Online Nursing Practice Test about Neurological Disorders (31-35)

31. The client experiences hypoglossal nerve damage. Which of the following assessment findings does the nurse expect in the client?

a) difficulty of swallowing and protrusion of tongue
b) asymmetry of the face
c) severe pain on the side of the face
d) inability to rotate the head and move shoulders

32. Which of the following indicates stimulation of the sympathetic nervous system (SNS)?

a) hypotension
b) urinary frequency
c) diarrhea
d) dilatation of pupils

33. A client with moderate Alzheimer's disease removes her clothes in the hall. Which of the following is the most appropriate nursing action?

a) help the client put on her dress
b) usher the client back to his room
c) tell the client that such behavior is unacceptable
d) remind her that when she undresses, she should do it inside her room

34. Which of the following nursing interventions should be included in the nursing care plan for the client with cerebral concussion?

a) check leakage of cerebrospinal fluid through the nose
b) check vital signs every 2 hours
c) check neurologic status every 4 hours
d) check pupillary reflexes once in each shift

35. The client who had cerebrovascular accident (CVA) has left-sided weakness. Which of the following instructions should be included regarding proper use of the cane?

a) hold the cane on the right hand
b) hold the cane on the left hand
c) hold the cane alternately on each hand
d) hold the cane with both hands



ANSWERS AND RATIONALE

31) A
- hypoglossal nerve provides motor nerve supply to the tongue. Hypoglossal nerve damage is characterized by difficulty of swallowing, protrusion of the tongue, deviation of the tongue to one side of the mouth.
Asymmetry of the face is affectation of the facial nerve.
Severe pain on the side of the face is affectation of the trigeminal nerve.
Inability to rotate the head and move shoulders is affectation of the spinal accessory nerve.

32) D
- SNS secretes norepinephrine and causes dilatation of pupils. Choices A, B, and C are effects of PNS. (SNS: everything is high and fast, except GI and GU).

33) D
- a client with Alzheimer's disease experiences memory loss. Reminding the client will help him/her remember, e.g. undressing is done inside the room.

34) A
- in head injury, it is very important to assess for CSF leakage. This indicates basilar head injury. This may lead to brainstem compression resulting to cardiopulmonary arrest.

35) A
- use the cane on the stronger/unaffected area - the right hand.


Related Topics:

• Online Nursing Practice Test about Neurological Disorders (36-40)
• Go back to Online Nursing Practice Test about Neurological Disorders (1-5) to start the test from the beginning.