1. A nurse is preparing to assess a client's cerebellar function. Which of the following would the
nurse expect to test?
a. Remote memory
b. Mental
... [Show More] status exam
c. Balance
d. Sensation
2. When evaluating a client's risk for cerebrovascular accident, which client would the nurse identify
as being at highest risk?
a. 35-year-old African American who has sleep apnea
b. 68-year-old African American with hypertension
c. 42-year-old Caucasian woman who smokes
d. 55-year-old Caucasian male who has a two beers a week
3. A nurse is preparing to assess the cranial nerves of a client. The nurse is about to test CN I.
Which of the following would the nurse do?
a. Perform the Weber test.
b. Test extraocular eye movements.
c. Ask a client to identify scents.
d. Use a Snellen chart to test visual acuity.
4. On assessment of a client, the nurse finds that the client has difficulty in producing and
understanding language. How should the nurse document this finding in the client's record?
a. Dysphonia
b. Apraxia
c. Dysarthria
d. Aphasia
5. While the client is sitting quietly, the thumb and index finger of the left hand are moving in a
circular motion. The nurse identifies this finding as which of the following problems?
a. A postural tremor
b. An intention tremor
c. Myoclonus
d. A resting tremor
6. Characteristics of the 12 cranial nerves include all of the following except that:
a. They facilitate specialized functions.
b. They emerge from within the cranium.
c. Each has motor and sensory functions.
d. They are paired.
7. What is the level of the spinal cord associated with the knee (patellar) deep tendon reflex?
a. S1
b. T9 and T10
c. T11 and T12
d. L2 to L4
8. What should the nurse assess to test the function of the frontal lobe?
a. Communication
b. Impulses from the ear
c. Tactile sensation
d. Ability to read
9. Which tests are appropriate for a nurse to perform to test cranial nerve VIII?
a. Clench the teeth, light touch, and sharp/dull discrimination
b. Gag reflex, rise of the uvula, and ability to swallow
c. Whisper, Rinne, and Weber tests
d. Smile, frown, show teeth, and puff out cheeks
10.The husband of a 65-year-old female tells the nurse, “My wife is having trouble navigating the
steps in our home and needs my help to step down off a curb.” What part of the nervous system
should the nurse assess for a potential source of the problem?
a. Temporal lobe
b. Deep tendon reflexes
c. Cranial nerves
d. Cerebellum
11.A nurse is working with a client who is victim of a gun shooting. The client has an increased pulse
rate and pupil dilation and is clearly in stress. The nurse recognizes the “fight-or-flight” response in
this client and understands that this represents an activation of which of the following?
a. Sympathetic nervous system [Show Less]