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Chapter 55: Assessment of Nervous System Lewis: Medical-Surgical Nursing, 10th Edition Exam Study Questions and Answers Updated 2024 $11.49   Add to cart

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Chapter 55: Assessment of Nervous System Lewis: Medical-Surgical Nursing, 10th Edition Exam Study Questions and Answers Updated 2024

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/17 to light and ptosis are used to evaluate function of the oculomotor nerve. DIF: Cognitive Level: Understand (comprehension) REF: 1305 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integ...

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  • October 23, 2024
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  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing
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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Chapter 55: Assessment of Nervous
System Lewis: Medical-Surgical Nursing,
10th Edition Exam Study Questions and
Answers Updated 2024

When admitting an acutely confused patient with a head injury, which action should the nurse


take?


a. Ask family members about the patient's health history.


b. Ask leading questions to assist in obtaining health data.


c. Wait until the patient is better oriented to ask questions.


d. Obtain only the physiologic neurologic assessment data. - Ans:✔✔-ANS: A


When admitting a patient who is likely to be a poor historian, the nurse should obtain health


history information from others who have knowledge about the patient's health. Waiting until


the patient is oriented or obtaining only physiologic data will result in incomplete assessment

Page 1/17

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




data, which could adversely affect decision making about treatment. Asking leading questions


may result in inaccurate or incomplete information.


DIF: Cognitive Level: Apply (application) REF: 1301


TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity


Which finding would the nurse expect when assessing the legs of a patient who has a lower


motor neuron lesion?


a. Spasticity c. Impaired sensation


b. Flaccidity d. Hyperactive reflexes - Ans:✔✔-ANS: B


Because the cell bodies of lower motor neurons are located in the spinal cord, damage to the


neuron will decrease motor activity of the affected muscles. Spasticity and hyperactive


reflexes are caused by upper motor neuron damage. Sensation is not impacted by motor


neuron lesions.


DIF: Cognitive Level: Understand (comprehension) REF: 1296


TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity




Page 2/17

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




The nurse performing a focused assessment of left posterior temporal lobe functions will


assess the patient for


a. sensation on the left side of the body.


b. reasoning and problem-solving ability.


c. ability to understand written and oral language.


d. voluntary movements on the right side of the body. - Ans:✔✔-ANS: C


The posterior temporal lobe integrates the visual and auditory input for language


comprehension. Reasoning and problem solving are functions of the anterior frontal lobe.


Sensation on the left side of the body is located in the right postcentral gyrus. Voluntary


movement on the right side is controlled in the left precentral gyrus.


DIF: Cognitive Level: Apply (application) REF: 1298


TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity


Propranolol (Inderal), a b-adrenergic blocker that inhibits sympathetic nervous system


activity, is prescribed for a patient who has extreme anxiety about public speaking. The nurse




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