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A Nurse Is Performing a Neurological Assessment on a Patient

Question 253

Multiple Choice

A nurse is performing a neurological assessment on a patient admitted to the Intensive Care Unit with a right-sided stroke. What would be the sign of a positive Babinski's reflex in the stroke victim?


A) The knee jerks up when the pressure is applied directly above the patella.
B) The great toe dorsiflexes and the other toes fan out.
C) All the toes flex inward.
D) The toes do not move individually, but the whole foot stiffens and retracts.

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