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Central Texas College NURSING 1115 Chapter 15: Neurological system 1)The nurse is preparing to assess a patient’s peripheral sensory function

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Central Texas College

NURSING 1115

Chapter 15: Neurological system

1)The nurse is preparing to assess a patient’s peripheral sensory function. Which assessment test would the nurse use?

A.            Light touch sensation

B.            Two-point discrimination

C.            Romberg

D.            Rinne’s

 

2.            Sensory neurological testing cannot realistically to be performed with children until they are:

A.            At least 6 months old

B.            Toddler’s

C.            Kindergarten age

D.            Middle school age

 

3.            Which statement regarding variations in neurological functioning is true?

A.            African-American adults have an enhanced reflex response.

B.            American Indian children tend to develop early motor skills more rapidly than other children.

C.            Asians have a greater sensation than do whites.

D.            The function of the neurological system is consistent across racial lines Rationale: Generally speaking, there is very little racial variation in regard to neurological function.

 

4.            The nurse assesses an active reflex response. Which score should be documented

A.            1+

B.            2+

C.            3+

D.            4+

 

5.            The nurse is assessing an older adult’s neurological status. The nurse should be aware that the neurological responses of older adults:

A.            Should be the same as those younger adults

B.            May be slower than those of younger adults

C.            Are present but difficult to evaluate

D.            Are enhanced as a result of irritability

 

6.            The nurse is assessing the olfactory nerve. Which instructions should the nurse give to the patient before assessment

A.            “Lie down on your back”

B.            “Close your eyes”

C.            “Close both of your nostrils”

D.            “Breath through your mouth”

 

 

7.            The nurses notices that a patient is able to understand what is said but has trouble formulating a response. The nurse suspects:

A.            Parkinson’s disease

B.            Gullain-Barre syndrome

C.            Receptive aphasia

D.            Expressive aphasia

 

8.            The nurse notes that the patient is able to touch each finger to his thumb in rapid sequence. This findings indicates that the patient:

A.            Has intact trochlear and abducens cranial nerves

B.            Has appropriate cerebellar function

C.            Has an intact spinal accessory nerve

D.            Has appropriate kinesthetic sensation

 

9.            The nurse is assessing a patient’s neurological status. Which assessment should the nurse perform. Select all that apply

A.            Romberg test

B.            Gullain-Barre syndrome

C.            Corneal reflex

D.            Mini-Mental state exam

 

10.          The nurse is assessing the olfactory nerve. Which instructions should the nurse give to the patient before assessment

A.            “Lie down on your back.”

B.            “Close your eyes”

C.            “Close both nostrils”

D.            “Breathe through your mouth.”