Week 5 Quiz

• Question 1 A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called:

Answers: a. Flexion.

b. Abduction.

c. Adduction.

d. Extension.

• Question 2 During an interview the patient states, “I can feel this bump on the top of both of my shoulders—it doesn’t hurt but I am curious about what it might be.” The nurse should tell the patient that it is his:

Answers:a. Subacromial bursa.

b. Acromion process.

c. Glenohumeral joint.

d. Greater tubercle of the humerus.

• Question 3 The nurse is checking the range of motion in a patient’s knee and knows that the knee is capable of which movement(s)?

Answers: a. Flexion and extension

b. Supination and pronation

c. Circumduction

d. Inversion and eversion

• Question 4 The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband’s personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the __________ lobe.

Answers: a. Frontal

b. Parietal

c. Occipital

d. Temporal

• Question 5 Which statement concerning the areas of the brain is true?

Answers: a. The cerebellum is the center for speech and emotions.

b. The hypothalamus controls body temperature and regulates sleep.

c. The basal ganglia are responsible for controlling voluntary movements.

d. Motor pathways of the spinal cord and brainstem synapse in the thalamus.

Question 6 The nurse places a key in the hand of a patient and he identifies it as a penny. What term would the nurse use to describe this finding?

Answers: a. Extinction

b. Astereognosis

c. Graphesthesia

d. Tactile discrimination

• Question 7 Which of these tests would the nurse use to check the motor coordination of an 11-month-old infant?

Answers: a. Denver II

b. Stereognosis

c. Deep tendon reflexes

d. Rapid alternating movements

• Question 8 During an assessment of an 80-year-old patient, the nurse notices the following: an inability to identify vibrations at her ankle and to identify the position of her big toe, a slower and more deliberate gait, and a slightly impaired tactile sensation. All other neurologic findings are normal. The nurse should interpret that these findings indicate:

Answers: a. CN dysfunction.

b. Lesion in the cerebral cortex.

c. changes attributable to aging.

d. Demyelination of nerves attributable to a lesion.

• Question 9 A 70-year-old woman tells the nurse that every time she gets up in the morning or after she’s been sitting, she gets “really dizzy” and feels like she is going to fall over. The nurse’s best response would be:

Answers:a. “Have you been extremely tired lately?”

b. “You probably just need to drink more liquids.”

c. “I’ll refer you for a complete neurologic examination.”

d. “You need to get up slowly when you’ve been lying down or sitting.”

• Question 10 During the taking of the health history, a patient tells the nurse that “it feels like the room is spinning around me.” The nurse would document this finding as:

Answers: a. Vertigo.

b. Syncope.

c. Dizziness.

d. Seizure activity.

• Question 11 When taking the health history on a patient with a seizure disorder, the nurse assesses whether the patient has an aura. Which of these would be the best question for obtaining this information?

Answers: a. “Does your muscle tone seem tense or limp?”

b. “After the seizure, do you spend a lot of time sleeping?”

c. “Do you have any warning sign before your seizure starts?”

d. “Do you experience any color change or incontinence during the seizure?”

Question 12 While obtaining a health history of a 3-month-old infant from the mother, the nurse asks about the infant’s ability to suck and grasp the mother’s finger. What is the nurse assessing?

Answers: a. Reflexes

b. Intelligence

c. CNs

d. Cerebral cortex function

• Question 13 In obtaining a health history on a 74-year-old patient, the nurse notes that he drinks alcohol daily and that he has noticed a tremor in his hands that affects his ability to hold things. With this information, what response should the nurse make?

Answers: a. “Does your family know you are drinking every day?”

b. “Does the tremor change when you drink alcohol?”

c. “We’ll do some tests to see what is causing the tremor.”

d. “You really shouldn’t drink so much alcohol; it may be causing your tremor.”

• Question 14 A 50-year-old woman is in the clinic for weakness in her left arm and leg that she has noticed for the past week. The nurse should perform which type of neurologic examination?

Answers: a. Glasgow Coma Scale

b. Neurologic recheck examination

c. Screening neurologic examination

d. Complete neurologic examination

• Question 15 During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

Answers: a. Motor component of CN IV

b. Motor component of CN VII

c. Motor and sensory components of CN XI

d. Motor component of CN X and sensory component of CN VII

• Question 16 The nurse is explaining the mechanism of the growth of long bones to a mother of a toddler. Where does lengthening of the bones occur?

Answers: a. Bursa

b. Calcaneus

c. Epiphyses

d. Tuberosities

• Question 17 A woman who is 8 months pregnant comments that she has noticed a change in her posture and is having lower back pain. The nurse tells her that during pregnancy, women have a posture shift to compensate for the enlarging fetus. This shift in posture is known as:

Answers: a. Lordosis.

b. Scoliosis.

c. Ankylosis.

d. Kyphosis.

• Question 18 An 85-year-old patient comments during his annual physical examination that he seems to be getting shorter as he ages. The nurse should explain that decreased height occurs with aging because:

Answers: a. Long bones tend to shorten with age.

b. The vertebral column shortens.

c. A significant loss of subcutaneous fat occurs.

d. A thickening of the intervertebral disks develops.

• Question 19 A patient has been diagnosed with osteoporosis and asks the nurse, “What is osteoporosis?” The nurse explains that osteoporosis is defined as:

Answers: a. Increased bone matrix.

b. Loss of bone density.

c. New, weaker bone growth.

d. Increased phagocytic activity.

• Question 20 A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four Unrelated Words Test, the nurse would be concerned if she could not ____ four unrelated words ____. Answers: a. Invent; within 5 minutes

b. Invent; within 30 seconds

c. Recall; after a 30-minute delay

d. Recall; after a 60-minute delay

• Question 21 During the neurologic assessment of a “healthy” 35-year-old patient, the nurse asks him to relax his muscles completely. The nurse then moves each extremity through full range of motion. Which of these results would the nurse expect to find?

Answers: a. Firm, rigid resistance to movement

b. Mild, even resistance to movement

c. Hypotonic muscles as a result of total relaxation

d. Slight pain with some directions of movement

• Question 22 When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as:

Answers: a. Ataxia.

b. Lack of coordination.

c. Negative Homans sign.

d. Positive Romberg sign.

• Question 23 The nurse is performing an assessment on a 29-year-old woman who visits the clinic complaining of “always dropping things and falling down.” While testing rapid alternating movements, the nurse notices that the woman is unable to pat both of her knees. Her response is extremely slow and she frequently misses. What should the nurse suspect?

Answers: a. Vestibular disease

b. Lesion of CN IX

c. Dysfunction of the cerebellum

d. Inability to understand directions

• Question 24 During the taking of the health history of a 78-year-old man, his wife states that he occasionally has problems with short-term memory loss and confusion: “He can’t even remember how to button his shirt.” When assessing his sensory system, which action by the nurse is most appropriate?

Answers: a. The nurse would not test the sensory system as part of the examination because the results would not be valid.

b. The nurse would perform the tests, knowing that mental status does not affect sensory ability.

c. The nurse would proceed with an explanation of each test, making certain that the wife understands.

d. Before testing, the nurse would assess the patient’s mental status and ability to follow directions.

• Question 25 During an assessment of a 62-year-old man, the nurse notices the patient has a stooped posture, shuffling walk with short steps, flat facial expression, and pill-rolling finger movements. These findings would be consistent with:

Answers: a. Parkinsonism.

b. Cerebral palsy.

c. Cerebellar ataxia.

d. Muscular dystrophy.