ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 65 : Assessment of Neurologic Function Questions
Question 1 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 2 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 3 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 4 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.
Question 5 of 5
A gerontologic nurse planning the neurologic assessment of an older adult is considering normal, agerelated changes. Of what phenomenon should the nurse be aware?
Correct Answer: B
Rationale: Aging reduces cerebral blood flow, impacting neurologic function. Deep tendon reflexes may decrease, cerebral metabolism declines, and pain sensitivity often diminishes in older adults.