The nurse is performing a neurological assessment on a client with a history of Diabetes.

When testing the ability to feel the vibrations of a tuning fork, the nurse notices that the client is unable to feel vibrations on the great toe or ankle bilaterally, but is able to feel vibrations on both patellae. What should the nurse suspect from these assessments?

Hyperalgesia

Peripheral neuropathy

Hyperparalysis

Lesion of the sensory cortex

Answer and Explanation

The Correct Answer is B

A.   Hyperalgesia refers to increased sensitivity to pain stimuli, not specifically related to the inability to feel vibrations.
B.   Peripheral neuropathy, a common complication of diabetes, often leads to sensory deficits, especially in distal extremities like the toes and feet.
C.   Hyperparalysis is not a recognized term in neurology.
D.   A lesion of the sensory cortex would likely present with broader sensory deficits rather than a specific loss of vibration sensation in the distal lower extremities.

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Correct Answer is B

Explanation

A. The Glasgow Coma Scale assesses a patient's level of consciousness, not specifically limb weakness.
B. A complete neurological examination would involve assessing cranial nerves, motor and sensory functions, reflexes, coordination, and gait, which are essential when a client presents with unilateral weakness in the arm and leg.
C. A muscular examination might focus more on muscle strength and tone but might not cover the breadth of neurological assessment needed in this scenario.
D. Neurologic recheck examination suggests a reassessment after an initial neurological exam but doesn’t specify the need for a comprehensive evaluation.

A. The central nervous system consists of the brain and electrical impulse stimulators. B. The central nervous system is made up of the hypothalamus and cerebral nerves. C. The central nervous system is made up of the brain and spinal cord. D. The central nervous system includes the peripheral and autonomic components.

Correct Answer is C

Explanation

A. This option inaccurately includes "electrical impulse stimulators," which is not a recognized component of the central nervous system. The central nervous system comprises the brain and spinal cord.
B. The hypothalamus and cerebral nerves are parts of the nervous system but do not represent the entirety of the central nervous system.
C. The central nervous system consists specifically of the brain and spinal cord, responsible for coordinating and processing sensory information.
D. The peripheral and autonomic components belong to the broader nervous system but are not part of the central nervous system.

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Naxlex Comprehensive Predictor Exams

A client comes to the clinic and reports having weakness in the left arm and leg for the past week. The nurse should perform which type of neurological exam?

Correct Answer is B

Explanation

The student nurse is studying the functioning of the nervous system. Which of the following descriptions of the central nervous system is accurate?

Correct Answer is C

Explanation

During a community screening event for bone density, an elderly client asked the nurse why she is an inch shorter in height. Which of the following responses by the nurse is correct?

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The nurse suspects that a client has carpal tunnel syndrome and prepares to conduct the Phalen test. What instructions should the nurse give the client to perform the Phalen test?

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