Perception And Coordination

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| By Kenzoemir

Kenzoemir

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1/20 Questions

In teaching the family care of the Alzheimer's patient, the nurse emphasizes which of the following behaviors as a serious threat to safety:
- Circumlocution
- Perseveration
- Emotional lability
- Wandering around

About This Quiz

The quiz below is on perception and coordination and it deeply evaluates the topic. Different people have different takes on the subject and the quiz will help you ascertain which side you fall on. All the best.

2.

The nurse prepares to administer a mild sedative to the restless Alzheimers's patient. Which of the following is most likely to be prescribed?
- Benadryl
- Secobarbital
- Pentobarbital
- Haloperidol
Correct Answer

A. Benadryl

Explanation

Barbiturates should be avoided because they depresses the CNS function and can cause confusion, especially in the patient with dementia.

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1
3.

A patient has been recently diagnosed with Alzheimer's disease. When teaching the family about the prognosis, the nurse must explain that:
- It progresses gradually with deterioration of functions
- Many individuals can be cured if diagnosis is made early
- Diet and exercise can slow the process considerably
- Few patients live for more than 3 years after diagnosis
Correct Answer

A. It progresses gradually with deterioration of functions

Explanation

AD is degenerative and is not curable. A progressive loss of neurologic functioning is the major clinical manifestation of this disease, and therefore, is the priority clinical factor.

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4.

When the elderly Alzheimer's client becomes agitated and disoriented, which medication is most likely to be prescribed?
- Thorazine
- Haldol
- Melleril
- Elavil
Correct Answer

A. Haldol

Explanation

This antipsychotic medication has proven to be the most effective in decreasing the restlessness and agitation of AD patients.

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1
5.

The nurse assesses a patient experiencing global aphasia. She realizes that this patient:
- Cannot recognize people
- Cannot write
- Cannot express feelings
- Cannot talk
Correct Answer

A. Cannot talk

Explanation

Global aphasia is injury to the brain centers that results in the disturbance of both verbal and perceptive language functioning.

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1
6.

When increasing intracranial pressure is suspected, the nurse should be alert for what other signs and symptoms?
- Confusions and paranoia
- Blindness and tinnitus
- Headaches and delusions
- Projectile vomiting and headache
Correct Answer

A. Projectile vomiting and headache

Explanation

As IICP increases, swelling tissues exert pressure on cerebral blood vessels, the dura mater and other structures in the brain and back of the eye.

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1
7.

The physician restricts IV fluids and orders diuretics for a neurologic client. The rationale for this is:
- To increase cardiac output
- To minimize incontinence
- To reduce cerebral edema
- To reduce threat of embolism
Correct Answer

A. To reduce cerebral edema

Explanation

The physician is attempting to decrease circulating volume and thereby decreases cerebral edema.

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1
8.

The finding of unequal pupillary response in an unconscious person should alert the nurse to:
- Poisoning
- Shock
- Head Injury
- Overdose
Correct Answer

A. Head Injury

Explanation

Unequal pupils in this patient may indicate that the oculomotor nerve is being compressed by IICP.

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3
9.

A young man is in the emergency room with a closed head injury following a car accident. Baseline VS are BP 120/80, P 78, R 20. Which nursing assessment data would indicate a deterioration in his condition?
- VS of 110/80, 72, 20.
- VS of 100/60, 70, 30.
- VS of 130/90, 88, 30.
- VS of 160/90, 64, 12.
Correct Answer

A. VS of 160/90, 64, 12.

Explanation

Signs of IICP is hyper-brady-brady, and widened pulse pressure.

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10.

A 28-year-old woman complains of extreme muscle weakness and states, "I have to rest even after talking for a little while." The nurse assesses her for other symptoms of:
- Multiple sclerosis
- Myasthenia gravis
- Amyotrophic lateral sclerosis
- Parkinson's disease
Correct Answer

A. Myasthenia gravis

Explanation

MG, a disease that causes weakness in voluntary muscles, is most common in women, age 20-30.

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1
11.

Other early symptoms of myasthenia gravis that the nurse assesses are:
- Urinary and fecal incontinence
- Nausea and vomiting
- Diplopia and ptosis
- Abdominal cramping and diarrhea
Correct Answer

A. Diplopia and ptosis

Explanation

Because of the involvement of the ocular muscles this patient often exhibits a "mask" or sleepy expression.

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12.

The nurse is aware that the ultimate danger in this disease is progressive weakness and, eventually, the onset of myasthenic crisis. The complication is:
- Neurological emergency
- Cardiac emergency
- Orthopedic emergency
- Respiratory emergency
Correct Answer

A. Respiratory emergency

Explanation

Once the diaphragm and intercostal muscles are affected by the progressive weakness of this disease, a respiratory emergency will ensue.

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13.

The medication prescribed for Parkinson's disease acts as a precursor to restore dopamine deficiency. What medication should the nurse give?
- Dilantin
- Ibuprofen
- Tegretol
- Levodopa
Correct Answer

A. Levodopa

Explanation

Levodopa is a synthetic precursor of dopamine and replaces the dopamine deficiency in Parkinson's. Dopamine cannot be given because it does not cross the blood-brain barrier.

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2
14.

The nurse assessesa normal reflex when testing the plantar, or Babinski's in adult. what does she see?
- Toes flaring upward
- No obvious response
- Toes bending downward
- Sudden dorsal flexion
Correct Answer

A. Toes bending downward

Explanation

If the toes flare, and foot turns upward, then the sign is positive and considered an abnormal finding in an adult.

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15.

During a neurological assessment, the nurse asks the patient to repeat a series of numbers. she is assessing:
- Communication
- Memory
- Attention span
- Thought process
Correct Answer

A. Memory

Explanation

Short-term memory can be easily assessed by asking the patient to repeat numbers or words.

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1
16.

The nurse asks a patient the time, his name, and date. She is assessing:
- Level of consciousness
- Cognitive ability
- Intellectual ability
- Past and present memory
Correct Answer

A. Level of consciousness

Explanation

the nurse is assessing orientation, a key component of the LOC assessment. If the patient responds positively to all three, then the nurse documents, oriented x 3.

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1
17.

A score of five on the Glasgow Coma Scale is assessed. This assesment indicates that the patient is:
- Alert and oriented
- In shock
- Responding appropriately
- Not responsive
Correct Answer

A. Not responsive

Explanation

When assessing a patient according to GCS, 15 is the highest score in which the patient is still alert and oriented. the lower the score, the less responsive the patient.

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1
18.

Decorticate posturing is the result of:
- Loss of consciousness
- Injury to the brain stem
- Loss of motor functioning
- Loss of sensorimotor function
Correct Answer

A. Injury to the brain stem

Explanation

decorticate posturing is the abnormal manifestation of impingement on the motor pathways of the brainstem.

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19.

The patient with tic douloureaux should be carefully assessed for undernourishment and dehydration because:
- Chewing is exceedingly painful
- Nutrients are easily depleted
- Swallowing is very difficult
- Vomiting is a frequent problem
Correct Answer

A. Chewing is exceedingly painful

Explanation

Trigeminal neuralgia, a painful condition of cranial nerve V causes dysfunction in chewing.

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20.

What cranial nerve is affected in Bell's palsy?
- Fifth cranial nerve
- Sixth cranial nerve
- Seventh cranial nerve
- Eighth cranial nerve
Correct Answer

A. Seventh cranial nerve

Explanation

CN VII, the Facial nerve

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2

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Current Version
Mar 22, 2023

Quiz Edited by
ProProfs Editorial Team
Jan 14, 2012

Quiz Created by
Kenzoemir

Perception And Coordination

In teaching the family care of the Alzheimer's patient, the nurse emphasizes which of the following behaviors as a serious threat to safety:

Quiz Preview

The nurse prepares to administer a mild sedative to the restless Alzheimers's patient. Which of the following is most likely to be prescribed?

A patient has been recently diagnosed with Alzheimer's disease. When teaching the family about the prognosis, the nurse must explain that:

When the elderly Alzheimer's client becomes agitated and disoriented, which medication is most likely to be prescribed?

The nurse assesses a patient experiencing global aphasia. She realizes that this patient:

When increasing intracranial pressure is suspected, the nurse should be alert for what other signs and symptoms?

The physician restricts IV fluids and orders diuretics for a neurologic client. The rationale for this is:

The finding of unequal pupillary response in an unconscious person should alert the nurse to:

A young man is in the emergency room with a closed head injury following a car accident. Baseline VS are BP 120/80, P 78, R 20. Which nursing assessment data would indicate a deterioration in his condition?

A 28-year-old woman complains of extreme muscle weakness and states, "I have to rest even after talking for a little while." The nurse assesses her for other symptoms of:

Other early symptoms of myasthenia gravis that the nurse assesses are:

The nurse is aware that the ultimate danger in this disease is progressive weakness and, eventually, the onset of myasthenic crisis. The complication is:

The medication prescribed for Parkinson's disease acts as a precursor to restore dopamine deficiency. What medication should the nurse give?

The nurse assessesa normal reflex when testing the plantar, or Babinski's in adult. what does she see?

During a neurological assessment, the nurse asks the patient to repeat a series of numbers. she is assessing:

The nurse asks a patient the time, his name, and date. She is assessing:

A score of five on the Glasgow Coma Scale is assessed. This assesment indicates that the patient is:

Decorticate posturing is the result of:

The patient with tic douloureaux should be carefully assessed for undernourishment and dehydration because:

What cranial nerve is affected in Bell's palsy?