Exam 15: Neurologic System

A nurse who is assessing a patient's eyes finds that the pupils are equal, round, and react to light and accommodation (PERRLA). These findings verify the expected functioning of which cranial nerve?

A patient reports having difficulty swallowing. Based on this information, how does the nurse assess the cranial nerve related to swallowing?

What is the patient's expected response when the nurse is assessing graphesthesia?

A nurse holds the patient's relaxed left arm, with elbow flexed at a 90-degree angle, in one hand. The nurse palpates and then strikes the appropriate tendon just above the elbow with either end of the reflex hammer. What is the expected response for this deep tendon reflex?

To complete a symptom analysis, which questions does a nurse ask patient who recently had a seizure for the first time? (Select all that apply.)

Which cranial nerve is assessed when a nurse asks a patient to stick out the tongue and move it side to side?

The nurse hears in a report that a patient has receptive or fluent aphasia. What communication abilities does the nurse anticipate from this patient?

A patient has a compression fracture of the cervical spine at C7 to C8 that is impairing deep tendon reflexes. Which response will the nurse expect from the affected deep tendon reflex?

A nurse dorsiflexes a patient's right ankle 90 degrees and then uses a reflex hammer to strike the appropriate tendon. What is the expected response for this deep tendon reflex?

What is the patient's expected response when the nurse is assessing stereognosis?

What technique does the nurse use to test ankle clonus?

In assessing a patient's deep tendon reflexes, a nurse finds a patient has a 4+ triceps response. How does the nurse interpret this finding?

What technique does the nurse use to test the patellar deep tendon reflex?

A nurse assesses a patient with a head injury who has slowing intellectual functioning, personality changes, and emotional lability. The nurse correlates these findings with which area of the brain?

In assessing a patient with damage to the occipital lobe, the nurse correlates which clinical manifestation to this injury?

Which patient behavior indicates to the nurse that the patient's facial cranial nerve (CN VII) is intact?

A nurse assessing a patient who had a cerebrovascular accident involving the Broca area suspects expressive or nonfluent aphasia. What communication abilities does the nurse anticipate from this patient?

In assessing a patient with a tumor in the pons, the nurse expects to find which abnormalities due to pressure on cranial nerves?

The nurse asks the patient to stand with feet together, arms resting at the sides, with eyes open and then with the eyes closed. Which response by the patient indicates a problem in the cerebellum?

The nurse moves a wisp of cotton lightly across the anterior scalp, paranasal sinuses, and lower jaw to test the function of which cranial nerve?