Chapter 34--Assessment of Neurological Function

Chapter 34–Assessment of Neurological Function

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client is scheduled for surgery to fuse the vertebra in the lumbar region of the spine. The nurse should instruct the client that the number of vertebra being affected by this surgery would be:

1.	7.
2.	12.
3.	5.
4.	4.

 

 

ANS:  3

There are 5 vertebra in the lumbar spine region. This is what the nurse should instruct the client as being fused during the surgery. There are 7 cervical vertebra, 12 thoracic, and 4 coccygeal fused into one.

 

PTS:   1                    DIF:    Apply            REF:   Central Nervous System: Bones

 

2. A client has sustained a cerebral injury that is applying pressure to the corpus callosum. The nurse realizes that which of the following might occur with this client?

1.	Temporary blindness
2.	Temporary inability to talk
3.	Temporary inability to walk
4.	Temporary miscommunication between the sides of the brain

 

 

ANS:  4

The corpus callosum allows the two hemispheres of the brain to communicate. An injury to this area could cause the client to experience temporary miscommunication between the sides of the brain. Pressure on this region may or may not lead to temporary blindness, the inability to talk, or the inability to walk.

 

PTS:   1                    DIF:    Analyze         REF:   Brain

 

3. A client is recovering from an injury to the frontal lobe of the brain. The nurse realizes that which of the following will be affected by this injury?

1.	Higher intellectual functioning
2.	Visual perception
3.	Coordination
4.	Respiratory rate

 

 

ANS:  1

The major function of the frontal lobe of the cerebral hemisphere is high-level cognitive activity. This is what will be affected in the client with an injury to the frontal lobe. Visual perception occurs in the occipital lobe. Coordination occurs from the cerebellum. Respiratory rate is controlled by the brainstem.

 

PTS:   1                    DIF:    Analyze         REF:   Figure 34-6 The Lobes of the Brain

 

4. A client is recovering from a cerebral bleed which is placing pressure on the hypothalamus. Which of the following will the nurse most likely assess in this client?

1.	Variations in body temperature
2.	Blindness
3.	Alteration in speech
4.	Uncoordinated body movements

 

 

ANS:  1

The hypothalamus regulates temperature of the body. Pressure from a cerebral bleed on the hypothalamus could cause variations in the client’s body temperature. Pressure to the hypothalamus will not cause blindness, alterations in speech, or uncoordinated body movements.

 

PTS:   1                    DIF:    Apply            REF:   Diencephalon

 

5. A client recovering from a cerebral vascular accident is having difficulty remembering how to chew food. The nurse realizes that which of the following cranial nerves could be affected in this client?

1.	IX
2.	X
3.	XI
4.	V

 

 

ANS:  4

Cranial nerve V or Trigeminal nerve has three branches. The mandibular branch innervates the muscles for chewing. Cranial nerve IX glossopharyngeal innervates the muscles of swallowing. Cranial nerve X innervates the gastrointestinal tract through parasympathetic tracts of the nerve. Cranial nerve XI innervates the muscles of the neck for movement.

 

PTS:   1                    DIF:    Analyze         REF:   Table 34-2 Cranial Nerves