Page 1 Neuro Question collection
Terms in this set (140)
A 33-year-old client presents at the clinic with reports of Blurred vision, intention tremor, and urinary hesitancy
weakness, incoordination, dizziness, and loss of balance.
The client is hospitalized and diagnosed with MS. What sign Explanation:
or symptom, revealed during the initial assessment, is typical Optic neuritis, leading to blurred vision, is a common early sign of MS, as is intention
of MS? tremor (tremor when performing an activity). Nerve damage can cause urinary
hesitancy. In MS, deep tendon reflexes are increased or hyperactive. A positive
Diplopia, history of increased fatigue, and decreased or Babinski reflex is found in MS. Abdominal reflexes are absent with MS.
absent deep tendon reflexes
Flexor spasm, clonus, and negative Babinski reflex
Blurred vision, intention tremor, and urinary hesitancy
Hyperactive abdominal reflexes and history of unsteady gait
and episodic paresthesia in both legs
Neuro Question collection 1
,Page 2 Neuro Question collection
A 58-year-old construction worker fell from a 25-foot Death
scaffolding and incurred a closed head injury as a result. As
his intracranial pressure continues to increase, the potential Permanent neurologic
of herniation also increases. If the brain herniates, which of dysfunction
the following are potential consequences? Choose all correct
options. Impaired cellular activity
Death Explanation:
Permanent neurologic dysfunction As increased ICP progresses, the consequences include impaired cellular activity,
temporary or permanent neurologic dysfunction, or death.
Impaired cellular activity
Insomnia
Seizures
Neuro Question collection 2
,Page 3 Neuro Question collection
A 76-year-old male client is brought to the clinic by his Balloon angioplasty of the carotid artery followed by stent placement
daughter. The daughter states that her father has had two
transient ischemic attacks (TIAs) in the past week. The Carotid endarterectomy
physician orders carotid angiography, and the report reveals
that the carotid artery has been narrowed by atherosclerotic Explanation:
plaques. What treatment option does the nurse expect the If narrowing of the carotid artery by atherosclerotic plaques is the cause of the TIAs, a
physician to offer this client to increase blood flow to the carotid endarterectomy (surgical removal of atherosclerotic plaque) could be
brain? Select all that apply. performed. A balloon angioplasty of the carotid artery, a procedure similar to a
percutaneous transluminal coronary artery angioplasty, may be performed
Balloon angioplasty of the carotid artery followed by stent alternatively to dilate the carotid artery and increase blood flow to the brain, followed
placement by stent placement. The other options are not options to increase blood flow through
the carotid artery to the brain.
Removal of the carotid artery
Percutaneous transluminal coronary artery angioplasty
Carotid endarterectomy
Administration of tissue plasminogen activator
Neuro Question collection 3
, Page 4 Neuro Question collection
An 83-year-old woman suffers a stroke at home and is Magnetic resonance angiography (MRA)
hospitalized for treatment and management. Which of the
following diagnostic procedures would be best to visualize An MRA allows separate visualization of the cerebral vasculature and can be used in
the extent of damage? place of an MRI.
Magnetic resonance imaging (MRI)
Diffusion-weighted imaging (DWI)
Magnetic resonance angiography (MRA)
Computed tomography (CT)
After a stroke, a client is admitted to the facility. The client Elevating the head of the bed to 30 degrees
has left-sided weakness and an absent gag reflex. He's
incontinent and has a tarry stool. His blood pressure is 90/50 Explanation:
mm Hg, and his hemoglobin is 10 g. Which nursing
intervention is a priority for this client? Because the client's gag reflex is absent, elevating the head of the bed to 30 degrees
helps minimize the client's risk of aspiration. Checking the stools, performing ROM
Checking stools for occult blood exercises, and keeping the skin clean and dry are important, but preventing aspiration
through positioning is the priority.
Performing range-of-motion (ROM) exercises on the left
side
Keeping skin clean and dry
Elevating the head of the bed to 30 degrees
Neuro Question collection 4
Terms in this set (140)
A 33-year-old client presents at the clinic with reports of Blurred vision, intention tremor, and urinary hesitancy
weakness, incoordination, dizziness, and loss of balance.
The client is hospitalized and diagnosed with MS. What sign Explanation:
or symptom, revealed during the initial assessment, is typical Optic neuritis, leading to blurred vision, is a common early sign of MS, as is intention
of MS? tremor (tremor when performing an activity). Nerve damage can cause urinary
hesitancy. In MS, deep tendon reflexes are increased or hyperactive. A positive
Diplopia, history of increased fatigue, and decreased or Babinski reflex is found in MS. Abdominal reflexes are absent with MS.
absent deep tendon reflexes
Flexor spasm, clonus, and negative Babinski reflex
Blurred vision, intention tremor, and urinary hesitancy
Hyperactive abdominal reflexes and history of unsteady gait
and episodic paresthesia in both legs
Neuro Question collection 1
,Page 2 Neuro Question collection
A 58-year-old construction worker fell from a 25-foot Death
scaffolding and incurred a closed head injury as a result. As
his intracranial pressure continues to increase, the potential Permanent neurologic
of herniation also increases. If the brain herniates, which of dysfunction
the following are potential consequences? Choose all correct
options. Impaired cellular activity
Death Explanation:
Permanent neurologic dysfunction As increased ICP progresses, the consequences include impaired cellular activity,
temporary or permanent neurologic dysfunction, or death.
Impaired cellular activity
Insomnia
Seizures
Neuro Question collection 2
,Page 3 Neuro Question collection
A 76-year-old male client is brought to the clinic by his Balloon angioplasty of the carotid artery followed by stent placement
daughter. The daughter states that her father has had two
transient ischemic attacks (TIAs) in the past week. The Carotid endarterectomy
physician orders carotid angiography, and the report reveals
that the carotid artery has been narrowed by atherosclerotic Explanation:
plaques. What treatment option does the nurse expect the If narrowing of the carotid artery by atherosclerotic plaques is the cause of the TIAs, a
physician to offer this client to increase blood flow to the carotid endarterectomy (surgical removal of atherosclerotic plaque) could be
brain? Select all that apply. performed. A balloon angioplasty of the carotid artery, a procedure similar to a
percutaneous transluminal coronary artery angioplasty, may be performed
Balloon angioplasty of the carotid artery followed by stent alternatively to dilate the carotid artery and increase blood flow to the brain, followed
placement by stent placement. The other options are not options to increase blood flow through
the carotid artery to the brain.
Removal of the carotid artery
Percutaneous transluminal coronary artery angioplasty
Carotid endarterectomy
Administration of tissue plasminogen activator
Neuro Question collection 3
, Page 4 Neuro Question collection
An 83-year-old woman suffers a stroke at home and is Magnetic resonance angiography (MRA)
hospitalized for treatment and management. Which of the
following diagnostic procedures would be best to visualize An MRA allows separate visualization of the cerebral vasculature and can be used in
the extent of damage? place of an MRI.
Magnetic resonance imaging (MRI)
Diffusion-weighted imaging (DWI)
Magnetic resonance angiography (MRA)
Computed tomography (CT)
After a stroke, a client is admitted to the facility. The client Elevating the head of the bed to 30 degrees
has left-sided weakness and an absent gag reflex. He's
incontinent and has a tarry stool. His blood pressure is 90/50 Explanation:
mm Hg, and his hemoglobin is 10 g. Which nursing
intervention is a priority for this client? Because the client's gag reflex is absent, elevating the head of the bed to 30 degrees
helps minimize the client's risk of aspiration. Checking the stools, performing ROM
Checking stools for occult blood exercises, and keeping the skin clean and dry are important, but preventing aspiration
through positioning is the priority.
Performing range-of-motion (ROM) exercises on the left
side
Keeping skin clean and dry
Elevating the head of the bed to 30 degrees
Neuro Question collection 4
