The nurse is preparing to collect data for a patient's neurological status. What equipment should the nurse gather?

Blood pressure cuff

Pen light

Thermometer

Stethoscope

Answer and Explanation

The Correct Answer is B

A. A blood pressure cuff is not directly needed to assess neurological status. While blood pressure is important to monitor in neurological assessments, it is not the primary tool used for assessing neurological function.

B. A pen light is essential for assessing pupil reaction, which is a key part of a neurological exam. The nurse can use the pen light to check for pupil dilation, constriction, and reaction to light, which are important indicators of brain function.

C. A thermometer is useful for measuring body temperature but is not a primary tool for assessing neurological status. Although fever can be a sign of infection affecting the brain, it is not part of the basic neurological exam.

D. A stethoscope is useful for listening to heart and lung sounds, but it is not typically used for assessing neurological function. The pen light is the more appropriate tool for this purpose.

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Correct Answer is A

Explanation

A. The postictal phase refers to the period immediately following a seizure when the client is often drowsy, confused, or difficult to arouse. This phase can last for several minutes to hours, depending on the individual.

B. Absence seizures are brief, generalized seizures characterized by staring and loss of awareness, often without a postictal phase.

C. The aura phase refers to the sensory warning or symptoms that precede a seizure, not the post-seizure state.

D. Automatisms are involuntary, repetitive movements (such as lip smacking or hand wringing) that can occur during a seizure, but they do not describe the postictal state.

A. Neck stiffness B. Pain in the neck C. Low back pain D. Shoulder pain E. Tingling in the arms

Correct Answer is ["A","B","D","E"]

Explanation

A. Neck stiffness is a common symptom of a herniated cervical disc due to irritation of the surrounding tissues and nerve roots.

B. Pain in the neck is one of the hallmark symptoms of a cervical disc herniation, as the disc presses on the nerves in the cervical spine.

C. Low back pain is typically associated with lumbar disc herniation, not cervical disc herniation. A herniated cervical disc would more likely cause symptoms in the neck, shoulders, and arms.

D. Shoulder pain is a common symptom of a herniated cervical disc because the nerves that are compressed in the cervical spine also innervate the shoulders.

E. Tingling in the arms is a common symptom of a herniated cervical disc, as the disc can compress the nerves that supply sensation to the arms, leading to numbness and tingling.

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The nurse is preparing to collect data for a patient's neurological status. What equipment should the nurse gather?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is difficult to arouse and very sleepy for several hours following a generalized tonic-clonic seizure. Which of the following descriptions should the nurse use when documenting this finding in the medical record?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has a herniated intervertebral cervical disc. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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