Exam 23: Neurologic System

A patient with a lack of oxygen to his heart will have pain in his chest and possibly in the shoulder,arms,or jaw.The nurse knows that the best explanation why this occurs is which one of these statements?

A 32-year-old woman tells the nurse that she has noticed "very sudden,jerky movements" mainly in her hands and arms.She says,"They seem to come and go,primarily when I am trying to do something.I haven't noticed them when I'm sleeping." This description suggests:

During the assessment of an 80-year-old patient,the nurse notices that his hands show tremors when he reaches for something and his head is always nodding.No associated rigidity is observed with movement.Which of these statements is most accurate?

A 21-year-old patient has a head injury resulting from trauma and is unconscious.There are no other injuries.During the assessment what would the nurse expect to find when testing the patient's deep tendon reflexes?

During an assessment of the CNs,the nurse finds the following: asymmetry when the patient smiles or frowns,uneven lifting of the eyebrows,sagging of the lower eyelids,and escape of air when the nurse presses against the right puffed cheek.This would indicate dysfunction of which of these CNs?

Which of these tests would the nurse use to check the motor coordination of an 11-month-old infant?

The nurse is testing the function of CN XI.Which statement best describes the response the nurse should expect if this nerve is intact? The patient:

When the nurse is testing the triceps reflex,what is the expected response?

The nurse is performing an assessment on a 29-year-old woman who visits the clinic complaining of "always dropping things and falling down." While testing rapid alternating movements,the nurse notices that the woman is unable to pat both of her knees.Her response is extremely slow and she frequently misses.What should the nurse suspect?

The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor.With the reflex hammer,the nurse draws a light stroke up the lateral side of the sole of the foot and inward,across the ball of the foot.In response,the patient's toes fan out,and the big toe shows dorsiflexion.The nurse interprets this result as:

The area of the nervous system that is responsible for mediating reflexes is the:

During an assessment of an 80-year-old patient,the nurse notices the following: an inability to identify vibrations at her ankle and to identify the position of her big toe,a slower and more deliberate gait,and a slightly impaired tactile sensation.All other neurologic findings are normal.The nurse should interpret that these findings indicate:

The nurse is performing a neurologic assessment on a 41-year-old woman with a history of diabetes.When testing her ability to feel the vibrations of a tuning fork,the nurse notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally,but she is able to feel vibrations on both patellae.Given this information,what would the nurse suspect?

A 78-year-old man has a history of a cerebrovascular accident.The nurse notes that when he walks,his left arm is immobile against the body with flexion of the shoulder,elbow,wrist,and fingers and adduction of the shoulder.His left leg is stiff and extended and circumducts with each step.What type of gait disturbance is this individual experiencing?

A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance.Which area of the brain that is related to these findings would concern the nurse?

During the taking of the health history of a 78-year-old man,his wife states that he occasionally has problems with short-term memory loss and confusion: "He can't even remember how to button his shirt." When assessing his sensory system,which action by the nurse is most appropriate?

During the neurologic assessment of a "healthy" 35-year-old patient,the nurse asks him to relax his muscles completely.The nurse then moves each extremity through full range of motion.Which of these results would the nurse expect to find?

When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed,he starts to sway and moves his feet farther apart.The nurse would document this finding as:

Which of these statements about the peripheral nervous system is correct?

The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand.He also cries very easily and becomes angry.The nurse recalls that the cerebral lobe responsible for these behaviors is the __________ lobe.