NUR 2102_Neurological
Assessment Exam
Questions and Complete
Solutions Graded A+
Denning [Date] [Course title]
,Objectives - Answer: Utilizing a body systems approach, the student will:
a. Apply anatomy, physiology, biology, chemistry, psychology, developmental psychology, and sociology
concepts to the assessment of the neurological system of the adult
b. Apply health history and physical examination principles for holistic assessment of the neurological
system of the adult
c. Conduct and document (EMR) a health history and physical examination of the adult while applying
the principles of caring, therapeutic communication, interprofessional communication, and
professionalism
d. Utilize concepts of genetics and genomics when assessing the neurological system of the adult
Objective Cont... - Answer: * Interpret common laboratory and diagnostic findings for the neurological
system of the adult
* Based on national guidelines (Healthy People 2010/2020, AHRQ Clinical Prevention Guidelines, and
other appropriate national standards), recommend the appropriate health promotion and clinical
prevention strategies for the adult
* Assess self and patient scenarios utilizing the clinical reasoning model for the neurological system of
the adult
* Identify and interpret common laboratory and diagnostic tests
* Demonstrate professionalism in the clinical simulation laboratory by: honoring confidentiality of
scenarios and other's health histories; respecting other's self-determination and human dignity; and
exhibiting integrity by abiding by laboratory guidelines, equipment use, and dress code
* Describe expected and unexpected findings in each body system to include ethnic, cultural, and age
variations
The Nervous System - Answer: * Central Nervous System
* Peripheral Nervous System
* Autonomic Nervus System
Autonomic - Answer: regulates activities of internal organs such as the heart, lungs, blood vessels,
digestive organs, and glands
SNS = - Answer: activated during stress; flight for fight response
,PNS = - Answer: controls vegetative function; functions associated with conserving energy such as
decreasing heart rate and force of myocardial contraction; decreasing BP and respirations; stimulation
of peristalsis
Central Nervous System - Answer: * Brain and spinal cord
Peripheral Nervous System - Answer: * Cranial and spinal nerves
Autonomic Nervus System - Answer: * Sympathetic
* Parasympathetic
A & P Review- Protective Structures:
Skull Protects brain - Answer: * Foramen magnum is large oval opening at base of skull in occipital bone.
- Spinal cord extends through from medulla oblongata.
* Other foramina at base for entrance and exit of paired cranial nerves and cerebral blood vessels
* Meninges, three layers between skull and brain
- Dura mater, outer double layer
- Arachnoid, middle meningeal layer
- Pia mater, inner meningeal layer
Between arachnoid and pia mater is subarachnoid space where cerebrospinal fluid (CSF) circulates.
Meninges Image - Answer:
Meninges:
Subarachnoid Space - Answer: * Cerebrospinal fluid (CSF) circulates
, A & P Review- Protective Structures:
CSF is colorless, odorless fluid containing (6) - Answer: * Glucose
* Electrolytes
* Oxygen
* Water
* Carbon dioxide
* Leukocytes
A & P Review- Brain - Answer: * Brain consists of cerebrum, diencephalon, cerebellum, and brainstem.
* Carotid arteries supply most of blood to brain, and branch off into posterior cerebral, middle cerebral,
and anterior cerebral arteries.
- Remaining blood flows through two vertebral arteries and into posterior and anterior communicating
arteries that supply blood through circle of Willis.
- Blood leaves brain through venous sinuses that empty into jugular veins.
Carotid Arteries - Answer: supply most of blood to brain, and branch off into posterior cerebral, middle
cerebral, and anterior cerebral arteries.
Internal Structure of the Brain - Answer:
Cerebrum - Answer: largest part of brain consisting of two hemispheres, each divided into four lobes:
frontal lobe, parietal lobe, temporal lobe, and occipital lobe.
Frontal Lobe - Answer: * contains primary motor cortex and functions related to voluntary motor activity
* also controls intellectual function, awareness of self, personality, and autonomic responses related to
emotion.