The external male genital structures include the:
a. Testis.
b. Scrotum.
c. Epididymis.
d. Vas deferens.
Question 2During the assessment of deep tendon reflexes, the nurse finds that a patient's responses are bilaterally normal.
What number is used to indicate normal deep tendon reflexes when the documenting this finding? ____
Question 3A 69-year-old patient has been admitted to an adult psychiatric unit because his wife thinks he is getting more and more confused. He laughs when he is found to be forgetful, saying I'm just getting old
After the nurse completes a thorough neurologic assessment, which findings would be indicative of Alzheimer disease? Select all that apply.
a.
Occasionally forgetting names or appointments
b.
Difficulty performing familiar tasks, such as placing a telephone call
c.
Misplacing items, such as putting dish soap in the refrigerator
d.
Sometimes having trouble finding the right word
e.
Rapid mood swings, from calm to tears, for no apparent reason
f.
Getting lost in one's own neighborhood
Question 4The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor. With the reflex hammer, the nurse draws a light stroke up the lateral side of the sole of the foot and inward, across the ball of the foot. In response,
the patient's toes fan out, and the big toe shows dorsiflexion. The nurse interprets this result as:
a.
Negative Babinski sign, which is normal for adults.
b.
Positive Babinski sign, which is abnormal for adults.
c.
Clonus, which is a hyperactive response.
d.
Achilles reflex, which is an expected response.
Question 5The nurse is reviewing a patient's medical record and notes that he is in a coma. Using the Glasgow Coma Scale, which number indicates that the patient is in a coma?
a. 6
b. 12
c. 15
d. 24
Question 6A man who was found wandering in a park at 2 AM has been brought to the emergency department for an examination; he said he fell and hit his head. During the examination, the nurse asks him to use his index finger to touch the nurse's finger,
then his own nose, then the nurse's finger again (which has been moved to a different location). The patient is clumsy, unable to follow the instructions, and overshoots the mark, missing the finger. The nurse should suspect which of the following?
a.
Cerebral injury
b.
Cerebrovascular accident
c.
Acute alcohol intoxication
d.
Peripheral neuropathy
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