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HESI LPN · HESI LPN Medical Surgical Nursing · HESI Neurological System Assessment Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A nurse is preparing a client for an MRI. Which factor would exclude the client from the test?

A. Wearing jewelry

B. Cardiac pacemaker

C. Claustrophobia

D. Allergy to iodine

Expert Explanatory Rationale

Correct Answer: Cardiac pacemaker

Question 2 of 5

Which disease or disorder is characterized by demyelination of cells within the CNS, inflammation, and development of scar tissue?

A. Parkinson's

B. multiple sclerosis

C. Alzheimer's

D. myasthenia gravis

Expert Explanatory Rationale

Correct Answer: multiple sclerosis

Question 3 of 5

Which of the following intracranial surgeries involves the repair of a defect in a cranial bone?

A. Craniectomy

B. Craniotomy

C. Cranioplasty

D. Cranial lysis

Expert Explanatory Rationale

Correct Answer: Cranioplasty

Question 4 of 5

When assessing for signs of a stroke, the nurse should be alert for:

A. Sudden weakness, confusion, and difficulty speaking.

B. Steady gait and normal muscle strength.

C. Clear, intact sensation in all extremities.

D. Normal deep tendon reflexes.

Expert Explanatory Rationale

Correct Answer: Sudden weakness, confusion, and difficulty speaking.

Question 5 of 5

A 75 year-old retired short-order cook presents to the office for evaluation of weakness. He has a history of hypertension; he stopped taking his medication a few months ago because he couldn't tell that it was making a difference and it was too expensive. On physical examination, his blood pressure is 220/110 mm Hg. He has deviation of the tongue to the left side. Which cranial nerve would have to be affected for this finding to be present?

A. CNI (olfactory)

B. CN V (trigeminal)

C. CN VII (facial)

D. CN XII (hypoglossal)

Expert Explanatory Rationale

Correct Answer: CN XII (hypoglossal)

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