Exam 25: Neurological System

A patient with a lack of oxygen to his heart will have pain in his chest,and also possibly in his shoulders,arms,or jaw.Which of the following best explains why this occurs?

The human ability to perform very skilled movements such as writing is controlled by the:

In a person with an upper motor neuron lesion such as a cerebrovascular accident,which of the following physical assessment findings would the nurse expect to see?

While gathering equipment for an intravenous injection,a nurse accidentally received a prick from an improperly capped needle.To interpret this sensation,which of the following areas must be intact?

Which of the following statements concerning areas of the brain is accurate?

A patient has a severed spinal nerve as a result of trauma.Which of the following statements is true in this situation?

During an assessment of an 80-year-old patient,the nurse notes the patient's inability to identify vibrations at the ankle and to identify the position of the big toe,a slower and more deliberate gait,and slightly impaired tactile sensation.All other neurological findings are normal.The nurse knows that these findings indicate:

The assessment of a 60-year-old patient has taken longer than anticipated.In testing his pain perception,the nurse decides to complete the test as quickly as possible.When the nurse applies the sharp point of the pin to his arm several times,he is only able to identify these as one "very sharp prick." What would be the most accurate explanation for this?

A 70-year-old woman tells the nurse that every time she gets up in the morning or after she's been sitting,she gets "really dizzy" and feels like she is going to "fall over." The nurse's best response would be:

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

The nurse places a key in the hand of a patient,and he identifies it as a penny.What term would the nurse use to describe this finding?

While assessing a 7-month-old infant,the nurse makes a loud noise and notes abduction and flexion of the arms and legs;fanning of the fingers,and curling of the index finger and thumb in a "C" position;and the infant bringing in its arms and legs toward its body.What does the nurse know about this response?

The nurse knows that which of the following scores would indicate that a patient is in a coma based on the Glasgow Coma Scale criteria?

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

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

To assess the head control of a 4-month-old infant,the nurse lifts the infant up in a prone position while supporting his chest.What normal response does the nurse look for?

During the history,a patient tells the nurse that "it feels like the room is spinning around me." The nurse would document this as:

While obtaining a history of a 3-month old infant from its mother,the nurse asks about the baby's ability to suck and grasp the mother's finger.What is the nurse assessing?

During an assessment of a 32-year-old patient with a recent head injury,the nurse notes that the patient responds to pain by extending,adducting,and internally rotating his arms.As well,his palms pronate and his lower extremities extend with plantar flexion.Which of the following statements about these findings is accurate?

In the assessment of a 1-month-old infant,the nurse notes a lack of response to noise or stimulation.The mother reports that in the last week he has been sleeping most of the time,and when awake,all he does is cry.The nurse hears that the infant's cries are very high-pitched and shrill.What would be the nurse's appropriate response to these findings?