ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 65 : Assessment of Neurologic Function Questions
Question 1 of 5
A nurse is caring for a patient diagnosed with Mnires disease. While completing a neurologic examination on the patient, the nurse assesses cranial nerve VIII. The nurse would be correct in identifying the function of this nerve as what?
Correct Answer: D
Rationale: Cranial nerve VIII (acoustic) governs hearing and balance, relevant in Mnires disease.
Tongue movement is cranial nerve XII, visual acuity is II, and smell is I.
Question 2 of 5
A patient exhibiting an uncoordinated gait has presented at the clinic. Which of the following is the most plausible cause of this patients health problem?
Correct Answer: A
Rationale: The cerebellum coordinates movement and balance, so dysfunction causes uncoordinated gait. Pons, medulla, and midbrain lesions affect other functions like respiration or eye movement.
Question 3 of 5
The nursing students are learning how to assess function of cranial nerve VIII. To assess the function of cranial nerve VIII the students would be correct in completing which of the following assessment techniques?
Correct Answer: D
Rationale: The Rinne test assesses hearing, a function of cranial nerve VIII. Odor identification tests cranial nerve I, pupillary reflex tests III, IV, and VI, and the Snellen chart tests II.
Question 4 of 5
A patient is being given a medication that stimulates her parasympathetic system. Following administration of this medication, the nurse should anticipate what effect?
Correct Answer: A
Rationale: Parasympathetic stimulation causes pupil constriction, bronchoconstriction, increased peristalsis, and bladder contraction. The other options reflect sympathetic effects.
Question 5 of 5
A patient with lower back pain is scheduled for myelography using metrizamide (a water-soluble contrast dye). After the test, the nurse should prioritize what action?
Correct Answer: A
Rationale: Elevating the head 30-45 degrees post-myelography prevents contrast dye irritation in the brain, reducing headache risk. Fluids are encouraged, morphine is not standard, and breathing exercises are unnecessary.