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EXAM 5 - final- Neuro and Musculoskeletal quiz
Terms in this set (15)
a nurse is assessing patient who has Ataxia which of the following actions should the nurse take to evaluate the patient ability to safely ambulate
B. Perform a Romberg's test.
The scale assesses patients according to three aspects of responsiveness:
eye-opening, motor, and verbal responses.
Match the cranial nerve to its function
movement of the tongue
lateral movement of the eye
hearing and equilibrium
talking, swallowing, and sensory information from pharynx and carotid sinus
extraocular movement, pupil constriction, down and inward movement of the eye
mastication and sensation of face, scalp, cornea
phonation, swallowing, tasting on the posterior third of tongue
movement of trapezius and sternomastoid muscles
down and inward movement of the eye
tasting on the anterior two thirds of tongue, closing eyes
A positive Babinski sign is
Dorsiflexion of the big toe and fanning of all toes
A nurse is caring for a patient who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first to assess the patient's pain level?
D. A self-report pain rating scale
Patients who have Parkinson disease usually have which of the following characteristic styles of speech?
A nurse on an oncology unit is assessing a child who has a brain tumor. Which of the following findings should the nurse expect?
A nurse is assessing a patient who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?
The patient needs total nursing care.
A nurse is admitting an older adult patient who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment?
Mental status examination (MSE)
A nurse is caring for a male patient who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?
inability to recognize his family members
To test for stereognosis, you would:
Place coin in the person's hand and ask him or her to identify it.
Cerebellar function is assessed by which of the following?
coordination—hopping on one foot
A nurse is assessing a patient's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?
checking the pupillary response to light
A nurse is caring for a patient who has dementia. When performing a Mental Status Evaluation (MSE), the nurse should include which of the following data? (Select all that apply.)
Ability to perform calculations
Recall abilityLong-term memory
level of orientation
A nurse is assessing a patient following a head injury and a brief loss of consciousness. Which of the following findings should the nurse report to the provider?
Small drops of clear fluid in left ear
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