A 75 year-old retired short-order cook presents to the office for evaluation of weakness. He has a history of hypertension; he stopped taking his medication a few months ago because he couldn't tell that it was making a difference and it was too expensive. On physical examination, his blood pressure is 220/110 mm Hg. He has deviation of the tongue to the left side. Which cranial nerve would have to be affected for this finding to be present?

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Neurological System Assessment Questions Questions

Question 1 of 5

A 75 year-old retired short-order cook presents to the office for evaluation of weakness. He has a history of hypertension; he stopped taking his medication a few months ago because he couldn't tell that it was making a difference and it was too expensive. On physical examination, his blood pressure is 220/110 mm Hg. He has deviation of the tongue to the left side. Which cranial nerve would have to be affected for this finding to be present?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Which of the following values is considered normal for ICP?

Correct Answer: A

Rationale: Normal intracranial pressure (ICP) ranges from 0 to 15 mm Hg. Elevated ICP, typically above 20 mm Hg, can indicate serious neurological conditions such as brain injury, hemorrhage, or tumors. Monitoring ICP is crucial in managing patients with head trauma or other brain pathologies to prevent further damage.

Question 3 of 5

A nurse is preparing a client for an MRI. Which factor would exclude the client from the test?

Correct Answer: B

Rationale: A cardiac pacemaker is a contraindication for MRI due to the strong magnetic fields, which can interfere with the device's function and pose a risk to the patient. Other contraindications include metallic implants or foreign bodies. Claustrophobia and jewelry are not absolute contraindications but may require special considerations.

Question 4 of 5

The nurse is reviewing the vital sign measurements for a patient with a neurological problem. When analyzing these measurements, what should the nurse recall as the part of the brain that regulates heart rate and blood pressure?

Correct Answer: A

Rationale: The medulla oblongata, located in the brainstem, contains cardiac and vasomotor centers that regulate heart rate and blood pressure. The cerebrum is responsible for higher cognitive functions, the cerebellum for coordination, and the hypothalamus for maintaining homeostasis. The medulla's role in vital functions makes it critical in neurological assessments.

Question 5 of 5

The nurse is caring for a patient who has impaired functioning of the left glossopharyngeal (IX) nerve and the vagus (X) nerve. What intervention should the nurse plan to maintain the patient's safety while diagnostic testing is being completed?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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