Neuro Assessment/Disorders

Question 1

assess CN: smile, frown, close eyes

Accepted Answer

Facial VII

Question 2

pt. w/ BP. pt. states the following on preserving muscle tone, you know the pt. needs more info

Accepted Answer

exposure to cold and drafts

Question 3

With each step, the pt.'s feet and toes raise high off the floor & heel comes down heavily

Accepted Answer

steppage

Question 4

which patient condition would cause pt. to be ineligible for an MRI

Accepted Answer

prosthetic valve replacement

Question 5

nurse is assessing pt.'s gait. With each step, the pt.'s waddles with the legs far apart.

Accepted Answer

dystrophic

Question 6

pt. w/ old C6 SCI complains of being too warm, nasal congestion, red face. Next assessment>

Accepted Answer

blood pressure

Question 7

pt. w/ GB. Paralysis and is on a vent. pt. asks the nurse about the paralysis. Nurse says

Accepted Answer

you may not believe this, but the paralysis is temporary

Question 8

eyes jerk as they follow the nurse's moving finger. Nurse records this finding as:

Accepted Answer

nystagmus

Question 9

pt. w/ suspected Meniere's disease. The nurse would expect to note the following

Accepted Answer

vertigo, tinnitus, hearing loss

Question 10

nurse is assessing pt.'s gait. With each step, the pt.'s feet make a half circle. What is this?

Accepted Answer

helicopod

Question 11

muscle weakness from ↓ acetylcholine due to antibodies attacking receptor sites

Accepted Answer

myasthenia gravis

Question 12

pt. admitted w/ GBS. The nurse inquires during the interview if the client has a hx of:

Accepted Answer

respiratory or GI infection during the previous month

Question 13

37 y.o. female w/ MS. Which of the following symptoms would the nurse expect to find?

Accepted Answer

vision changes

Question 14

37 y.o. dx with MS. Which of the following symptoms would the nurse expect to find

Accepted Answer

vision changes

Question 15

pt. experiences an episode of myasthenic crisis. The nurse would assess if the following occurs

Accepted Answer

omitting doses of medication

Question 16

destruction occurring in basal ganglia of the dopamine neuronal cells. Dopamine deficiency

Accepted Answer

Parkinson's

Question 17

pt. w/ fever, chills, + kernig/brudinski signs, nucchal rigidity. What disorder is suspected

Accepted Answer

meningitis

Question 18

best position for a patient who is about to have a lumbar puncture

Accepted Answer

side-lying, legs pulled up and head bent down onto chest

Question 19

MS pt. plans to begin an exercise program. nurse needs to caution pt. to avoid activities which

Accepted Answer

lead to dehydration

Question 20

assess CN: eye movement

Accepted Answer

abducens VI

Question 21

pt. ordered Mestinon 60 mg PO Q3 hrs. Med would be contraindicated in which of the following

Accepted Answer

intestinal obstruction

Question 22

fluid is seen leaking from the nose following a basilar skull fx. What will the CSF look like

Accepted Answer

separates into concentric rings & tests positive for glucose

Question 23

pt. w/ MS is being discharged home. What should be included in POC to reduce fatigue

Accepted Answer

rest in an air-conditioned room

Question 24

Nurse finds that the pt. has a staggering gait & abnormal arm swing. Nurse uses this info to:

Accepted Answer

protect pt. from injury due to falls

Question 25

pt. w/ MG. What is essential for the nurse to include in teaching.

Accepted Answer

setting the alarm clock for medication times

Question 26

pt. w/ a possible dx of MS. Nurse would expect to see which of the following.

Accepted Answer

weakness, numbness, loss of balance

Question 27

assess CN: confrontation test

Accepted Answer

Optic II

Question 28

Which will give the most information if a nurse wishes to assess neuro function

Accepted Answer

level of consciousness

Question 29

MS is best described as which of the following?

Accepted Answer

demyelination in the central nervous system

Question 30

Which nursing dx takes highest priority for a client w/ Parkinson's crisis

Accepted Answer

ineffective airway clearance

Question 31

which of the nursing interventions should be added to the POC for a patient with MS

Accepted Answer

instruct the pt. to avoid throw rugs

Question 32

pt comes in with diplopia & ptosis, bulbar symptoms, and dysphagia. What could be a possible dx

Accepted Answer

MG

Question 33

pt. c/o progressive mental deterioration. degeneration of the basal ganglia and cerebral cortex

Accepted Answer

Huntington's disease

Question 34

destruction of myelin w/ the infiltration of lymphocytes in the CNS

Accepted Answer

MS

Question 35

pt. with suspected MS could experience which of the following secondary clinical manifestations

Accepted Answer

peripheral edema

Question 36

which of the following is the most common cause of dementia among the elderly

Accepted Answer

Alzheimer's disease

Question 37

pt. w/ MS tells the nurse after PT that she is too tired to take a bath. Priority nursing dx?

Accepted Answer

self-care deficit r/t fatigue & neuromuscular weakness

Question 38

Name of the drug used to manage Myasthenia gravis

Accepted Answer

neostigmine bromide

Question 39

the nurse evaluates that Sinemet is therapeutically effective if the pt. is

Accepted Answer

decreased tremors at rest

Question 40

cholinergic agents are used to:

Accepted Answer

produce miosis

Question 41

adrenergic blockers are contraindicated in"

Accepted Answer

obstructive airway disease

Question 42

you witness your neighbor fall off a roof. You know that the best way to open the airway is

Accepted Answer

jaw thrust maneuver

Question 43

when teaching a pt. about relapsing remitting MS, a nurse should describe

Accepted Answer

Relapse. new onset of neurologic symptoms lasting >24-48 hrs

Question 44

which drug mimics parasympathetic activity

Accepted Answer

cholinergic agents

Question 45

which of the following measures should be avoided to minimize autonomic dysreflexia.

Accepted Answer

limiting bladder catheterization to once every 12 hours

Question 46

assess CN: resistive shoulder shrugging

Accepted Answer

Accessory XI

Question 47

during neuro assessment, nurse obtains most of the data r/t mental status

Accepted Answer

during history

Question 48

which of the following best describes cognitive dysfunction

Accepted Answer

may be present early in disease course

Question 49

male client w/ Bell's palsy asks the nurse what caused this. What is the nurse's best response

Accepted Answer

unknown, possibly ischemia, viral infection, or autoimmune

Question 50

assess CN: light touch to face

Accepted Answer

Trigeminal V

Question 51

Assessing motor function in an unconscious pt. what test for peripheral response to pain

Accepted Answer

nail bed pressure

Question 52

a shuffling gait is typically associated with the pt. who has

Accepted Answer

parkinson's disease

Question 53

during a routine exam to assess DTR's, the nurse should make sure to:

Accepted Answer

support the joint where the tendon is being tested

Question 54

which patient should the nurse see first after getting report

Accepted Answer

63 y.o. w/ MS. temp = 101.8 and has flank pain

Question 55

3 meds (ABC drugs) are used for MS. Which of the following should be included in education

Accepted Answer

flu-like s/s can be controlled by NSAIDs

Question 56

most effective way to prevent a myasthenic & cholinergic crisis

Accepted Answer

taking meds on time to maintain therapeutic blood levels

Question 57

pt. w/ impaired CN II. Which should be implemented to ensure the pt.'s safety

Accepted Answer

provide a clear path for ambulation w/o obstacles

Question 58

over excitation of glutamate leads to cell injury and neuron degeneration

Accepted Answer

ALS

Question 59

which is consistent with a dx of GBS

Accepted Answer

pain begins in legs and ascends to the upper extremities

Question 60

cholinergics are contraindicated in"

Accepted Answer

asthma

Question 61

↓ levels of dopamine. destruction of pigmented neuronal cells in substantia nigra basal ganglia

Accepted Answer

parkinson's disease

Question 62

what s/s would you suspect in a pt. in a cholinergic crisis

Accepted Answer

bradycardia

Question 63

pt. w/ MS is being discharged. Which of the following instructions is most appropriate?

Accepted Answer

keep active, use stree reduction strategies, & avoid fatigue

Question 64

loss of motor neurons in the anterior horns (gray matter) of the spinal cord and motor nuclei

Accepted Answer

ALS

Neuro Assessment/Disorders

Questions 67

Neuro Assessment/Disorders

Questions 67