Deck 6: Neurologic Assessment of the Respiratory Care Patient

Question 1

The main goal of assessing mental status is to determine which of the following?

A) Consciousness
B) Awareness
C) Thinking
D) CNS dysfunction

Answer 1

Consciousness

Question 2

The presence of dorsiflexion of the great toe with fanning of the remaining toes during testing of the plantar reflex is known as the:

A) Babinski sign.
B) "Jerk" reflex.
C) patellar reflex.
D) quadriceps reflex.

Answer 2

Babinski sign.

Question 3

Where in the nervous system is breathing regulated?

A) Brain cortex
B) Medulla
C) Cerebellum
D) Brain stem

Answer 3

Brain stem

Question 4

Which of the following are parts of the brain?
1) Cerebrum
2) Cranial nerves
3) Brain stem
4) Cerebellum

A)1 and 2
B)3 and 4
C)2 and 3
D)1, 3, and 4

Question 5

Injury to the cervical spine roots C3 to C5 is associated with which of the following abnormalities?

A) Absence of deep tendon reflexes
B) Babinski sign
C) Paralysis of the diaphragm
D) Doll's-eye maneuver

Question 6

Hyperventilation would be observed in a patient who has damaged which portion of the brain stem?

A) High midbrain
B) Medulla
C) Mid-midbrain
D) Pons

Question 7

Which of the following are important factors in determining the needed frequency of the neurologic assessment?
1) Patient's diagnosis
2) Acuity of the condition
3) How rapidly changes are occurring or are expected to occur
4) Shift change schedule

A)1 and 2
B)3 and 4
C)1, 2, and 3
D)2, 3, and 4

Question 8

A patient who is alert and oriented times three would be able to answer which of the following things correctly?
1) First and last name
2) Today's date
3) City in which he or she lives
4) President or head of state's name

A)1, 3, and 4
B)1, 2, and 4
C)1, 2, and 3
D)2, 3, and 4

Question 9

Which of the following cranial nerves are evaluated with the gag reflex?

A) II and III
B) V and VII
C) I and II
D) IX and X

Question 10

Which of the following are included in the acronym PERRLA?
1) Positioned
2) Accommodation
3) Round
4) Reactive

A)1 and 4
B)2 and 3
C)1, 2, and 3
D)2, 3, and 4

Question 11

Which of the following is the most critical parameter to keep in mind when managing a patient with intracranial hypertension?

A) Mean arterial pressure
B) Cerebral perfusion pressure
C) Intracranial pressure
D) Pulse pressure

Question 12

Which of the following is the most common cause of a nerve root pathologic condition due to compression?

A) Herniated vertebral disc
B) Spinal tumor
C) Spinal cord injury
D) Infection

Question 13

What instrument is used most widely to quantify neurologic impairment?

A) Merck gait evaluation
B) Glasgow coma scale
C) APACHE
D) Mini-Mental State Examination

Question 14

Which of the following anatomic areas is compromised when the patient has dysmetria?

A) Cerebrum
B) Pons
C) Cerebellum
D) Brain stem

Question 15

Which of the following is considered the most important part of the neurologic examination?

A) Sensory examination
B) Motor examination
C) Level of consciousness
D) Gait examination

Question 16

Which of the following respiratory patterns consists of phases of hyperpnea that regularly alternate with episodes of apnea?

A) Biot breathing
B) Ataxic breathing
C) Apneustic breathing
D) Cheyne-Stokes respiration

Question 17

Which of the following cranial nerves is intact if cough is present while the airway is suctioned?

A) I
B) IX
C) X
D) XII

Question 18

Which Glasgow coma scale score is typically an indication for endotracheal intubation?

A) <9
B) <10
C) <12
D) <14

Question 19

Which of the following diseases is characterized by abnormal deep tendon reflexes due to abnormalities of the neuromuscular junction?

A) Syphilis
B) Myasthenia gravis
C) Cerebritis
D) Multiple sclerosis

Question 20

Which of the following diseases may be suggested by the involvement of multiple nerve roots?

A) Myasthenia gravis
B) Guillain-Barré syndrome
C) Brain tumor
D) Intracranial hypertension

Question 21

Which of the following is the largest part of the brain?

A) Cerebrum
B) Medulla
C) Cerebellum
D) Brain stem

Question 22

The brain death determination test involving disconnecting a patient from the ventilator, providing 100% oxygen, and monitoring closely for spontaneous breathing is the __________________.

A) apnea test.
B) metabolic test.
C) tendon reflex test.
D) deep pain test.