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Neurological Assessment Case Study Exam Questions and Answers
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Neurological Assessment Case Study Exam Questions and Answers The nurse begins the admission assessment with the collection of assessment data that is immediately entered into the electronic health record (EHR). When eliciting data about possible neurological problems, what information should t...

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  • October 22, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • neurological assessment case study exam questions

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  • Neurological Assessment
  • Neurological Assessment

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Neurological Assessment Case Study Exam Questions
and Answers


The nurse begins the admission assessment with the collection of assessment data that is immediately

entered into the electronic health record (EHR).




When eliciting data about possible neurological problems, what information should the nurse obtain

from the client? (Select all that apply. One, some, or all options may be correct.)




A. Any difficulty speaking or swallowing.


B. Ever hear voices that no one else hears.


C. Headache frequency and location.


D. Any numbness,tingling, or weakness of extremities.


E. Did the head hit the floor with syncopal episode - Ans:✔✔-A, C, D, E




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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Speech or swallowing difficulties are changes that are associated with an increased risk of stroke.

Headaches can indicate hypertension or intracranial bleeding. Sensory function is an important

component of a neurological assessment because loss of sensation may indicate a stroke or neuropathy.

Loss of consciousness, confusion, and intracranial bleeding can occur as a result of a head injury, so the

nurse should determine whether the client sustained a head injury. The nurse needs to examine the

client for raccoon eyes or a battle sign to rule out a skull fracture. Also, the nurse should note and report

any drainage from eyes, ears,and/or nose to make sure that it is not spinal fluid leaking. Check for "halo

sign" on bed linens, which could also indicate CSF leakage.


Based on the client's recent history of loss of consciousness and falling, what additional assessment

takes priority?




A. Pedal pulse volume.


B. Deep tendon reflexes.


C. Two-point discrimination.


D. Blood pressure and heart rate and rhythm - Ans:✔✔-D. Blood pressure and heart rate and rhythm




Hypotension and bradycardia can cause a loss of consciousness. Bradycardia may also be a sign of

increased intracranial pressure.If the client has hypertension, it places the client at increased risk for a
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




hemorrhagic stroke. If the client has cardiac irregularity, such as atrial fibrillation, the client should be

evaluated and treated to prevent an embolic stroke.


To determine what happened to the client prior to the loss of consciousness, the nurse should obtain

what information from the client? (Select all that apply. One, some, or all options may be correct.)




A. Ask the client to stick out their tongue.


B. Ask the client if they ever feel lightheaded or dizzy.


C. Ask the client if they have any problems with smell.


D. Ask the client if the dizziness occurs when they change positions.


E. Ask the client if they felt like the room was suddenly spinning before the fell - Ans:✔✔-B, D, E




B - This could indicate poor cerebral perfusion due to hypotension or carotid occlusion, which could

cause loss of consciousness.




D - Postural hypotension occurs with position changes and may cause a client to fall when moving from a

lying to sitting position.


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