When the nurse shines a light in a patient's left pupil, both of the pupils constrict. What type of response should the nurse document?

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NCLEX Questions for Neurological System Questions

Question 1 of 5

When the nurse shines a light in a patient's left pupil, both of the pupils constrict. What type of response should the nurse document?

Correct Answer: C

Rationale: A consensual response occurs when light shone in one eye causes both pupils to constrict. A direct response involves constriction of the illuminated pupil only, while accommodation is the ability to focus on near objects. Documenting a consensual response is important for assessing cranial nerve function.

Question 2 of 5

Which type of fiber could be considered the longest?

Correct Answer: A

Rationale: The correct answer is A: preganglionic parasympathetic. Preganglionic fibers are the longest in the autonomic nervous system, with parasympathetic fibers generally having longer preganglionic fibers compared to sympathetic fibers. Parasympathetic preganglionic fibers originate from the cranial nerves and sacral spinal cord, allowing them to travel longer distances to reach their ganglia. In contrast, sympathetic preganglionic fibers originate from the thoracic and lumbar spinal cord, resulting in shorter lengths compared to parasympathetic fibers. Therefore, preganglionic parasympathetic fibers are considered the longest among the given choices. Postganglionic fibers, whether parasympathetic or sympathetic, are shorter as they only need to travel to their target organs from the ganglia. Summary: - A: Correct, as preganglionic parasympathetic fibers are the longest in the autonomic nervous system

Question 3 of 5

A drug that affects both divisions of the autonomic system is going to bind to, or block, which type of neurotransmitter receptor?

Correct Answer: A

Rationale: Rationale for Correct Answer (A): 1. Nicotinic receptors are present in both sympathetic and parasympathetic divisions of the autonomic system. 2. Drugs affecting both divisions target nicotinic receptors to modulate autonomic functions. 3. Binding or blocking nicotinic receptors can impact both sympathetic and parasympathetic activities. Summary of Incorrect Choices: B. Muscarinic receptors are specific to the parasympathetic division, not affecting the sympathetic division. C. α-adrenergic receptors are specific to the sympathetic division, not influencing parasympathetic functions. D. β-adrenergic receptors are also specific to the sympathetic division, not impacting the parasympathetic division.

Question 4 of 5

How is leprosy primarily transmitted from person to person?

Correct Answer: C

Rationale: The correct answer is C: blowing nose. Leprosy is primarily transmitted through respiratory droplets when an infected person coughs or sneezes. This is because the bacteria that cause leprosy are mainly spread through respiratory secretions. The other choices (A: contaminated toilet seats, B: shaking hands, D: sexual intercourse) are not common modes of transmission for leprosy. Toilet seats do not play a significant role in transmission, shaking hands is unlikely to transmit the bacteria, and leprosy is not a sexually transmitted disease. Overall, the correct answer aligns with the known mode of transmission of leprosy through respiratory droplets.

Question 5 of 5

Which statement concerning the areas of the brain is true?

Correct Answer: B

Rationale: The correct answer is B. The hypothalamus controls body temperature and regulates sleep. The hypothalamus is a part of the brain responsible for maintaining homeostasis, including regulating body temperature and controlling sleep patterns. It acts as a thermostat for the body, adjusting temperature through various mechanisms. Additionally, it plays a crucial role in the sleep-wake cycle by influencing the production of sleep-inducing hormones. Choices A, C, and D are incorrect: A: The cerebellum is not the center for speech and emotions; it is primarily involved in coordination and movement control. C: The basal ganglia are responsible for coordinating motor movements and are not directly involved in voluntary movements. D: Motor pathways of the spinal cord and brainstem do not synapse in the thalamus; they synapse in the brainstem and spinal cord itself.

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