Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
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Chapter 33- Patient Assessment- Nervous System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is conducting tests of a patient’s cerebellar synchronization of movement with balance. What result of the finger-to-nose test would indicate cerebellar dysfunction? | |
| A) | The patient has trouble understanding the nurse’s instructions. | |
| B) | The patient cannot reach his or her nose due to restricted range of motion in the elbow. | |
| C) | The patient overshoots when trying to touch his or her nose. | |
| D) | The patient cannot touch his or her nose due to a trembling hand. | |
| 2. | A neurologist who is testing a patient for neurological deficits has her close her eyes and then hands her a stethoscope. He asks her to identify the object by touch, but she cannot do so. The nurse, observing this result, should suspect possible damage to which part of the brain? | |
| A) | Cerebellum | |
| B) | Temporal lobe | |
| C) | Frontal lobe | |
| D) | Parietal lobe | |
| 3. | A nurse is assessing the plantar reflex in a patient. Which of the following results would indicate abnormal response and a possible lesion in the pyramidal tract? Select all that apply. | |
| A) | Plantar flexion of all toes | |
| B) | Dorsiflexion of the big toe with fanning of the other toes | |
| C) | No response at all | |
| D) | Dorsiflexion of the big toe without fanning of the other toes | |
| E) | Ticklishness | |
| 4. | A patient admitted to the ICU following a car accident in which she suffered multiple traumatic injuries. She has a fever of 101°F and complains of headache. When the physician tries to examine her eyes with a bright light, she jerks away. The nurse suspects meningeal irritation. What other signs would likely accompany this condition? Select all that apply. | |
| A) | Nuchal rigidity | |
| B) | Drainage of cerebrospinal fluid from the nose | |
| C) | Drainage of cerebrospinal fluid from the ear | |
| D) | Bruising over the mastoid areas | |
| E) | Pain in the neck when the thigh is flexed and the leg is extended at the knee | |
| F) | Involuntary flexion of the hips when the neck is flexed toward the chest | |
| 5. | A patient suffered damage to cranial nerve VIII in a jet ski accident. What symptom or symptoms should the nurse tell the patient to expect? Select all that apply. | |
| A) | Loss of the sense of smell | |
| B) | Partial blindness in one eye | |
| C) | Paralysis of face muscles on one side of the face | |
| D) | Tinnitus | |
| E) | Dizziness | |
| F) | Inhibited ability to move the tongue | |
Answer Key
| 1. | C |
| 2. | D |
| 3. | B, D |
| 4. | A, E, F |
| 5. | D, E |
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