Chapter 27: Neurologic Disorders

Introduction To Medical Surgical Nursing, 6th Edition by Linton

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Chapter 27: Neurologic Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. To what does the neural synapse refer?
a. Length of time it takes for afferent neurons to carry impulses to the central nervous system (CNS)
b. Length of time it takes for efferent neurons to carry impulses to the motor neurons
c. Space between the axons and the dendrites of a neuron
d. Space between the axons of one neuron and the dendrites of the next

 

 

ANS:  D

Smooth, coordinated transmission must travel from one neuron to another across the neural synapse.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 436             OBJ:   N/A

TOP:   Anatomy and Physiology of the Central Nervous System (CNS)

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

  1. An older adult patient is experiencing extreme stress related to an admission to the hospital. What should the nurse expect the patient to demonstrate?
a. Decreased heart rate
b. Decreased blood pressure (BP)
c. Irregular respiration
d. Dilation of the pupils

 

 

ANS:  D

Stress stimulates the fight-or-flight reaction with the release of epinephrine and norepinephrine, which causes increased heart rate and BP, reduced peristalsis, and pupil dilation.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 438-440      OBJ:   1

TOP:   Effects of Sympathetic Nervous System

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

  1. Which neurologic finding would be considered abnormal in an 88-year-old patient?
a. Slow papillary response to light
b. Jerky eye movements
c. Dizziness and problems with balance
d. Absence of the Achilles tendon jerk

 

 

ANS:  C

Dizziness and vertigo, although common, are considered abnormal.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 439             OBJ:   1

TOP:   Age-Related Neurologic Changes     KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

  1. What is the most reliable indicator of neurologic status?
a. Blood pressure
b. Pulse rate
c. Temperature
d. Level of consciousness

 

 

ANS:  D

The ability to respond readily and correctly to person, place, and time is good evidence of intact sensorium.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 443             OBJ:   3

TOP:   Neurologic Assessment                   KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

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