Neurological Disorders Practice Quiz #3 (25 Questions) questions with correct answers.

Neurological Disorders
Practice Quiz #3 (25
Questions) questions with
correct answers.

1. A client admitted to the hospital with a subarachnoid hemorrhage has complaints of
severe headache, nuchal rigidity, and projectile vomiting. The nurse knows lumbar
puncture (LP) would be contraindicated in this client in which of the following
circumstances?
1. Vomiting continues
2. Intracranial pressure (ICP) is increased
3. The client needs mechanical ventilation
4. Blood is anticipated in the cerebrospinal fluid (CSF) - CORRECT ANSWER✅✅2.
Intracranial pressure (ICP) is increased

2. A client with a subdural hematoma becomes restless and confused, with dilation of
the ipsilateral pupil. The physician orders mannitol for which of the following reasons?
1. To reduce intraocular pressure
2. To prevent acute tubular necrosis
3. To promote osmotic diuresis to decrease ICP
4. To draw water into the vascular system to increase blood pressure - CORRECT
ANSWER✅✅3. To promote osmotic diuresis to decrease ICP

3. A client with subdural hematoma was given mannitol to decrease intracranial
pressure (ICP). Which of the following results would best show the mannitol was
effective?
1. Urine output increases
2. Pupils are 8 mm and nonreactive
3. Systolic blood pressure remains at 150 mm Hg
4. BUN and creatinine levels return to normal - CORRECT ANSWER✅✅1. Urine
output increases

4. Which of the following values is considered normal for ICP?
1. 0 to 15 mm Hg
2. 25 mm Hg
3. 35 to 45 mm Hg
4. 120/80 mm Hg - CORRECT ANSWER✅✅1. 0 to 15 mm Hg

, 5. Which of the following symptoms may occur with a phenytoin level of 32 mg/dl?
1. Ataxia and confusion
2. Sodium depletion
3. Tonic-clonic seizure
4. Urinary incontinence - CORRECT ANSWER✅✅1. Ataxia and confusion

6. Which of the following signs and symptoms of increased ICP after head trauma would
appear first?
1. Bradycardia
2. Large amounts of very dilute urine
3. Restlessness and confusion
4. Widened pulse pressure - CORRECT ANSWER✅✅3. Restlessness and confusion

7. Problems with memory and learning would relate to which of the following lobes?
1. Frontal
2. Occipital
3. Parietal
4. Temporal - CORRECT ANSWER✅✅4. Temporal

8. While cooking, your client couldn't feel the temperature of a hot oven. Which lobe
could be dysfunctional?
1. Frontal
2. Occipital
3. Parietal
4. Temporal - CORRECT ANSWER✅✅3. Parietal

9. The nurse is assessing the motor function of an unconscious client. The nurse would
plan to use which of the following to test the client's peripheral response to pain?
1. Sternal rub
2. Pressure on the orbital rim
3. Squeezing the sternocleidomastoid muscle
4. Nail bed pressure - CORRECT ANSWER✅✅4. Nail bed pressure

10. The client is having a lumbar puncture performed. The nurse would plan to place the
client in which position for the procedure?
1. Side-lying, with legs pulled up and head bent down onto the chest
2. Side-lying, with a pillow under the hip
3. Prone, in a slight Trendelenburg's position
4. Prone, with a pillow under the abdomen. - CORRECT ANSWER✅✅1. Side-lying,
with legs pulled up and head bent down onto the chest

11. A nurse is assisting with caloric testing of the oculovestibular reflex of an
unconscious client. Cold water is injected into the left auditory canal. The client exhibits
eye conjugate movements toward the left followed by a rapid nystagmus toward the
right. The nurse understands that this indicates the client has:
1. A cerebral lesion