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Nervous System.
Nervous System.
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NERVOUS SYSTEM
1. Family members would like to bring in birthday cake for a client with nerve damage.
What cranial nerve needs to be functioning so the client can chew?
a. Cranial nerve II
b. Cranial nerve V
c. Cranial nerve IX
d. Cranial nerve X
Learning Outcome:
Bloom's Taxonomy: Applying
2. The nurse is caring for the client following a cerebral vascular accident. Which portion of
the brain is responsible for taste, smell and hearing?
a. Occipital
b. Frontal
c. Temporal
d. Parietal
Learning Outcome:
Bloom's Taxonomy: Analyzing
3. The assessment that ensures the ER nurse that a patient’s spinal cord injury is below C4
is:
a. Voluntary eye movement
b. Ability to blink the eyelids
c. Unlabored respiration
d. Ability to make a facial grimace
Learning Outcome:
Bloom's Taxonomy: Applying
4. Bell’s palsy is a disorder of cranial nerve VII. What are the clinical manifestations of the
disorder?
a. tinnitus
b. Facial paralysis
c. Pain at the base of the tongue
d. diplopia
Learning Outcome:
Bloom's Taxonomy: Applying
5. The nurse is assessing a patient with a head injury due to a motor vehicle accident who
is experiencing temporary blindness in the left eye would be correct in documenting this
abnormal finding as corresponding to which of the following cerebral lobes?
a. Temporal
b. Occipital
c. Parietal
d. Frontal
Learning Outcome:
Bloom's Taxonomy: Applying
7. The nurse is assessing a patient who exhibits an uncoordinated gait knows that which of
the following brain structures affects balance and coordination?
a. Cerebellum
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b. Pons
c. medulla
d. midbrain
Learning Outcome:
Bloom's Taxonomy: Analyzing
8. A nurse is caring for a patient with altered level of consciousness is preparing to test
cranial nerve. The nurse would complete which of the following assessment techniques
to elicit a response from cranial nerve VII?
a. Palpate the trapezius muscle while the patient shrugs his shoulders against
resistance
b. Administer the whisper or watch tick test
c. Observe for symmetry of facial movements, such as smile
d. Note any hoarseness in the patient’s voice
Learning Outcome:
Bloom's Taxonomy: Applying
9. A patient with a C3 spinal cord injury is exhibiting extreme temperature elevations due to
his injury. The nurse knows that the area of the brain that regulates body temperature is
which of the following?
a. Cerebellum
b. Thalamus
c. Hypothalamus
d. Midbrain
Learning Outcome:
Bloom's Taxonomy: Analyzing
10. The meninges provide protection, support, and nourishment to the brain and spinal cord.
Which of the following terms is used to describe the fibrous connective tissue that hugs
the brain closely and extends into every fold of the brain’s surface?
a. Dura mater
b. Arachnoid
c. Fascia
d. Pia mater
Learning Outcome:
Bloom's Taxonomy: Understanding
11. The patient is postoperative following a radial neck dissection. The physician who asks
the patient to stick out his tongue and move it back and forth is assessing for damage to
which of the following?
a. Hypoglossal nerve
b. Vagus nerve
c. Spinal nerve
d. Trochlear nerve
Learning Outcome:
Bloom's Taxonomy: Applying
12. A patient’s parasympathetic system has been stimulated. Which of the following is an
effect of parasympathetic stimulation?
a. Constricted pupils
b. Dilated bronchioles
c. Decreased peristaltic movement
d. Relaxed muscular walls of the urinary bladder
Learning Outcome:
Bloom's Taxonomy: Applying
13. A patient who is extremely upset after a confrontation with a family member is having
“fight or flight response.” What effect will this have on the sympathetic nervous system?
a. Constriction of blood vessels in the heart muscle
b. Constriction of bronchioles
c. Increase secretion of sweat
d. Constriction of pupils
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for more nursing test banks, sample exam, reviewers, and notes.
Learning Outcome:
Bloom's Taxonomy: Applying
14. It is essential for an elderly patient who lives alone and has atrophy of his olfactory
organs to which of the following installed in the home?
a. Grab bars
b. Non-slip mats
c. Baseboard heaters
d. A smoke detector
Learning Outcome:
Bloom's Taxonomy: Applying
15. To assess a patient’s cranial nerve function, the nurse should assess:
a. Hand grip
b. Orientation to person, time and place
c. Arm drifting
d. Gag reflex
Learning Outcome:
Bloom's Taxonomy: Applying
16. What is the nurse doing a neurologic assessment on a patient who has suffered a LEFT
stroke likely to find?
a. Weakness in the patient’s left hand
b. Drooling from the left side of the mouth when the patient is eating
c. Right visual field defects
d. Fixed left pupil
Learning Outcome:
Bloom's Taxonomy: Applying
17. The nurse teaching patient with trigeminal neuralgia about the factors that precipitate an
attack would be correct in teaching him to avoid:
a. Washing his face
b. Exposing his skin to sunlight
c. Using artificial tears
d. Drinking liquids at room temperature
Learning Outcome:
Bloom's Taxonomy: Applying
19. The part of the nervous system that controls smooth muscle, cardiac muscle, and glands
is the:
a s.omatic nervous system.
b. autonomic nervous system.
c. skeletal division.
d. sensory division.
Learning Outcome:
Bloom's Taxonomy: Analyzing
20. Concerning concentration difference across the plasma membrane, there are:
a. more K_ and Na_ outside the cell than inside.
b. more K_ and Na_ inside the cell than outside.
c. more K_ outside the cell than inside and more Na_ inside the cell than outside.
d. more K_ inside the cell than outside and more Na_ outside the cell than inside.
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for more nursing test banks, sample exam, reviewers, and notes.
Learning Outcome:
Bloom's Taxonomy: Analyzing
22. Important centers for heart rate, blood pressure, respiration, swallowing, coughing, and
vomiting are located in the:
a. cerebrum.
b. medulla oblongata.
c. midbrain.
d. pons.
e. cerebellum.
Learning Outcome:
Bloom's Taxonomy: Analyzing
23. In which of these parts of the brain does decussation of descending nerve tracts
involved in the conscious control of skeletal muscles occur?
a. cerebrum
b. diencephalon
c. midbrain
d. pons
e. medulla oblongata
Learning Outcome:
Bloom's Taxonomy: Analyzing
25. Which of these cerebral lobes is important in voluntary motor function, motivation,
aggression, sense of smell, and mood?
a. frontal
b. insula
c. occipital
d. parietal
e. temporal
26. The most superficial of the meninges is a thick, tough membrane called the:
a. pia mater.
b. dura mater.
c. arachnoid mater.
d. epidural mater.
Learning Outcome:
Bloom's Taxonomy: Understanding
27. Cerebrospinal fluid is produced by the________, circulates through the ventricles, and
enters the subarachnoid space. The cerebrospinal fluid leaves the subarachnoid space
through the____________.
a. choroid plexuses, arachnoid granulations
b. arachnoid granulations, choroid plexuses
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28. The cranial nerve responsible for focusing the eye (innervates the ciliary muscle of the
eye) is the:
a. optic (II).
b. oculomotor (III).
c. trochlear (IV).
d. abducens (VI).
e. facial (VII).
Learning Outcome:
Bloom's Taxonomy: Analyzing
a. 1,2,3
b. 2,3,4
c. 1,2,5
d. 2,3,5
e. 3,4,5
Learning Outcome:
Bloom's Taxonomy: Analyzing
a. 1,2,3
b. 1,4,5
c. 2,3,4
d. 2,3,5
e. 3,4,5
Learning Outcome:
Bloom's Taxonomy: Analyzing
32. Which of these activities is mostly associated with the left cerebral hemisphere in most
people?
a. sensory input from the left side of the body
b. mathematics and speech
c. spatial perception
d. recognition of faces
e. musical ability
Learning Outcome:
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for more nursing test banks, sample exam, reviewers, and notes.
34. Neurons have cytoplasmic extensions that connect one neuron to another neuron. Given
these structures:
1. axon
2. dendrite
3. dendritic spine
4. presynaptic terminal
Choose the arrangement that lists the structures in the order they are found between two
neurons.
a. 1,4,2,3
b. 1,4,3,2
c. 4,1,2,3
d. 4,1,3,2
e. 4,3,2,1
Learning Outcome:
Bloom's Taxonomy: Analyzing
36. Neurotransmitter substances are stored in vesicles that are located in specialized
portions of the
a. neuron cell body.
b. axon.
c. dendrite.
d. postsynaptic membrane.
Learning Outcome:
Bloom's Taxonomy: Analyzing
c. both a and b.
Learning Outcome:
Bloom's Taxonomy: Analyzing
39. A person with a spinal cord injury is suffering from paresis (partial paralysis) in the right
lower limb.Which of these pathways is probably involved?
a. left lateral corticospinal tract
b. right lateral corticospinal tract
c. left dorsal column/medial lemniscal system
d. right dorsal column/medial lemniscal system
Learning Outcome:
Bloom's Taxonomy: Applying
a. school stress
b. high blood pressure
c. a full stomach
d. food flavorings such as
MSG\ Learning Outcome:
Bloom's Taxonomy: Applying
Feedback: Correct Answer: Although blood sugar levels can cause headache, a
stretched stomach should not be sufficient cause; psychological stress, certain food
additives such as monosodium glutamate, and high blood pressure are known to elicit
headache (cephalgia).
48. Which of the following could be detected on the back of the tongue?
a. sweet
b. sour
c. salty
d. bitter
Learning Outcome:
Bloom's Taxonomy: Understanding
Feedback: Correct Answer: The buds on the posterior part of the tongue respond to
bitter; the tip is sweet and the sides are sour and salt.
a. throat
b. inner ear
c. outer ear
d. cochlea
Learning Outcome:
Bloom's Taxonomy: Analyzing
Feedback: Correct Answer: The auditory tube or Eustachian tube equalizes the air
pressure between the middle ear and nasopharynx or throat to allow proper eardrum
movement.
56. Which of these photoreceptor cells is not correctly matched with its function?
a. rods—vision in low light
b. rods—visual acuity
c. cones—color vision
Learning Outcome:
Bloom's Taxonomy: Analyzing
57. A person with an abnormally long eyeball (anterior to posterior) is________ and uses
a________ to correct his or her vision.
a. nearsighted, concave lens
b. nearsighted, convex lens
c. farsighted, concave lens
d. farsighted, convex lens
Learning Outcome:
Bloom's Taxonomy: Applying
58. An increase in the loudness of sound occurs as a result of an increase in the of the sound
wave.
a. frequency
b. amplitude
c. resonance
d. both a and b
Learning Outcome:
Bloom's Taxonomy: Understanding
59. Tears:
a. are released onto the surface of the eye near the medial corner of the eye.
b. in excess are removed by the canal of Schlemm.
c. in excess can cause a sty.
d. can pass through the nasolacrimal duct into the oral cavity.
e. contain water, salts, mucus, and lysozyme.
Learning Outcome:
Bloom's Taxonomy: Understanding
60. In the retina there are cones that are most sensitive to a particular color. Given this list of
colors:
1. red
2. yellow
3. green
4. blue
a. 2,3
b. 3,4
c. 1,2,3
d. 1,3,4
e. 1,2,3,4
Learning Outcome:
Bloom's Taxonomy: Analyzing