During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:

May indicate disease of the cerebellum or brainstem.

is a sign that the patient is nervous about the examination

Indicates a visual problem, and a referral to an ophthalmologist is indicated.

is a normal occurrence

Answer and Explanation

The Correct Answer is A

A.   Severe nystagmus is often associated with neurological disorders, particularly those affecting the cerebellum or brainstem.
B.   is a sign that the patient is nervous about the examination. Nervousness typically doesn’t cause severe, persistent nystagmus.
C.   Indicates a visual problem, and a referral to an ophthalmologist is indicated. While nystagmus affects vision, it is usually neurologically based, requiring a neurological assessment rather than a referral to an ophthalmologist.
D.   Nystagmus is not typically normal, especially when it is severe and persistent. It warrants further investigation.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. The ballottement test involves pressing on the knee joint to check for the presence of fluid, which can indicate joint effusion.
B. The McMurray test is used to assess for meniscal tears, not for fluid around the patella.
C. The Tinel sign is used to assess for nerve compression, not fluid accumulation.
D. The Phalen test is used to diagnose carpal tunnel syndrome, not to assess for joint effusion.

A. Frontal B. Occipital C. Temporal D. Parietal

Correct Answer is A

Explanation

A. The frontal lobe is responsible for a variety of functions, including personality, behavior, judgment, and emotional regulation. It also plays a key role in problem-solving and decision-making. Changes in these areas, such as the emotional instability (crying and anger) described in the question, are often linked to frontal lobe dysfunction.
B. The occipital lobe is primarily responsible for visual processing. Damage or issues in the occipital lobe typically affect vision, such as causing blindness or visual disturbances, rather than emotional or behavioral changes like those described in the scenario.
C. The temporal lobe is involved in processing auditory information, memory, and language. While damage to the temporal lobe can affect memory or speech, it is not primarily responsible for the emotional and personality changes described in the scenario. Temporal lobe damage is more commonly associated with memory loss or issues with speech.
D. The parietal lobe is responsible for sensory information and spatial awareness. While damage here can lead to problems with spatial orientation or sensation, it is not directly responsible for emotional regulation or changes in personality and behavior like those described in the question.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should use which test to check for large amounts of fluid around the patella?

Correct Answer is A

Explanation

The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the……..lobe.

Correct Answer is A

Explanation

A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance. Which area of the brain that is related to these findings would concern the nurse?

To enhance muscle relaxation prior to an abdominal examination the nurse would

During an assessment of the CNs, the nurse finds the following: asymmetry when the patient smiles or frowns, uneven lifting of the eyebrows, sagging of the lower eyelids, and escape of air when the nurse presses against the right puffed cheek. This would indicate dysfunction of which of these CNs?

​​​​​​​The nurse is performing a physical assessment on a newly admitted patient. Select subjective or objective for the findings below.

A nurse is interviewing a client in order to obtain a comprehensive health history. The purpose of a review of systems in the health history is to

In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

During an examination, the nurse asks a patient to bend forward from the waist and notices that the patient has lateral tilting. When his leg is raised straight up, the patient complains of a pain going down his buttock into his leg. The nurse suspects:

A nurse in a clinic is assessing a client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?