MED SURGNEURO TES T BANK

• | Page

MED SURG/NEURO TES T BANK

ALREADY GRADED A+

(a) Question: 1. A patient is brought to the ER following a

motor vehicle accident in which he sustained head trauma. Preliminary assessment reveals a vision deficit in the patient's left eye. The nurse should associate this abnormal finding with trauma to which of the following cerebral lobes?

• Temporal
• Occipital
• Parietal
• Frontal

Correct answer: B) Occipital

(b) Question: .A patient scheduled for magnetic resonance

imaging (MRI) at the radiology department. The nurse who prepares the patient for the MRI should prioritize which of the following actions?

• Withholding stimulants 24 to 48 hours prior to exam
• Removing all metal-containing objects

• | Page

• Instructing the patient to void prior to the MRI
• Initiating an IV line for administration of contrast

Correct answer: B) Removing all metal-containing

objects

(c) Question: A gerontologic nurse planning the

neurologic assessment of an older adult is considering normal, age-related changes. Of what phenomenon should the nurse be aware?

• Hyperactive deep tendon reflexes
• Reduction in cerebral blood flow
• Increased cerebral metabolism
• Hypersensitivity to painful stimuli

Correct answer: B) Reduction in cerebral blood flow

(d) Question: The nurse has admitted a new patient to the

unit. One of the patient's admitting orders is for an adrenergic medication. The nurse knows that this medication will have what effect on the circulatory system?

• | Page

• Thin, watery saliva
• Increased heart rate
• Decreased BP
• Constricted bronchioles

Correct answer: B) Increased heart rate

(e) Question: A nurse is assessing reflexes in a patient

with hyperactive reflexes. When the patient's foot is abruptly dorsiflexed, it continues to "beat" two times before settling into a resting position. How would the nurse document this finding?

• Rigidity
• Flaccidity
• Clonus
• Ataxia

Correct answer: C) Clonus

(f) Question: he nurse is doing an initial assessment on a

patient newly admitted to the unit with a diagnosis of cerebrovascular accident (CVA). The patient has

• | Page

difficulty copying a figure that the nurse has drawn and is diagnosed with visual-receptive aphasia. What brain region is primarily involved in this deficit?

• Temporal lobe
• Parietal-occipital area
• Inferior posterior frontal areas
• Posterior frontal area

Correct answer: B) Parietal-occipital area

(g) Question: The nurse is admitting a patient to the unit

who is diagnosed with lower motor neuron lesion. What entry in the patient's electronic record is most consistent with this diagnosis?

• "Patient exhibits increased muscle tone."
• "Patient demonstrates normal muscle structure with no

evidence of atrophy."

• "Patient demonstrates hyperactive deep tendon

reflexes."

• "Patient demonstrates an absence of deep tendon

reflexes."