Exam 25: Neurological System

To test for gross motor skill and coordination of a 6-year-old child, which of these techniques would be appropriate? Ask the child to:

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

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

In obtaining a health history on a 74-year-old patient, the nurse notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold things.With this information, what response should the nurse make?

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 he drags the toe in a semicircle with each step.What type of gait disturbance is this individual experiencing?

A multiple sclerosis patient is unable to perform rapid alternating movements, such as rapid patting of her knees.The nurse should document this inability as:

After a spinal cord injury in a 40-year-old patient, the nurse is testing the intactness of the patient's reflex arcs.The nurse tests the triceps reflex to elicit what response for which spinal level?

During examination, the nurse notices severe back and forth oscillations in both eyes of the patient.Which conclusion by the nurse is correct regarding the findings? This:

To encourage quick response when observing someone experiencing symptoms of a stroke, the nurse uses the mnemonic:

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

During an assessment of a 62-year-old man, the nurse notices that the patient has a stooped posture, shuffling walk with short steps, flat facial expression, and pill-rolling finger movements.These findings would be consistent with:

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 behaviours is the __________ lobe.

In a person with an upper motor neuron lesion after a cerebrovascular accident, which of these physical assessment findings should the nurse expect?

The nurse is providing an informational session on stroke at a community health centre and includes the following risk factors that should be modified to decrease risk for stroke: (Select all that apply.)

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

The nurse is performing a neurological 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 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 (DTRs)?

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

The nurse knows that determining whether a person is oriented to his or her surroundings will test the functioning of which structure(s)?

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