The nursing preceptor is observing the nursing student providing a neurological assessment focusing on various tests for cerebellar function. What would be the priority test the preceptors should expect the student to perform on their client?
Graphesthesia
Stereognosis
Vibration
Gait and balance
The Correct Answer is D
Choice A reason: Graphesthesia tests parietal lobe sensory processing, not cerebellar function. The cerebellum coordinates movement, not cortical interpretation, making this irrelevant to assessing ataxia or balance issues expected in a cerebellar-focused exam entirely here fully.
Choice B reason: Stereognosis assesses parietal tactile recognition, not cerebellar motor control. This sensory test misses the cerebellum’s role in coordination and balance, excluding it as a priority for evaluating cerebellar dysfunction in this assessment comprehensively.
Choice C reason: Vibration tests posterior column sensation, not cerebellar function. While neurological, it targets spinal pathways, not the cerebellum’s coordination role, rendering it secondary to movement-based tests for cerebellar evaluation in this context fully here.
Choice D reason: Gait and balance directly assess cerebellar function, critical for coordination. Ataxia or wide-based gait from cerebellar damage makes this the priority test, aligning with the preceptor’s focus on cerebellar performance accurately and effectively here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Prolonged tonsillar enlargement may cause throat issues or obstruction, but rhinorrhea stems from nasal inflammation, not tonsils. This focuses on oropharyngeal anatomy, missing the direct nasal etiology tied to runny nose in upper airway complaints here entirely.
Choice B reason: Allergies trigger nasal inflammation via histamine, causing rhinorrhea as IgE-mediated mast cells release mediators. A history of this is key, directly linking environmental triggers to the client’s runny nose, making it the most relevant assessment area accurately.
Choice C reason: Incomplete immunizations increase infection risk, but rhinorrhea more commonly ties to allergies or viruses than vaccine-preventable diseases here. This is less specific to the symptom’s etiology without fever or systemic signs, reducing its pertinence significantly.
Choice D reason: Epistaxis (nosebleeds) relates to vascular fragility, not mucus production like rhinorrhea. Past bleeding doesn’t explain runny nose, focusing on a separate nasal issue, making it less relevant to the upper airway complaint’s root cause in this case fully.
Correct Answer is C
Explanation
Choice A reason: Thin, gray-white discharge suggests infection like bacterial vaginosis, not menopause. Menopause features dryness, not discharge, making this unrelated to hormonal decline, excluding it as a trigger for menopause education in this case fully here.
Choice B reason: Urinary difficulty may relate to aging or prolapse, not directly menopause. While estrogen loss can affect the urethra, it’s less specific than vaginal symptoms, rendering it secondary for menopause-focused education entirely and accurately here.
Choice C reason: Irregular bleeding and vaginal dryness are hallmark menopause signs, from estrogen drop. Perimenopause causes erratic periods, and dryness reflects atrophy, making this the key finding for targeted menopause education comprehensively and accurately here.
Choice D reason: Painless vaginal lumps suggest cysts or tumors, not menopause. These structural issues lack hormonal ties to estrogen decline, excluding them as menopause indicators needing education compared to bleeding and dryness fully here entirely.
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