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A series of multiple-choice questions related to the nervous system, specifically designed for nursing students. It covers topics such as sensory nerve columns, seizure characteristics, cranial nerve function, and neurological examination techniques. The questions require students to apply their knowledge of neuroanatomy and physiology to clinical scenarios, enhancing their diagnostic and critical-thinking skills. An answer key for self-assessment and review, making it a valuable resource for exam preparation and reinforcing key concepts in neurological nursing. It is useful for nursing students to test their knowledge and understanding of the nervous system.
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1.A patient has an injury that affects the posterior sensory nerve columns of the spinal cord. What will the nurse most likely assess in this patient? (Select all that apply.) A) Alteration in the perception of position B) Changes in the perception of vibration C) Change in pain perception D) Alteration in temperature sense E) Loss of depth perception 2.During the health history of the nervous system, a patient tells the nurse about being diagnosed with grand mal seizures. What should the nurse ask the patient to determine characteristic symptoms of the seizures? A) “At what age did the seizures begin?” B) “When was the last seizure?” C) “How often do the seizures occur?” D) “What occurs after the seizure?” 3.A patient being prepared for a nervous system examination is observed sitting quietly; however, the thumb and index finger of the left hand are moving in a circular motion. The nurse identifies this hand activity as being: A) A postural tremor B) An intention tremor C) Myoclonus D) A resting tremor 4.An older patient with a change in mental status is clenching the jaw closed to avoid taking a prescribed oral medication. The patient is demonstrating the motor function of which cranial nerve? A) Trigeminal B) Facial C) Glossopharyngeal D) Vagus 5.During an assessment of the cranial nerves, a patient tells the nurse of not being able to taste sweet or salty foods. The nurse should focus additional assessment on which cranial nerve? A) I B)V C)VII D) XII
6.The nurse asks a patient to flex and extend the right elbow as part of which screening neurologic examination? A) Sensory system B) Motor system C) Cranial nerves D) Reflexes 7.The nurse is preparing to assess a patient's cranial nerves using a screening neurologic examination. What will the nurse include in this assessment? (Select all that apply.) A) Visual acuity B) Eye movements C) Hearing D) Finger proprioception E) Facial strength 8.A patient recovering from a stroke has no eye or verbal response and withdraws from painful stimuli. How would the nurse score these responses using the Glasgow Coma Scale? A) 6 B) 8 C) 10 D) 12 9.A patient's patellar reflex is normal for the right side but diminished on the left. How will the nurse document this finding? A) Right knee +1; Left knee 0 B) Right knee +2; Left knee + C) Right knee +3; Left knee + D) Right knee +4; Left knee + 10.After a nervous system examination, the nurse determines that patient is at risk for a stroke. What should the nurse instruct the patient at this time? (Select all that apply.) A) The importance of smoking cessation B) Taking prescribed antihypertensive medication C) Reducing exercise D) The warning signs of a stroke E) Control blood glucose levels in diabetes