Neuro - Test Banks - Brunner & Suddarth's Textbook of Medical-Surgic
Nursing 14e Chapter 65 - 70
Study online at https://quizlet.com/_g0a3fx
1. 1. A patient is brought to B
the ER following a motor Feedback:
vehicle accident in which The posterior lobe of the cerebral hemisphere
he sustained head trauma. is responsible for visual interpretation. The
Preliminary assessment re- temporal lobe
veals a vision deficit in the contains the auditory receptive areas. The
patients left eye. The nurse parietal lobe contains the primary sensory
should associate this cortex, and is
abnormal finding with trau- essential to an individuals awareness of the
ma to which of the following body in space, as well as orientation in space
cerebral lobes? and spatial
A) Temporal relations. The frontal lobe functions in concen-
B) Occipital tration, abstract thought, information storage
C) Parietal or memory, and motor function.
D) Frontal
2. 2. A patient scheduled for B
magnetic resonance imag- Feedback:
ing (MRI) has arrived at the Patient preparation for an MRI consists of re-
radiology department. The moving all metal-containing objects prior to
nurse who prepares the pa- the
tient for the MRI should pri- examination. Withholding stimulants would
oritize which of the follow- not affect an MRI; this relates to an electroen-
ing actions? cephalography
A) Withholding stimulants (EEG). Instructing the patient to void is patient
24 to 48 hours prior to exam preparation for a lumbar puncture. Initiating an
B) Removing all metal-con- IV line
taining objects for administration of contrast would be done if
C) Instructing the patient to the patient was having a CT scan with con-
void prior to the MRI trast.
D) Initiating an IV line for ad-
ministration of contrast
3. 3. A gerontologic nurse B
planning the neurologic as- Feedback:
sessment of an older adult Reduction in cerebral blood flow (CBF) is
is considering normal, age a change that occurs in the normal aging
related changes. Of what process. Deep
phenomenon should the tendon reflexes can be decreased or, in some
, Neuro - Test Banks - Brunner & Suddarth's Textbook of Medical-Surgic
Nursing 14e Chapter 65 - 70
Study online at https://quizlet.com/_g0a3fx
nurse be aware? cases, absent. Cerebral metabolism decreas-
A) Hyperactive deep tendon es as the patient
reflexes advances in age. Reaction to painful stimuli
B) Reduction in cerebral may be decreased with age. Because pain is
blood flow an important
C) Increased cerebral me- warning signal, caution must be used when
tabolism hot or cold packs are used.
D) Hypersensitivity to
painful stimuli
4. 4. The nurse has admitted a B
new patient to the unit. One Feedback:
of the patients admitting or- The term adrenergic refers to the sympathetic
ders is for an nervous system. Sympathetic effects include
adrenergic medication. The an increased
nurse knows that this med- rate and force of the heartbeat. Cholinergic
ication will have what effect effects, which correspond to the parasympa-
on the circulatory thetic division of
system? the autonomic nervous system, include thin,
A) Thin, watery saliva watery saliva, decreased rate and force of
B) Increased heart rate heartbeat, and
C) Decreased BP decreased BP.
D) Constricted bronchioles
5. 5. A nurse is assessing re- C
flexes in a patient with hy- Feedback:
peractive reflexes. When the When reflexes are very hyperactive, a phe-
patients foot is abruptly nomenon called clonus may be elicited. If the
dorsiflexed, it continues to foot is abruptly
beat two to three times be- dorsiflexed, it may continue to beat two to
fore settling into a resting three times before it settles into a position of
position. How would the rest. Rigidity is
nurse document this find- an increase in muscle tone at rest charac-
ing? terized by increased resistance to passive
A) Rigidity stretch. Flaccidity is
B) Flaccidity lack of muscle tone. Ataxia is the inability to
C) Clonus coordinate muscle movements, resulting in
D) Ataxia difficulty
, Neuro - Test Banks - Brunner & Suddarth's Textbook of Medical-Surgic
Nursing 14e Chapter 65 - 70
Study online at https://quizlet.com/_g0a3fx
walking, talking, and performing self-care ac-
tivities.
6. 6. The nurse is doing an ini- B
tial assessment on a patient Feedback:
newly admitted to the unit Difficulty copying a figure that the nurse has
with a diagnosis of drawn would be considered visual-receptive
cerebrovascular accident aphasia, which involves the parietal-occipital
(CVA). The patient has diffi- area. Expressive aphasia, the inability to ex-
culty copying a figure that press oneself, is often
the nurse has drawn and associated with damage to the frontal area.
is diagnosed with visual-re- Receptive aphasia, the inability to understand
ceptive aphasia. What brain what someone
region is primarily involved else is saying, is often associated with dam-
in this deficit? age to the temporal lobe area.
A) Temporal lobe
B) Parietal-occipital area
C) Inferior posterior frontal
areas
D) Posterior frontal area
7. 7. What term is used to de- D
scribe the fibrous connec- Feedback:
tive tissue that hugs the The term meninges describes the fibrous con-
brain closely and extends nective tissue that covers the brain and spinal
into cord. The
every fold of the brains sur- meninges have three layers, the dura mater,
face? arachnoid, and pia mater. The pia mater is the
A) Dura mater innermost
B) Arachnoid membrane that hugs the brain closely and
C) Fascia extends into every fold of the brains surface.
D) Pia mater The dura mater,
the outermost layer, covers the brain and
spinal cord. The arachnoid, the middle mem-
brane, is
responsible for the production of cere-
brospinal fluid.
8.
, Neuro - Test Banks - Brunner & Suddarth's Textbook of Medical-Surgic
Nursing 14e Chapter 65 - 70
Study online at https://quizlet.com/_g0a3fx
8. The nurse is caring for a C
patient with an upper motor Feedback:
neuron lesion. What clinical Upper motor neuron lesions do not cause
manifestations should muscle atrophy, flaccid paralysis, or slow re-
the nurse anticipate when flexes. However, upper motor neuron lesions
planning the patients neuro- normally cause loss of voluntary control.
logic assessment?
A) Decreased muscle tone
B) Flaccid paralysis
C) Loss of voluntary control
of movement
D) Slow reflexes
9. 9. The nurse is admitting a D
patient to the unit who is di- Feedback:
agnosed with a lower motor Lower motor neuron lesions cause flaccid
neuron lesion. What muscle paralysis, muscle atrophy, decreased
entry in the patients elec- muscle tone, and
tronic record is most con- loss of voluntary control.
sistent with this diagnosis?
A) Patient exhibits in-
creased muscle tone.
B) Patient demonstrates
normal muscle structure
with no evidence of atrophy.
C) Patient demonstrates hy-
peractive deep tendon re-
flexes.
D) Patient demonstrates an
absence of deep tendon re-
flexes.
10. 10. An elderly patient is be- D
ing discharged home. The Feedback:
patient lives alone and has The sense of smell deteriorates with age. The
atrophy of his olfactory olfactory organs are responsible for smell.
organs. The nurse tells the This may
patients family that it is es- present a safety hazard for the patient be-
sential that the patient have cause he or she may not smell smoke or gas
