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1.A patient has an injury that affects the posterior sensory nerve columns of the spinal cord.

What will the nurse most likely assess in this patient? (Select all that apply.)

A) Alteration in the perception of positionB) han!es in the perception of vi"ration

) han!e in pain perception

#) Alteration in temperature sense$) %oss of depth perception

&.#urin! the health history of the nervous system' a patient tells the nurse a"out "ein!

dia!nosed with !rand mal seiures. What should the nurse ask the patient to determine

characteristic symptoms of the seiures?

A) At what a!e did the seiures "e!in?*B) When was the last seiure?*

) +ow often do the seiures occur?*

#) What occurs after the seiure?*

,.A patient "ein! prepared for a nervous system e-amination is o"served sittin! uietly/however' the thum" and inde- fin!er of the left hand are movin! in a circular motion. 0he

nurse identifies this hand activity as "ein!

A) A postural tremor  B) An intention tremor  

) 2yoclonus

#) A restin! tremor  

3.An older patient with a chan!e in mental status is clenchin! the jaw closed to avoidtakin! a prescri"ed oral medication. 0he patient is demonstratin! the motor function ofwhich cranial nerve?

A) 0ri!eminal

B) 4acial) 5lossopharyn!eal

#) 6a!us

7.#urin! an assessment of the cranial nerves' a patient tells the nurse of not "ein! a"le to

taste sweet or salty foods. 0he nurse should focus additional assessment on which cranial

nerve?A) 8

B) 6

) 688#) 988

:.0he nurse asks a patient to fle- and e-tend the ri!ht el"ow as part of which screenin!neurolo!ic e-amination?

A) Sensory system

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B) 2otor system

) ranial nerves

#) <efle-es

=.0he nurse is preparin! to assess a patient>s cranial nerves usin! a screenin! neurolo!ice-amination. What will the nurse include in this assessment? (Select all that apply.)

A) 6isual acuity

B) $ye movements) +earin!

#) 4in!er proprioception

$) 4acial stren!th

.A patient recoverin! from a stroke has no eye or ver"al response and withdraws from

 painful stimuli. +ow would the nurse score these responses usin! the 5las!ow oma

Scale?A) :

B) ) 1@

#) 1&

.A patient>s patellar refle- is normal for the ri!ht side "ut diminished on the left. +ow will

the nurse document this findin!?

A) <i!ht knee 1/ %eft knee @B) <i!ht knee &/ %eft knee 1

) <i!ht knee ,/ %eft knee &

#) <i!ht knee 3/ %eft knee ,

1@.After a nervous system e-amination' the nurse determines that patient is at risk for astroke. What should the nurse instruct the patient at this time? (Select all that apply.)

A) 0he importance of smokin! cessation

B) 0akin! prescri"ed antihypertensive medication

) <educin! e-ercise#) 0he warnin! si!ns of a stroke

$) ontrol "lood !lucose levels in dia"etes

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Answer Key

1.A' B&.#

,.#

3.A7.

:.B

=.A' B' ' $.A

.B

1@.A' B' #' $

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