ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 65 : Assessment of Neurologic Function Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A patient is brought to the ER following a motor vehicle accident in which he sustained head trauma. Preliminary assessment reveals a vision deficit in the patients left eye. The nurse should associate this abnormal finding with trauma to which of the following cerebral lobes?
Correct Answer: B
Rationale: The occipital lobe is responsible for visual processing. Trauma to this area can result in vision deficits. The temporal lobe handles auditory functions, the parietal lobe manages sensory integration, and the frontal lobe governs motor and cognitive functions.
Question 5 of 5
A patient scheduled for magnetic resonance imaging (MRI) has arrived at the radiology department. The nurse who prepares the patient for the MRI should prioritize which of the following actions?
Correct Answer: B
Rationale: MRI uses strong magnetic fields, making removal of metal objects critical to prevent injury or image distortion. Withholding stimulants applies to EEG, voiding to lumbar puncture, and IV contrast to CT scans.