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 scheduled for a myelogram and the nurse explains to the patient that this is an invasive procedure, which assesses for any lesions in the spinal cord. The nurse should explain that the preparation is similar to which of the following neurologic tests?
Correct Answer: A
Rationale: Myelography involves contrast injection via lumbar puncture, so preparation is similar. MRI, angiography, and EEG have different preparation requirements.
Question 2 of 5
The physician has ordered a somatosensory evoked responses (SERs) test for a patient for whom the nurse is caring. The nurse is justified in suspecting that this patient may have a history of what type of neurologic disorder?
Correct Answer: B
Rationale: SERs detect slowed nerve conduction, common in demyelinating diseases like multiple sclerosis. They are not used for hypothalamic, brainstem, or diabetic neuropathy diagnoses.
Question 3 of 5
A patient had a lumbar puncture performed at the outpatient clinic and the nurse has phoned the patient and family that evening. What does this phone call enable the nurse to determine?
Correct Answer: C
Rationale: Post-lumbar puncture follow-up checks for complications like headaches or infection. Expectations and understanding should be addressed before the procedure.
Question 4 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 5 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.