Exam 13: Assessing the Sensory-Neurologic System

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A patient with a suspected stroke must take prescribed medications. How should the nurse assess the patient's gag reflex before administration of medications?

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When the patella is tapped with a reflex hammer, a patient demonstrates a sluggish response. The nurse suspects that this response may be cause by which disorder?

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The nurse asks the patient to stick out the tongue. Which cranial nerve is being assessed?

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When assessing Broca's area during a physical assessment, which is the nurse assessing?

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Which is a primary function of the sensory-neurologic system?

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Which is typically the last to be lost in regard to determining the patient's level of orientation?

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A patient being assessed for level of orientation is unable to state what day it is. Which question is appropriate for the nurse to ask the patient next?

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Which question may be the most helpful in identifying the cause of a headache?

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The nurse asks the patient to raise the eyebrows. Which cranial nerve (CN) is being assessed?

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A hyperactive patellar knee reflex during pregnancy may be indicative of which disorder?

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To assess for increasing intracranial pressure (ICP), the nurse should assess which key cranial nerves (CNs)?

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Which may be the reason for an older adult patient to exhibit poorly applied make-up and stains on the clothing?

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The nurse asks the patient to clench the jaw. Which cranial nerve (CN) is being assessed?

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Which is an appropriate nursing action when conducting a sensory system assessment?

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After a traumatic brain injury, a patient is found to be positioned with arms extended and hands clenched. Which is the term used to describe this assessment finding?

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The nurse asks the patient to shrug the shoulders against resistance. Which cranial nerve (CN) is being assessed?

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Which is the correct order in which to assess level of arousal?

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