Neuro practice questions Flashcards

(43 cards)

1
Q

What should the nurse assess when examining tremors?

A. Dysmetria
B. Aphasia
C. Paresis vs. paralysis
D. Intention vs. resting

A

D. Intention vs. resting

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2
Q

What should the nurse assess when examining weakness?

A. Tics or fasciculations
B. Paresis vs. paralysis
C. Intention vs. resting
D. Obtunded vs. stupor

A

D. Intention vs. resting

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3
Q

What is paralysis?

A. Complete weakness
B. Involuntary rhythmic movements
C. Partial weakness

A

A. Complete weakness

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4
Q

What is paresis?

A. Complete weakness
B. Involuntary rhythmic movements
C. Partial weakness

A

C. Partial weakness

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5
Q

What is the term for incoordination?

A. Dysmetria
B. Dysphagia
C. Aphasia
D. Paraesthesia

A

A. Dysmetria

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6
Q

What is the term for involuntary movements?

A. Dymetria
B. Dysphagia
C. Dykinesia
D. Aphasia

A

C. Dykinesia

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7
Q

What is the term for numbness or tingling?

A. Aphasia
B. Dysmetria
C. Paraesthesia
D. Dyskinesia

A

C. Paraesthesia

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8
Q

What is the term for difficulty swallowing?

A. Dysphagia
B. Aphasia
C. Dyskinesia
B. Paraesthesia

A

A. Dysphagia

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9
Q

What is the term for difficulty speaking?

A. Dysphagia
B. Aphasia
C. Dysmetria
D. Dyskinesia

A

B. Aphasia

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10
Q

What does cranial nerve I olfactory provide?

A. Smell
B. Vision
C. Eye movements, PERRLA, eyelids
D. Hearing

A

A. Smell

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11
Q

What does cranial nerve II optic control?

A. Smell
B. Facial sensations, corneal reflex
C. Vision
D. Gag reflex, swallowing, taste

A

C. Vision

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12
Q

What does cranial nerve III oculomotor control?

A. Eye movements, PERRLA, eyelids
B. Assessed with III and VI
C. Shrug shoulders, turn head against resistance
D. Hearing

A

A. Eye movements, PERRLA, eyelids

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13
Q

What does cranial nerve IV trochlear control?

A. Facial sensations, corneal reflex
B. Taste, smile, frown, close eyes tightly
C. Eye movements, PERRLA, eyelids
D. Stick out tongue, move tongue side to side

A

C. Eye movements, PERRLA, eyelids

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14
Q

What does cranial nerve V trigeminal control?

A. Shrug shoulders, turn head side to side
B. Taste, smile, frown, close eyes tightly
C. Gag reflex, swallowing, taste
D. Facial sensations, corneal reflex

A

D. Facial sensations, corneal reflex

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15
Q

What does cranial nerve VI abducens control?

A. Taste, smile, frown, close eyes tightly
B. Eye movements, PERRLA, eyelids
C. Vision
D. Assessed with III and VI

A

D. Assessed with III and VI

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16
Q

What does cranial nerve VII facial control?

A. Vision
B. Facial sensations, corneal reflex
C. Taste, smile, frown, close eyes tightly
D. Shrug shoulders, turn head against resistance

A

C. Taste, smile, frown, close eyes tightly

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17
Q

What does cranial nerve VIII acoustic control?

A. Vision
B. Smell
C. Assessed with III and VI
D. Hearing

A

D. Hearing

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18
Q

What does cranial nerve IX glossopharnxgeal control?

A. Shrug shoulders, turn head against resistance
B. Stick out tongue, move tongue side to side
C. Gag reflex, swallowing, taste
D. Facial sensations, corneal reflex

A

C. Gag reflex, swallowing, taste

19
Q

What does cranial X vagus nerve control?

A. Shrug shoulders, turn head against resistance
B. Stick out tongue, move tongue side to side
C. Gag reflex, swallowing, taste
D. Facial sensations, corneal reflex

A

C. Gag reflex, swallowing, taste

20
Q

What does cranial nerve XI spinal accessory control?

A. Shrug shoulders, turn head against resistance
B. Stick out tongue, move tongue side to side
C. Gag reflex, swallowing, taste
D. Facial sensations, corneal reflex

A

A. Shrug shoulders, turn head against resistance

21
Q

What does cranial nerve XII hypoglossal control?

A. Shrug shoulders, turn head against resistance
B. Stick out tongue, move tongue side to side
C. Gag reflex, swallowing, taste
D. Facial sensations, corneal reflex

A

B. Stick out tongue, move tongue side to side

22
Q

When should the nurse use the glasgow coma scale?

A. While gathering subjective data
B. While performing palpation
C. During the physical exam while performing a neurologic recheck

A

C. During the physical exam while performing a neurologic recheck

23
Q

What terms would the nurse use to describe ease of arousal?

A. Alert
B. Obtunded
C. Lethargic
D. Stupor

24
Q

What terms would the nurse use to describe state of awarness?

A. Alert
B. Lethargic
C. Coma
D. Delirium

25
What does the glasgow coma scale measure? A. brain injury B. an aging mind C. alzheimers
A. brain injury
26
What does the glasgow coma scale examine? A. Vital signs, Motor response, Verbal response B. Appearance, Intellect, Motor response C. Eye opening response, verbal response, motor response
C. Eye opening response, verbal response, motor response
27
What do finger grips, pedal pushes, and pronator drift tests measure? A. Neurologic function B. Range of motion C. Motor function
C. Motor function
28
What should the nurse additionally assess when measureing motor function? A. Personality changes B. Decrease LOC C. Noxious stimuli D. Posturing
B C and D
29
What are pupillary light reflexes measuring? A. Fixation B. Accomodation C. Direct and consensual movement
C. Direct and consensual movement
30
What does the "direct" movement of PERRLA examine? A. Constriction of stimulated pupil B. Constriction of contralateral pupil
A. Constriction of stimulated pupil
31
What does the "consensual" movement of PERRLA examine? A. Constriction of stimulated pupil B. Constriction of contralateral pupil
B. Constriction of contralateral pupil
32
What does the cerebellar function test examine? A. Balance B. Sensory C. Motor function
A. Balance
33
Which cerebellar function tests could the nurse perform to assess balance?
Tandem walking Romberg's test Shallow knee bend
34
Which cerebellar function tests could the nurse perform to assess coordination and skilled movements?
Rapid alternating movements Finger to finger test Finger to nose test Heel to shin test
35
What is being measured during the posterior colmn tract test? A. Sensory B. Balance C. Neurological function
A. Sensory
36
What might the nurse assess when performing the posterior columnar tract test?
Vibration Position Tactile discrimination
37
What is stereognosis? A. Tracing a number in patient's palm B. Touch without sight C. Sharp or dull sensation D. Two point discrimination
B. Touch without sight
38
What are superficial reflexes?
Abdominal reflex Cremasteric reflex Plantar reflex
39
What are upper motor neurons? A. Descending fibers located completely within the CNS. Convery impulses from the cerebral cortex to the spinal cord. B. Located in the gray column of the spinal cord extending to the murslces. Translated movement to action, "final common pathway."
A. Descending fibers located completely within the CNS. Convery impulses from the cerebral cortex to the spinal cord.
40
Which of the following is an example of UMN? A. Stroke B. Spinal cord injury C. Brain injury
A. Stroke
41
Which of the following is an example of LMN? A. Stroke B. Spinal cord injury C. Brain injury
B. Spinal cord injury
42
What is a build up of athersclerotic plaque or thrombus blocking blood flow to the brain? A. Ischemic/ embolic stroke B. Hemorrhagic stroke
A. Ischemic/ embolic stroke 87%
43
What is an acute rupture of a weakened artery in the brain? A. Hemorrhagic stroke B. Ischemic/ embolic stroke
A. Hemorrhagic stroke 13%