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?

    <p>Need for emergency attention</p> Signup and view all the answers

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

    <p>Drowsiness</p> Signup and view all the answers

    What does cerebral angiography monitor the status of?

    <p>Cerebral aneurysm</p> Signup and view all the answers

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

    <p>Occipital lobe</p> Signup and view all the answers

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

    <p>PERRLA</p> Signup and view all the answers

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

    <p>Coma</p> Signup and view all the answers

    What is the term for the absence of muscle tone?

    <p>Flaccidity</p> Signup and view all the answers

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

    <p>Ataxia</p> Signup and view all the answers

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

    <p>Clients with allergies</p> Signup and view all the answers

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

    <p>Observing the client's response to painful stimuli</p> Signup and view all the answers

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

    <p>Allow the client to wash hair and rest</p> Signup and view all the answers

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

    <p>Assess equilibrium in a comatose client</p> Signup and view all the answers

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

    <p>Sensory function</p> Signup and view all the answers

    What is the covering of axons known as?

    <p>Myelin sheath</p> Signup and view all the answers

    What does stress cause the liver to convert glycogen into?

    <p>Glucose</p> Signup and view all the answers

    How should the nurse assess neck rigidity?

    <p>Move the client's head and chin toward the chest</p> Signup and view all the answers

    What does a Glasgow Coma Scale score of 6 indicate?

    <p>Comatose</p> Signup and view all the answers

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

    <p>Cerebrospinal fluid (CSF) pressure</p> Signup and view all the answers

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

    <p>Cranial nerve XII (hypoglossal nerve)</p> Signup and view all the answers

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

    <p>Glucose</p> Signup and view all the answers

    When is neck rigidity especially important to assess?

    <p>In clients with suspected head or neck injury</p> Signup and view all the answers

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

    <p>Comatose</p> Signup and view all the answers

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

    <p>Cerebrospinal fluid (CSF) pressure</p> Signup and view all the answers

    What is cranial nerve XII responsible for?

    <p>Movement of the tongue</p> Signup and view all the answers

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

    <p>Energy production</p> Signup and view all the answers

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

    <p>Observing the client's response to painful stimuli</p> Signup and view all the answers

    What does the Romberg test assess?

    <p>Equilibrium in a noncomatose client</p> Signup and view all the answers

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

    <p>Evaluating sensory function of the client</p> Signup and view all the answers

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

    <p>Allow the client to wash hair and rest</p> Signup and view all the answers

    What is the function of cranial nerve XI?

    <p>Involved in head and shoulder movement</p> Signup and view all the answers

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

    <p>Moving the client's head</p> Signup and view all the answers

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

    <p>To obtain cerebrospinal fluid (CSF)</p> Signup and view all the answers

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

    <p>Infection</p> Signup and view all the answers

    How is shampoo used in neurological nursing?

    <p>To remove paste from electroencephalogram electrodes</p> Signup and view all the answers

    What is the function of the medulla oblongata?

    <p>Transmits motor impulses and sensory impulses</p> Signup and view all the answers

    What does the Romberg test involve?

    <p>Standing erect with eyes closed</p> Signup and view all the answers

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

    <p>Overwhelming</p> Signup and view all the answers

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

    <p>Computer tomography (CT)</p> Signup and view all the answers

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

    <p>80-100 mm H20</p> Signup and view all the answers

    How is electroencephalogram paste removed?

    <p>With shampoo</p> Signup and view all the answers

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

    <p>Motor and sensory impulses</p> Signup and view all the answers

    What is the responsibility of cranial nerve VI?

    <p>Responsible for eye movement</p> Signup and view all the answers

    What is the function of the parasympathetic nervous system?

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

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

    <p>Lack of motor response to stimuli</p> Signup and view all the answers

    What is the responsibility of cranial nerve VIII?

    <p>Responsible for hearing and balance</p> Signup and view all the answers

    What does the sympathetic nervous system regulate during emergency situations?

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

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

    <p>Allergic reaction to the imaging material</p> Signup and view all the answers

    What are neurons responsible for?

    <p>Transmitting impulses from the central nervous system</p> Signup and view all the answers

    What should the nurse ensure after an EEG?

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

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

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

    What do sensory neurons transmit to the central nervous system?

    <p>Impulses allowing identification of a stimulus</p> Signup and view all the answers

    What do motor neurons transmit?

    <p>Impulses from the central nervous system</p> Signup and view all the answers

    What is the potential side effect of an EEG?

    <p>Skin irritation from the affixed electrodes</p> Signup and view all the answers

    What is the covering of axons known as?

    <p>Myelin</p> Signup and view all the answers

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

    <p>Glucose</p> Signup and view all the answers

    How should the nurse assess neck rigidity?

    <p>Move the client's head and chin toward the chest</p> Signup and view all the answers

    What does a Glasgow Coma Scale score of 6 indicate?

    <p>Comatose</p> Signup and view all the answers

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

    <p>Cerebrospinal fluid (CSF) pressure</p> Signup and view all the answers

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

    <p>Cranial nerve XII (Hypoglossal nerve)</p> Signup and view all the answers

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

    <p>Glucose</p> Signup and view all the answers

    When should neck rigidity be carefully assessed?

    <p>If there is a suspected head or neck injury</p> Signup and view all the answers

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

    <p>Comatose</p> Signup and view all the answers

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

    <p>Cerebrospinal fluid (CSF) pressure</p> Signup and view all the answers

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

    <p>Movement of the tongue</p> Signup and view all the answers

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

    <p>Glucose</p> Signup and view all the answers

    What is the responsibility of the sympathetic nervous system?

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

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

    <p>Hearing and balance</p> Signup and view all the answers

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

    <p>Transmit impulses from the central nervous system</p> Signup and view all the answers

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

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

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

    <p>Lack of motor response to stimuli</p> Signup and view all the answers

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

    <p>Allergic reaction to the imaging material</p> Signup and view all the answers

    What is the responsibility of the parasympathetic nervous system?

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

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

    <p>Responsible for eye movement</p> Signup and view all the answers

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

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

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

    <p>Hearing difficulty</p> Signup and view all the answers

    What does the sympathetic nervous system regulate during emergency situations?

    <p>Expenditure of energy and delivery of blood flow and oxygen</p> Signup and view all the answers

    What is the potential side effect of an EEG?

    <p>Allergic reaction to the electrode glue</p> Signup and view all the answers

    What is the purpose of shampoo in neurological nursing?

    <p>To remove paste from electroencephalogram electrodes</p> Signup and view all the answers

    What does the Romberg test involve?

    <p>Standing erect with eyes closed</p> Signup and view all the answers

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

    <p>Infection</p> Signup and view all the answers

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

    <p>Involved in head and shoulder movement</p> Signup and view all the answers

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

    <p>Transmits motor and sensory impulses</p> Signup and view all the answers

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

    <p>Computer tomography (CT)</p> Signup and view all the answers

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

    <p>Overwhelming diagnosis</p> Signup and view all the answers

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

    <p>80-100 mm H2O</p> Signup and view all the answers

    What is the role of lumbar puncture in neurological nursing?

    <p>Obtaining cerebrospinal fluid (CSF)</p> Signup and view all the answers

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

    <p>Controls tongue movements</p> Signup and view all the answers

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

    <p>Obtaining thin 'slices' of the body</p> Signup and view all the answers

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

    <p>Should not move the head of a client with head trauma</p> Signup and view all the answers

    What does the sympathetic nervous system regulate?

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

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

    <p>Lack of motor response to stimuli</p> Signup and view all the answers

    What is the responsibility of cranial nerve VIII?

    <p>Hearing and balance</p> Signup and view all the answers

    What does the parasympathetic nervous system conserve during emergency situations?

    <p>Body energy</p> Signup and view all the answers

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

    <p>Allergic reaction to the imaging material</p> Signup and view all the answers

    What do sensory neurons do?

    <p>Transmit impulses to the central nervous system</p> Signup and view all the answers

    What do motor neurons do?

    <p>Transmit impulses from the central nervous system</p> Signup and view all the answers

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

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

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

    <p>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</p> Signup and view all the answers

    What does the sympathetic nervous system deliver during emergency situations?

    <p>Blood flow and oxygen to the brain, muscles, and lungs</p> Signup and view all the answers

    What does the parasympathetic nervous system do during emergency situations?

    <p>Does not expend body energy</p> Signup and view all the answers

    What is the responsibility of cranial nerve VI?

    <p>Eye movement</p> 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.

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