admitted with a diagnosis of depression.Your examination would most likely reveal which of the following? Select all that apply.

Accepted Answer

A)  Normal sleep pattern 
B)  Increase or decrease in appetite 
C)  Depressed mood 
D)  Positive self-esteem 
E)  Suicidal ideations
F) Difficulty concentrating 
A)  Normal sleep pattern 
B)  Increase or decrease in appetite 
C)  Depressed mood 
D)  Positive self-esteem 
E)  Suicidal ideations
F) Difficulty concentrating

Question 18

Assessment findings of pinpoint pupils,varied response to painful stimuli,and absent reflexes most likely indicate

Accepted Answer

A)  permanent vegetative state. 
B)  locked-in syndrome. 
C)  coma. 
D)  brain death. 
A)  permanent vegetative state. 
B)  locked-in syndrome. 
C)  coma. 
D)  brain death.

Question 19

The subdural space is located below the ____________________.

Accepted Answer

dura mater
Explanation:The dur

Question 20

You would ask a patient to describe his response to a hypothetical situation,such as seeing a house on fire,when assessing the patient's

Accepted Answer

A)  insight. 
B)  judgment. 
C)  spatial perception. 
D)  mood. 
A)  insight. 
B)  judgment. 
C)  spatial perception. 
D)  mood.

Exam 20: Mental Status And Neurological Techniques

The tandem walk is tested by instructing the patient to walk

When testing your patient for two-point discrimination,you should

Which substance should not be used in assessing the olfactory nerve because its odor can also stimulate the trigeminal nerve endings in the nasal mucus?

A positive Babinski's reflex is characterized by

During your assessment of a patient,you observe on several occasions the abnormal thought process of blocking,which is

Which of the following describes a positive Romberg sign?

Your patient has suffered a cerebrovascular accident and is presenting with erratic respirations and heart rate.The portion of the brain most likely affected is the _________________________.

Ms.N has an elevated temperature and complains of a severe headache,nausea,and vomiting.Suspecting meningitis,you decide to assess for other signs of meningeal irritation,which include

Your patient is undergoing a neurological assessment after experiencing head trauma during a vehicular accident.You would assess for doll's eyes phenomenon by holding the patient's eyelids open and assessing the movement of his eyes after

Your patient is in a recumbent position when you lift his leg and flex the knee at a right angle.As you attempt to extend his knee by pushing down,there is a resistance and he complains of pain.This response

Which structures are included in the cerebral hemispheres? Select all that apply.

A 21-year-old has been diagnosed with hallucinogen drug ingestion.Which of the following neurological findings support this diagnosis? Select all that apply.

Which of the following characterize decerebration,a result of bilateral diencephalic injury? Select all that apply.

To test the corneal reflex of a patient's right eye,you would ask him to open his eyes and look away from you,and then

You test a patient for temperature sensation.Why is this test included?

To assess a patient's ability to identify the taste of a sweet substance,you would apply the flavor-soaked cotton swab

Your are conducting a mental status examination on a patient admitted with a diagnosis of depression.Your examination would most likely reveal which of the following? Select all that apply.

Assessment findings of pinpoint pupils,varied response to painful stimuli,and absent reflexes most likely indicate

The subdural space is located below the ____________________.

You would ask a patient to describe his response to a hypothetical situation,such as seeing a house on fire,when assessing the patient's

Critical Thinking And The Nursing Process

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