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 patient is currently being stimulated by the parasympathetic nervous system. What effect will this nervous stimulation have on the patients bladder?
Correct Answer: D
Rationale: Parasympathetic stimulation contracts the bladder, promoting urination. Retention, spasms, or incontinence are not direct parasympathetic effects.
Question 2 of 5
The nurse is performing a neurologic assessment of a patient whose injuries have rendered her unable to follow verbal commands. How should the nurse proceed with assessing the patients level of consciousness (LOC)?
Correct Answer: B
Rationale: LOC in non-responsive patients is assessed by eye opening and responses to stimuli, per the Glasgow Coma Scale. Vital signs and testing are supplementary, and lack of response doesn't mean no consciousness.
Question 3 of 5
In the course of a focused neurologic assessment, the nurse is palpating the patients major muscle groups at rest and during passive movement. Data gleaned from this assessment will allow the nurse to describe which of the following aspects of neurologic function?
Correct Answer: B
Rationale: Muscle tone is evaluated by palpating muscles at rest and during passive movement. Dexterity, basal ganglia function, and symmetry require different assessments like coordination or side-to-side comparison.
Question 4 of 5
The neurologist is testing the function of a patients cerebellum and basal ganglia. What action will most accurately test these structures?
Correct Answer: D
Rationale: Rapid, alternating movements test cerebellar and basal ganglia coordination. Sensory tests assess peripheral nerves, and hypothetical problems evaluate cognition.
Question 5 of 5
During the performance of the Romberg test, the nurse observes that the patient sways slightly. What is the nurses most appropriate action?
Correct Answer: C
Rationale: Slight swaying during the Romberg test is normal and indicates successful completion. Significant swaying prompts further evaluation, but the Rinne test assesses hearing, not balance.