Neurological Nursing Quiz

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Questions and Answers

What does unequal, pinpoint, or non-reactive pupils indicate in terms of neurologic assessment?

Need for emergency attention

Improvement from stuporous state

Normal neurologic function

Neurologic impairment (correct)

When is an antihistamine pretest dose given to clients in the case of a contrast study?

Clients with allergies (correct)

Clients with anxiety

Clients with diabetes

Clients with hypertension

What is the appropriate documentation for a client with falling blood pressure, heart rate, and no motor response?

Flaccidity (correct)

Ataxia

Rigidity

Spasticity

What does a Glasgow Coma Scale score of 9 indicate?

Need for emergency attention Signup and view all the answers

What does a somnolent state indicate in terms of neurologic assessment?

Drowsiness Signup and view all the answers

What does cerebral angiography monitor the status of?

Cerebral aneurysm Signup and view all the answers

Which brain lobe is considered in the case of significant visual deficits and a suspected brain tumor?

Occipital lobe Signup and view all the answers

What is the term for pupils that are equal, round, and reactive to light?

PERRLA Signup and view all the answers

What is the term for a state of unconsciousness from which a person cannot be aroused?

Coma Signup and view all the answers

What is the term for the absence of muscle tone?

Flaccidity Signup and view all the answers

What is the term for the inability to coordinate muscle movements?

Ataxia Signup and view all the answers

What type of clients receive an antihistamine pretest dose in the case of a contrast study?

Clients with allergies Signup and view all the answers

What is the most appropriate nursing action to collect motor response data from a comatose client?

Observing the client's response to painful stimuli Signup and view all the answers

What post-procedure activity is most appropriate after a scheduled electroencephalogram (EEG)?

Allow the client to wash hair and rest Signup and view all the answers

What is the purpose of the Romberg test in nursing assessment?

Assess equilibrium in a comatose client Signup and view all the answers

What does monitoring sensitivity to temperature, touch, and pain assess in a client?

Sensory function Signup and view all the answers

What is the covering of axons known as?

Myelin sheath Signup and view all the answers

What does stress cause the liver to convert glycogen into?

Glucose Signup and view all the answers

How should the nurse assess neck rigidity?

Move the client's head and chin toward the chest Signup and view all the answers

What does a Glasgow Coma Scale score of 6 indicate?

Comatose Signup and view all the answers

What is a lumbar puncture used to measure in clients with neurologic disorders?

Cerebrospinal fluid (CSF) pressure Signup and view all the answers

Which cranial nerve is assessed when the nurse asks a client to stick out their tongue?

Cranial nerve XII (hypoglossal nerve) Signup and view all the answers

What does the sympathetic nervous system mobilize stored glycogen to during stress?

Glucose Signup and view all the answers

When is neck rigidity especially important to assess?

In clients with suspected head or neck injury Signup and view all the answers

What does a Glasgow Coma Scale score of 7 or less indicate?

Comatose Signup and view all the answers

What is a lumbar puncture used to obtain and measure in the subarachnoid space?

Cerebrospinal fluid (CSF) pressure Signup and view all the answers

What is cranial nerve XII responsible for?

Movement of the tongue Signup and view all the answers

What does the sympathetic nervous system mobilize stored glycogen to prepare the body for during stress?

Energy production Signup and view all the answers

What is the appropriate nursing action for assessing motor response in a comatose client?

Observing the client's response to painful stimuli Signup and view all the answers

What does the Romberg test assess?

Equilibrium in a noncomatose client Signup and view all the answers

What is the purpose of monitoring sensitivity to temperature, touch, and pain in a comatose client?

Evaluating sensory function of the client Signup and view all the answers

What is the most appropriate post-procedure activity for a client who undergoes a scheduled electroencephalogram (EEG)?

Allow the client to wash hair and rest Signup and view all the answers

What is the function of cranial nerve XI?

Involved in head and shoulder movement Signup and view all the answers

What should a nurse aide avoid doing for a client with head trauma?

Moving the client's head Signup and view all the answers

What is the purpose of a lumbar puncture (LP)?

To obtain cerebrospinal fluid (CSF) Signup and view all the answers

What is a concern related to cloudy cerebrospinal fluid (CSF) in a lumbar puncture?

Infection Signup and view all the answers

How is shampoo used in neurological nursing?

To remove paste from electroencephalogram electrodes Signup and view all the answers

What is the function of the medulla oblongata?

Transmits motor impulses and sensory impulses Signup and view all the answers

What does the Romberg test involve?

Standing erect with eyes closed Signup and view all the answers

What is a common emotion experienced by clients diagnosed with multiple sclerosis?

Overwhelming Signup and view all the answers

What imaging technique uses x-rays and computer analysis for 3D views?

Computer tomography (CT) Signup and view all the answers

What is the normal cerebrospinal fluid (CSF) pressure in a lumbar puncture?

80-100 mm H20 Signup and view all the answers

How is electroencephalogram paste removed?

With shampoo Signup and view all the answers

What is the role of the medulla oblongata in transmitting impulses?

Motor and sensory impulses Signup and view all the answers

What is the responsibility of cranial nerve VI?

Responsible for eye movement Signup and view all the answers

What is the function of the parasympathetic nervous system?

Conserves body energy and does not expend it during an emergency Signup and view all the answers

What does flaccidity in a client post-resection of a brain tumor indicate?

Lack of motor response to stimuli Signup and view all the answers

What is the responsibility of cranial nerve VIII?

Responsible for hearing and balance Signup and view all the answers

What does the sympathetic nervous system regulate during emergency situations?

Expenditure of energy and delivery of blood flow and oxygen to the brain, muscles, and lungs Signup and view all the answers

What is the potential side effect of single-photon emission computed tomography (SPECT)?

Allergic reaction to the imaging material Signup and view all the answers

What are neurons responsible for?

Transmitting impulses from the central nervous system Signup and view all the answers

What should the nurse ensure after an EEG?

Rest for the sleep-deprived client and allow the client to wash hair to remove the glue used to affix electrodes Signup and view all the answers

What does a spinal cord insult that slows transmission of motor neurons lead to?

Delayed reaction in response due to interrupted impulses from the central nervous system Signup and view all the answers

What do sensory neurons transmit to the central nervous system?

Impulses allowing identification of a stimulus Signup and view all the answers

What do motor neurons transmit?

Impulses from the central nervous system Signup and view all the answers

What is the potential side effect of an EEG?

Skin irritation from the affixed electrodes Signup and view all the answers

What is the covering of axons known as?

Myelin Signup and view all the answers

What does the liver convert glycogen to during stress for immediate energy?

Glucose Signup and view all the answers

How should the nurse assess neck rigidity?

Move the client's head and chin toward the chest Signup and view all the answers

What does a Glasgow Coma Scale score of 6 indicate?

Comatose Signup and view all the answers

What is a lumbar puncture used to measure in clients with neurologic disorders?

Cerebrospinal fluid (CSF) pressure Signup and view all the answers

Which cranial nerve is assessed when the nurse asks a client to stick out their tongue?

Cranial nerve XII (Hypoglossal nerve) Signup and view all the answers

What does the sympathetic nervous system mobilize stored glycogen to during stress?

Glucose Signup and view all the answers

When should neck rigidity be carefully assessed?

If there is a suspected head or neck injury Signup and view all the answers

What does a Glasgow Coma Scale score of 7 or less indicate?

Comatose Signup and view all the answers

What is measured in the subarachnoid space during a lumbar puncture?

Cerebrospinal fluid (CSF) pressure Signup and view all the answers

What is the function of cranial nerve XII, the hypoglossal nerve?

Movement of the tongue Signup and view all the answers

What does the sympathetic nervous system mobilize stored glycogen to during stress?

Glucose Signup and view all the answers

What is the responsibility of the sympathetic nervous system?

Regulates the expenditure of energy and delivers blood flow and oxygen to the brain, muscles, and lungs during emergency situations Signup and view all the answers

What does cranial nerve VIII, the vestibulocochlear or auditory nerve, control?

Hearing and balance Signup and view all the answers

What is the role of motor neurons in the nervous system?

Transmit impulses from the central nervous system Signup and view all the answers

What is the function of sensory neurons in the central nervous system?

Transmit impulses to the central nervous system, allowing identification of a stimulus Signup and view all the answers

What does flaccidity in a client post-resection of a brain tumor indicate?

Lack of motor response to stimuli Signup and view all the answers

What is the potential side effect of single-photon emission computed tomography (SPECT)?

Allergic reaction to the imaging material Signup and view all the answers

What is the responsibility of the parasympathetic nervous system?

Conserves body energy and does not expend it during an emergency Signup and view all the answers

What is the function of cranial nerve VI, the abducens nerve?

Responsible for eye movement Signup and view all the answers

What is the role of the sympathetic nervous system during emergency situations?

Regulates the expenditure of energy and delivers blood flow and oxygen to the brain, muscles, and lungs Signup and view all the answers

What does the nurse assess when evaluating the function of cranial nerve VIII?

Hearing difficulty Signup and view all the answers

What does the sympathetic nervous system regulate during emergency situations?

Expenditure of energy and delivery of blood flow and oxygen Signup and view all the answers

What is the potential side effect of an EEG?

Allergic reaction to the electrode glue Signup and view all the answers

What is the purpose of shampoo in neurological nursing?

To remove paste from electroencephalogram electrodes Signup and view all the answers

What does the Romberg test involve?

Standing erect with eyes closed Signup and view all the answers

What is the concern related to cloudy cerebrospinal fluid (CSF) in a lumbar puncture?

Infection Signup and view all the answers

What is the role of cranial nerve XI in neurological nursing?

Involved in head and shoulder movement Signup and view all the answers

What is the function of the medulla oblongata in neurological nursing?

Transmits motor and sensory impulses Signup and view all the answers

What imaging technique uses x-rays and computer analysis for 3D views?

Computer tomography (CT) Signup and view all the answers

What is a potential concern for a client diagnosed with multiple sclerosis?

Overwhelming diagnosis Signup and view all the answers

What is the normal cerebrospinal fluid (CSF) pressure in a lumbar puncture?

80-100 mm H2O Signup and view all the answers

What is the role of lumbar puncture in neurological nursing?

Obtaining cerebrospinal fluid (CSF) Signup and view all the answers

What is the role of cranial nerve XII, the hypoglossal nerve?

Controls tongue movements Signup and view all the answers

What is the purpose of computer tomography (CT) in neurological nursing?

Obtaining thin 'slices' of the body Signup and view all the answers

What is the role of the nurse aide in managing clients with head trauma?

Should not move the head of a client with head trauma Signup and view all the answers

What does the sympathetic nervous system regulate?

Expenditure of energy and delivery of blood flow and oxygen during emergency situations Signup and view all the answers

What does flaccidity in a client post-resection of a brain tumor indicate?

Lack of motor response to stimuli Signup and view all the answers

What is the responsibility of cranial nerve VIII?

Hearing and balance Signup and view all the answers

What does the parasympathetic nervous system conserve during emergency situations?

Body energy Signup and view all the answers

What is the potential side effect of single-photon emission computed tomography (SPECT)?

Allergic reaction to the imaging material Signup and view all the answers

What do sensory neurons do?

Transmit impulses to the central nervous system Signup and view all the answers

What do motor neurons do?

Transmit impulses from the central nervous system Signup and view all the answers

What does a spinal cord insult that slows transmission of motor neurons lead to?

Delayed reaction in response due to interrupted impulses from the central nervous system Signup and view all the answers

What does an EEG require the client to do after the procedure?

Ensure rest for the sleep-deprived client and allow the client to wash hair to remove the glue used to affix electrodes to the scalp Signup and view all the answers

What does the sympathetic nervous system deliver during emergency situations?

Blood flow and oxygen to the brain, muscles, and lungs Signup and view all the answers

What does the parasympathetic nervous system do during emergency situations?

Does not expend body energy Signup and view all the answers

What is the responsibility of cranial nerve VI?

Eye movement Signup and view all the answers

Study Notes

Neurologic Assessment and Nursing Care

A client's delayed response and drowsiness indicates a somnolent state, an improvement from stuporous.
A Glasgow Coma Scale score of 9 indicates the need for emergency attention.
Unequal, pinpoint, or non-reactive pupils indicate neurologic impairment.
Cerebral angiography is used to monitor the status of a cerebral aneurysm.
In the case of a contrast study, clients with allergies receive an antihistamine pretest dose.
Flaccidity is the appropriate documentation for a client with falling blood pressure, heart rate, and no motor response.
The visual receiving area in the brain is the occipital lobe, which is considered in the case of significant visual deficits and a suspected brain tumor.

Neurological Nursing Review

After an EEG, the nurse should ensure rest for the sleep-deprived client and allow the client to wash hair to remove the glue used to affix electrodes to the scalp.
Single-photon emission computed tomography (SPECT) may cause a potential side effect of allergic reaction to the imaging material due to the intravenous administration of radiopharmaceuticals and radioisotopes.
Neurons are either sensory or motor, with motor neurons transmitting impulses from the central nervous system.
Flaccidity in a client post-resection of a brain tumor indicates a lack of motor response to stimuli.
A spinal cord insult that slows transmission of motor neurons would lead to a delayed reaction in response due to interrupted impulses from the central nervous system.
The sympathetic nervous system regulates the expenditure of energy and delivers blood flow and oxygen to the brain, muscles, and lungs during emergency situations.
The nurse would assess the function of cranial nerve VIII to evaluate hearing difficulty in a client experiencing hearing issues.
Sensory neurons transmit impulses to the central nervous system, allowing identification of a stimulus.
Cognitive centers of the brain interpret information transferred from the environment.
The parasympathetic nervous system conserves body energy and does not expend it during an emergency.
Cranial nerve VIII, the vestibulocochlear or auditory nerve, is responsible for hearing and balance.
Cranial nerve VI is the abducens nerve responsible for eye movement.

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Description

Test your knowledge of neurological nursing with this quiz covering key points such as cranial nerves, diagnostic procedures, and patient care for conditions like head trauma and multiple sclerosis.