1. A patient is brought to the ER following a motor vehicle accident in which he
sustained head trauma. Preliminary assessment reveals a vision deficit
... [Show More] in the patient's
left eye. The nurse should associate this abnormal finding with trauma to which of the
following cerebral lobes?
A) Temporal
B) Occipital
C) Parietal
D) Frontal - CORECT ANSWER B) Occipital
.A patient scheduled for magnetic resonance imaging (MRI) at the radiology
department. The nurse who prepares the patient for the MRI should prioritize which of
the following actions?
A) Withholding stimulants 24 to 48 hours prior to exam
B) Removing all metal-containing objects
C) Instructing the patient to void prior to the MRI
D) Initiating an IV line for administration of contrast - CORECT ANSWER B)
Removing all metal-containing objects
A gerontologic nurse planning the neurologic assessment of an older adult is
considering normal, age-related changes. Of what phenomenon should the nurse be
aware?
A) Hyperactive deep tendon reflexes
B) Reduction in cerebral blood flow
C) Increased cerebral metabolism
D) Hypersensitivity to painful stimuli - CORECT ANSWER B) Reduction in cerebral
blood flow
The nurse has admitted a new patient to the unit. One of the patient's admitting orders
is for an adrenergic medication. The nurse knows that this medication will have what
effect on the circulatory system?
A) Thin, watery saliva
B) Increased heart rate
C) Decreased BP
D) Constricted bronchioles - CORECT ANSWER B) Increased heart rate
A nurse is assessing reflexes in a patient with hyperactive reflexes. When the patient's
foot is abruptly dorsiflexed, it continues to "beat" two times before settling into a resting
position. How would the nurse document this finding?
A) Rigidity
B) Flaccidity
C) Clonus
HESI Med Surg/Neuro Test bank?
D) Ataxia - CORECT ANSWER C) Clonus
he nurse is doing an initial assessment on a patient newly admitted to the unit with a
diagnosis of cerebrovascular accident (CVA). The patient has difficulty copying a figure
that the nurse has drawn and is diagnosed with visual-receptive aphasia. What brain
region is primarily involved in this deficit?
A) Temporal lobe
B) Parietal-occipital area
C) Inferior posterior frontal areas
D) Posterior frontal area - CORECT ANSWER B) Parietal-occipital area
The nurse is admitting a patient to the unit who is diagnosed with lower motor neuron
lesion. What entry in the patient's electronic record is most consistent with this
diagnosis?
A) "Patient exhibits increased muscle tone."
B) "Patient demonstrates normal muscle structure with no evidence of atrophy."
C) "Patient demonstrates hyperactive deep tendon reflexes."
D) "Patient demonstrates an absence of deep tendon reflexes." - CORECT ANSWER
D) "Patient demonstrates an absence of deep tendon reflexes."
8. An elderly patient is being discharged home. The patient lives alone and has atrophy
of his olfactory organs. The nurse tells the patient's family its essential that the patient
have what installed in the home?
A) Grab bars
B) Nonslip mats
C) Baseboard heaters
D) A smoke detector - CORECT ANSWER D) A smoke detector
A nurse is caring for a patient diagnosed with Ménière's disease. While completing a
neurologic examination on the patient, the nurse assesses cranial nerve VIII. The nurse
would be correct in identifying the function of this nerve as what?
A) Movement of the tongue
B) Visual acuity
C) Sense of smell
D) Hearing and equilibrium - CORECT ANSWER D) Hearing and equilibrium
. A patient exhibiting an uncoordinated gait has presented at the clinic. Which of the
following is the most plausible cause of this patient's health problems?
A) Cerebellar dysfunction
B) A lesion in the pons
C) Dysfunction of the medulla
HESI Med Surg/Neuro Test bank?
D) A hemorrhage in the midbrain - CORECT ANSWER A
The nursing students are learning how to assess function of cranial nerve VIII. To
assess the function of cranial nerve VIII the students would be correct in completing
which of the following assessment techniques?
A) Have the patient identify familiar odors with the eyes closed
B) Assess papillary reflex.
C) Utilize the Snellen chart.
D) Test for air and bone conduction (Rinne test). - CORECT ANSWER D
A patient is being given a medication that stimulates her parasympathetic system.
Following administration of this medication, the nurse should anticipate what effect?
A) Constricted pupils
B) Dilated bronchioles
C) Decreased peristaltic movement
D) Relaxed muscular walls of the urinary bladder - CORECT ANSWER A) Constricted
pupils
A patient is having a "fight or flight response" after receiving news about his prognosis.
What affect will this have on the patient's sympathetic nervous system?
A) Constriction of blood vessels in the heart muscle
B) Constriction of bronchioles
C) Increase in the secretion of sweat
D) Constriction of pupils - CORECT ANSWER C
The nurse is planning the care of a patient with Parkinson's Disease The nurse should
be aware that treatment will focus on what pathophysiological phenomenon?
A) Premature degradation of acetylcholine
B) Decreased availability of dopamine
C) Insufficient synthesis of epinephrine
D) Delayed reuptake of serotonin - CORECT ANSWER B) Decreased availability of
dopamine
A patient in the OR goes into malignant hyperthermia due to an abnormal reaction to
the anesthetic. The nurse knows that the area of the brain that regulates body
temperature is which of the following? [Show Less]