Health Assessment: Neurological
Assessment Exam with 100% Scores
Which assessment finding would be the earliest and most sensitive indicator
that there is an alteration in intracranial regulation?
A. Change in level of consciousness
B. Inability to focus visually
C. Loss of primitive reflexes
D. Unequal pupil size - -A. Change in level of consciousness
-What is the CNS comprised of? - -the brain and spinal cord
-What is the peripheral nervous system? - -all the nerve fibers (outside of
the brain and spinal cord) including 12 pairs of cranial nerves, 31 pairs of
spinal nerves and all of their branches
-What does the thalamus do? - -relays information for the cerebral cortex
-What does the brain stem do? - -controls breathing, heart rate, function
-The nurse observes that a patient's gait is unsteady and assesses a positive
Romberg sign. Which area of the brain is most likely affected?
A. Hypothalamus
B. Medulla oblongata
C. Cerebellum
D. Left hemisphere - -C. Cerebellum
-What is the cerebral cortex involved in? - -thoughts, memory, reasoning,
sensation and voluntary movement
-What are the four lobes of the cerebrum? - -frontal, parietal, occipital and
temporal
-Where is Wernicke's area and what does it do? - -temporal lobe, language
comprehension
-Where is Broca's area and what does it do? - -frontal lobe, motor speech
-Damage to the cerebral cortex occurs when highly specialized neurologic
cells are what? What is an example? - -deprived of blood supply, such as
when a cerebral artery becomes occluded
, -What occurs in Wernicke's aphasia? - -trouble associating words to
situations
-What occurs in Broca's aphasia? - -know what they want to say but they
cant get the words out
-On most people speech is located on the _______ side of the brain - -left
-What is global aphasia? - -when both wernicke's and broca's aphasia
occurs
-Left cerebral cortex receives sensory information from and controls motor
function to __________ side of the body - -right
-The nurse is performing a mental status examination on a patient
diagnosed with subdural hematoma. This test assesses which of the
following?
A. Cerebellar function
B. Intellectual function
C. Cerebral function
D. Sensory function - -C. Cerebral function
-What are the four main parts of the peripheral nervous system? - -reflexes,
cranial nerves, spinal nerves, autonomic nervous system
-What are reflexes? - -basic defense mechanisms of nervous system
-What are the four types of reflexes? - -deep tendon, superficial, visceral,
pathologic
-The cranial nerves enter and exit what? - -the brain rather than the spinal
cord
-What are spinal nerves? - -31 pairs of nerves that go from the spinal cord
to the rest of the body
-What is a dermatone? - -Circumscribed skin area supplied mainly from one
spinal cord segment through particular nerve
-What are the 3 parts of the autonomic nervous system? - -sympathetic,
parasympathetic and enteric
-What do autonomic fibers innervate? (3) - -smooth muscle, cardiac muscle
and glands
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