ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 65 : Assessment of Neurologic Function Questions
Question 1 of 5
When caring for a patient with an altered level of consciousness, the nurse is preparing to test cranial nerve VII. What assessment technique would the nurse use to elicit a response from cranial nerve VII?
Correct Answer: C
Rationale: Cranial nerve VII (facial) is assessed by observing facial symmetry during movements like smiling. Trapezius testing assesses XI, whisper tests VIII, and hoarseness tests X.
Question 2 of 5
The nurse is caring for a patient who exhibits abnormal results of the Weber test and Rinne test. The nurse should suspect dysfunction involving what cranial nerve?
Correct Answer: B
Rationale: The Weber and Rinne tests assess hearing, mediated by cranial nerve VIII (acoustic). Trigeminal affects facial sensation, hypoglossal moves the tongue, and trochlear controls eye movement.
Question 3 of 5
The nurse caring for an 80 year-old patient knows that she has a pre-existing history of dulled tactile sensation. The nurse should first consider what possible cause for this patients diminished tactile sensation?
Correct Answer: C
Rationale: Aging reduces sensory receptor density, dulling tactile sensation. Cranial nerve VIII affects hearing, medications may cause other effects, and an old CVA is less likely without evidence.
Question 4 of 5
A 72-year-old man has been brought to his primary care provider by his daughter, who claims that he has been experiencing uncharacteristic lapses in memory. What principle should underlie the nurses assessment and management of this patient?
Correct Answer: D
Rationale: Cognitive changes in older adults are not assumed normal and require thorough assessment to rule out pathology like dementia. Memory and judgment typically remain intact with aging.
Question 5 of 5
A gerontologic nurse educator is providing practice guidelines to unlicensed care providers. Because reaction to painful stimuli is sometimes blunted in older adults, what must be used with caution?
Correct Answer: A
Rationale: Blunted pain response in older adults increases burn or frostbite risk from hot or cold packs. Medications and whirlpool baths are not directly related to this sensory change.