Neurological Function
Which cranial nerve is responsible for the movement of the shoulder and some neck muscles?
Accessory nerve (cranial nerve XI)
What is an expected manifestation for a patient experiencing a migraine headache?
A. Bilateral pain
B. Sweaty skin
C. Photophobia
D. Lethargy
C. Photophobia
Which diagnostic procedure should be performed immediately when a patient arrives to the ED with symptoms of stroke?
A. 12 lead ECG
B. Magnetic Resonance Imaging
C. Coagulation panel
D. Computed Tomography scan
D. Computed Tomography scan
Which of the following symptoms describes the typical aura associated with a complex-partial seizure?
A. Sparks, color fluctuations
B. Metallic taste in the mouth
C. Unusual smells
D. All the above
D. All the above
When assessing cranial nerve XII in a patient, which task should the nurse ask the patient to perform?
A. Focus the gaze on a distant object
B. Stand still with eyes closed
C. Turn head side to side
D. Stick out the tongue
D. Stick out the tongue
Which of the following is not a common trigger for headaches?
A. Caffeine
B. Lack of sleep
C. Stress and anxiety
D. Environmental allergies
A. Caffeine
The client with a stroke has residual dysphagia. When a diet order is initiated, which of the following should be avoided?
A. Giving the client thin liquids
B. Thickening liquids to the consistency of oatmeal
C. Placing food on the unaffected side of the mouth
D. Allowing plenty of time for chewing and swallowing
A. Giving the client thin liquids
A female client is having a tonic-clonic seizure. What should the nurse do first?
a. Elevate the head of the bed.
b. Restrain the client's arms and legs.
c. Place a tongue blade in the client's mouth.
d. Take measures to prevent injury.
d. Take measures to prevent injury
A patient is admitted with a diagnosis of meningitis. Which is the most likely finding?
A. Tachypnea
B. Bradycardia
C. Normal body temperature
D. Nuchal rigidity
D. Nuchal rigidity (neck stiffness)
Which non-pharmacological intervention can a nurse do to assist a patient who is experiencing a migraine?
A. Offer foods high in tyramine
B. Provide aromatherapy and relaxation techniques
C. Maintain a dark and quiet environment
D. Assist patient to lie flat
C. Maintain a dark and quiet environment
Strokes in this hemisphere can cause damage to speech and math comprehension.
What are left-brain strokes?
Which of the following best describes the term epilepsy?
A. A seizure that involves both sides of the brain simultaneously from onset and results in loss of consciousness
B. 30 minutes or more of uninterrupted seizure activity
C. A chronic recurring abnormal brain electrical activity resulting in two or more seizures
D. Any type of seizure resulting from known/identifiable causes such alcohol withdrawal
C. A chronic recurring abnormal brain electrical activity resulting in two or more seizures.
Your patient has an order for cerebral angiogram. What should be the nurse's responsibility before the procedure?
A. Allow patient to eat a full meal
B. Assess patient for contrast allergies
C. Patient should lie flat for 30 mins prior to procedure
D. Have patient remove all metal objects
B. Assess patient for contrast allergies
When a patient is experiencing a cluster headache, the nurse will plan to assess for
a. Nuchal rigidity.
b. Projectile vomiting.
c. Unilateral eyelid drooping.
d. Throbbing, bilateral facial pain.
c. unilateral eyelid drooping
Strokes in this hemisphere can result in impaired judgement, sense of time and attention span.
What are right-brain strokes?
Which of the following is a risk factor for seizures?
A. Atherosclerosis
B. Hypoventilation
C. Substance withdrawal
D. Diabetes Mellitus
C. Substance withdrawal