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HESI LPN · HESI LPN Medical Surgical Nursing · HESI Health Assessment Neurological System NCLEX Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

An elderly patient is brought to the clinic for confusion, horizontal eye movement bilaterally, and intermittent disorientation to time and place over the past 3 months. The patient has a history of alcoholism for 30 years. Which dementia type is the patient most likely experiencing?

A. Wernicke’s encephalopathy
B. Pick’s disease
C. Lewy bodies
D. Parkinson’s disease

Expert Explanatory Rationale

Correct Answer: Wernicke’s encephalopathy

Question 2 of 5

Which nerve supplies the vertex of the scalp

A. Greater occipital
B. Third occipital
C. Auriculotemporal
D. Supraorbital

Expert Explanatory Rationale

Correct Answer: Greater occipital

Question 3 of 5

Which statements describe neurosyphilis (select one that doesn't apply)?

A. Occurs 10 to 20 years after bacterial infection
B. Infection can affect any part of the nervous system
C. Descending paralysis with cranial nerve involvement
D. Degenerative changes in the spinal cord and brainstem

Expert Explanatory Rationale

Correct Answer: Descending paralysis with cranial nerve involvement

Question 4 of 5

Patients with intracerebral hemorrhage need to be observed for signs and symptoms of increased intracranial pressure. During the compensatory phase of increased intracranial pressure an initial change in vital signs includes

A. Cheyne-Stokes respiration
B. an increase in pupil size
C. a rapid irregular pulse
D. an increase in systemic blood pressure

Expert Explanatory Rationale

Correct Answer: an increase in systemic blood pressure

Question 5 of 5

Which of the following best describes the waxy-appearing material called myelin:

A. an outermembrane on a neuroglial cell
B. a lipid-protein (lipoprotein) cell membrane on the outside of axons
C. a mass of white lipid material that surrounds the cell body of a neuron
D. a mass of white lipid material that insulates the axon of a neuron

Expert Explanatory Rationale

Correct Answer: a mass of white lipid material that insulates the axon of a neuron

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