The nurse asks the patient to walk heel-to-toe, on the toes, and then on the heels. What function is the nurse assessing?
1. cerebellar
2. cerebral
3. midbrain
4. brainstem
Question 2The nurse is preparing to assess a patient's cranial nerve XI (spinal accessory). What should the nurse ask the patient to complete this assessment?
1. Shrug the shoulders and turn the head against resistance.
2. Stick out the tongue and move it from side to side.
3. Taste foods and distinguish sweet from sour.
4. Smell items with one nostril blocked and identify them correctly.
Question 3The nurse wants to determine if a patient is experiencing tremors. When performing this assessment, for what should the nurse observe?
1. shaking
2. jerky movements
3. rhythmic movements
4. fasciculations
Question 4Normally a patient can differentiate between soft and sharp and can feel vibrations accurately. What should the nurse do to assess a patient's sensory function?
1. touch both sides of various parts of the body with a sharp and a dull object
2. have the patient distinguish which parts of the body are being touched
3. ask the patient to identify two areas of simultaneous pinpricks on the hand
4. write a number on the patient's hand and have him or her identify the number
Question 5A patient is exhibiting a lack of coordination, clumsy movements, and an unbalanced gait. What term should the nurse use when documenting these observations?
1. flaccidity
2. paralysis
3. hemiparesis
4. ataxia
Question 6The nurse is preparing to assess a patient's cognitive function. What should the nurse include in this assessment?
1. ability to smell items placed under the nose while eyes are closed
2. orientation to time, place, and person, and ability to recall recent and past events
3. ability to walk with a smooth, steady gait
4. level of consciousness
Question 7The nurse instructs a patient with Sjgren syndrome on self-care techniques. Which patient statements indicate that teaching has been effective?
Select all that apply.
1. I will take aspirin every morning.
2. I will use artificial tears as needed.
3. I will make sure I drink water with each meal.
4. I will be sure to drink fluids throughout the day.
5. I will brush my teeth before and after every meal.
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