Part 1
What are the 2 parts of the nervous system?
Central and peripheral
The peripheral nerves carry input to the central nervous system by ______ fibers and away from the central nervous system by ______ fibers
afferent; efferent
A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has noticed for the past week. The nurse should perform which type of neurologic examination?
Complete neurologic examination
a 41-year-old woman with a history of diabetes. When testing her ability to feel the vibrations of a tuning fork, the nurse notices that the patient is unable to feel vibrations on the great toe or ankle bilaterally, but she is able to feel vibrations on both patellae. Given this information, what would the nurse suspect?
Peripheral neuropathy
The nurse is testing superficial reflexes on an adult patient. When stroking up the lateral side of the sole and across the ball of the foot, the nurse notices the plantar flexion of the toes. How should the nurse document this finding?
Plantar reflex present
What part of the cerebral lobe is responsible for emotions
Frontal
A patient has a head injury resulting from trauma and is unconscious. There are no other injuries. During the assessment what would the nurse expect to find when testing the patient’s deep tendon reflexes?
Reflexes will be normal.
asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. These findings indicate dysfunction of which cranial nerve(s)?
Motor component of CN VII
The nurse places a key in the hand of a patient and he identifies it as a penny. What term would the nurse use to describe this finding?
Stereognosis
To test for gross motor skill and coordination of a 6-year-old child, which of these techniques would be appropriate?
Have the child hop on one foot.
The hypothalamus controls ---------
body temperature and regulates sleep
During the taking of the health history, a patient tells the nurse that “it feels like the room is spinning around me.” How should the nurse document this finding?
Vertigo
Patient moves the head and shoulders against resistance with equal strength, what CN is intact?
CN XI
The nurse is testing the deep tendon reflexes of a 30-year-old woman who is in the clinic for an annual physical examination. When striking the Achilles heel and quadriceps muscle, the nurse is unable to elicit a reflex. How should the nurse proceed?
Ask the patient to lock her fingers and pull.
During an assessment of a 22-year-old woman who sustained a head injury from an automobile accident 4 hours earlier, the nurse notices the following changes: pupils were equal, but now the right pupil is fully dilated and nonreactive, and the left pupil is 4 mm and reacts to light. What do these findings suggest?
Increased intracranial pressure
area of the nervous system that responsible for mediating reflexes
Spinal cord
When taking the health history on a patient with a seizure disorder, the nurse assesses whether the patient has an aura. Which of these would be the best question for obtaining this information?
“Do you have any warning sign before your seizure starts?”
a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. How should the nurse document this finding?
+ Romberg sign
In assessing a 70-year-old patient who has had a recent cerebrovascular accident, the nurse notices right-sided weakness. What might the nurse expect to find when testing his reflexes on the right side?
Hyperactive reflexes
During an assessment of a 62-year-old man, the nurse notices the patient has a stooped posture, shuffling walk with short steps, flat facial expression, and pill-rolling finger movements. What do these findings suggest?
Parkinsonism
Which area of the brain...deals with balance and coordination
Cerebellum
In obtaining a health history on a 74-year-old patient, the nurse notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold things. With this information, what response should the nurse make?
“Does the tremor change when you drink alcohol?”
The nurse is performing an assessment on a 29-year-old woman who visits the clinic reporting “always dropping things and falling down.” While testing rapid alternating movements, the nurse notices that the woman is unable to pat both of her knees. Her response is extremely slow and she frequently misses. What should the nurse suspect?
Dysfunction of the cerebellum
When the nurse is testing the triceps reflex, what is the expected response?
Extension of the forearm
The nurse is reviewing a patient’s medical record and notes that he is in a coma. Using the Glasgow Coma Scale, which number indicates that the patient is in a coma?
6