Page 1 of 38
Neurological System and Neuromuscular Disorders Unit
Medical-Surgical Nursing curriculum
[deWit's Medical-Surgical Nursing: Concepts and
Practice].
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 % Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
TIME : HOUR
, Page 2 of 38
1. A patient with possible bacterial meningitis is admitted to the ICU. What
assessment finding would the nurse expect for a patient with this diagnosis?
A) Pain upon ankle dorsiflexion of the foot
B) Neck flexion produces flexion of knees and hips
C) Inability to stand with eyes closed and arms extended without swaying
D) Numbness and tingling in the lower extremities
Ans: B
Feedback:
Clinical manifestations of bacterial meningitis include a positive Brudzinski’s sign.
Neck flexion producing flexion of knees and hips correlates with a positive
Brudzinski’s sign. Positive Homan’s sign (pain upon dorsiflexion of the foot) and
negative Romberg’s sign (inability to stand with eyes closed and arms extended) are
not expected assessment findings for the patient with bacterial meningitis. Peripheral
neuropathy manifests as numbness and tingling in the lower extremities. Again, this
would not be an initial assessment to rule out bacterial meningitis.
2. The nurse is planning discharge education for a patient with trigeminal
neuralgia. The nurse knows to include information about factors that
precipitate an attack. What would the nurse be correct in teaching the patient
to avoid?
A) Washing his face
B) Exposing his skin to sunlight
C) Using artificial tears
D) Drinking large amounts of fluids
Ans: A
Feedback:
Washing the face should be avoided if possible because this activity can trigger an
attack of pain in a patient with trigeminal neuralgia. Using artificial tears would be an
appropriate behavior. Exposing the skin to sunlight would not be harmful to this
patient. Temperature extremes in beverages should be avoided.
3. The nurse is caring for a patient with multiple sclerosis (MS). The patient
tells the nurse the hardest thing to deal with is the fatigue. When teaching the
patient how to reduce fatigue, what action should the nurse suggest?
A) Taking a hot bath at least once daily
B) Resting in an air-conditioned room whenever possible
C) Increasing the dose of muscle relaxants
, Page 3 of 38
D) Avoiding naps during the day
Ans: B
Feedback:
Fatigue is a common symptom of patients with MS. Lowering the body temperature
by resting in an air-conditioned room may relieve fatigue; however, extreme cold
should be avoided. A hot bath or shower can increase body temperature, producing
fatigue. Muscle relaxants, prescribed to reduce spasticity, can cause drowsiness and
fatigue. Planning for frequent rest periods and naps can relieve fatigue. Other
measures to reduce fatigue in the patient with MS include treating depression, using
occupational therapy to learn energy conservation techniques, and reducing
spasticity.
4. A patient with Guillain-Barré syndrome has experienced a sharp decline in
vital capacity. What is the nurse's most appropriate action?
A) Administer bronchodilators as ordered.
B) Remind the patient of the importance of deep breathing and coughing
exercises.
C) Prepare to assist with intubation.
D) Administer supplementary oxygen by nasal cannula.
Ans: C
Feedback:
For the patient with Guillain-Barré syndrome, mechanical ventilation is required if the
vital capacity falls, making spontaneous breathing impossible and tissue oxygenation
inadequate. Each of the other listed actions is likely insufficient to meet the patient’s
oxygenation needs.
5. A patient diagnosed with Bell's palsy is being cared for on an outpatient
basis. During health education, the nurse should promote which of the
following actions?
A) Applying a protective eye shield at night
B) Chewing on the affected side to prevent unilateral neglect
C) Avoiding the use of analgesics whenever possible
D) Avoiding brushing the teeth
Ans: A
Feedback:
Corneal irritation and ulceration may occur if the eye is unprotected. While paralysis
lasts, the involved eye must be protected. The patient should be encouraged to eat
on the unaffected side, due to swallowing difficulties. Analgesics are used to control
the facial pain. The patient should continue to provide self-care including oral
hygiene.
6. The nurse is working with a patient who is newly diagnosed with MS. What
basic information should the nurse provide to the patient?
, Page 4 of 38
A) MS is a progressive demyelinating disease of the nervous system.
B) MS usually occurs more frequently in men.
C) MS typically has an acute onset.
D) MS is sometimes caused by a bacterial infection.
Ans: A
Feedback:
MS is a chronic, degenerative, progressive disease of the central nervous system,
characterized by the occurrence of small patches of demyelination in the brain and
spinal cord. The cause of MS is not known, and the disease affects twice as many
women as men.
7. The nurse is creating a plan of care for a patient who has a recent diagnosis
of MS. Which of the following should the nurse include in the patient's care
plan?
A) Encourage patient to void every hour.
B) Order a low-residue diet.
C) Provide total assistance with all ADLs.
D) Instruct the patient on daily muscle stretching.
Ans: D
Feedback:
A patient diagnosed with MS should be encouraged to increase the fiber in his or her
diet and void 30 minutes after drinking to help train the bladder. The patient should
participate in daily muscle stretching to help alleviate and relax muscle spasms.
8. A patient with metastatic cancer has developed trigeminal neuralgia and is
taking carbamazepine (Tegretol) for pain relief. What principle applies to the
administration of this medication?
A) Tegretol is not known to have serious adverse effects.
B) The patient should be monitored for bone marrow depression.
C) Side effects of the medication include renal dysfunction.
D) The medication should be first taken in the maximum dosage form to be
effective.
Ans: B
Feedback:
The anticonvulsant agents carbamazepine (Tegretol) and phenytoin (Dilantin) relieve
pain in most patients diagnosed with trigeminal neuralgia by reducing the
transmission of impulses at certain nerve terminals. Side effects include nausea,
dizziness, drowsiness, and aplastic anemia. Carbamazepine should be gradually
increased until pain relief is obtained.
9. A male patient presents to the clinic complaining of a headache. The nurse
notes that the patient is guarding his neck and tells the nurse that he has
Neurological System and Neuromuscular Disorders Unit
Medical-Surgical Nursing curriculum
[deWit's Medical-Surgical Nursing: Concepts and
Practice].
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 % Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
TIME : HOUR
, Page 2 of 38
1. A patient with possible bacterial meningitis is admitted to the ICU. What
assessment finding would the nurse expect for a patient with this diagnosis?
A) Pain upon ankle dorsiflexion of the foot
B) Neck flexion produces flexion of knees and hips
C) Inability to stand with eyes closed and arms extended without swaying
D) Numbness and tingling in the lower extremities
Ans: B
Feedback:
Clinical manifestations of bacterial meningitis include a positive Brudzinski’s sign.
Neck flexion producing flexion of knees and hips correlates with a positive
Brudzinski’s sign. Positive Homan’s sign (pain upon dorsiflexion of the foot) and
negative Romberg’s sign (inability to stand with eyes closed and arms extended) are
not expected assessment findings for the patient with bacterial meningitis. Peripheral
neuropathy manifests as numbness and tingling in the lower extremities. Again, this
would not be an initial assessment to rule out bacterial meningitis.
2. The nurse is planning discharge education for a patient with trigeminal
neuralgia. The nurse knows to include information about factors that
precipitate an attack. What would the nurse be correct in teaching the patient
to avoid?
A) Washing his face
B) Exposing his skin to sunlight
C) Using artificial tears
D) Drinking large amounts of fluids
Ans: A
Feedback:
Washing the face should be avoided if possible because this activity can trigger an
attack of pain in a patient with trigeminal neuralgia. Using artificial tears would be an
appropriate behavior. Exposing the skin to sunlight would not be harmful to this
patient. Temperature extremes in beverages should be avoided.
3. The nurse is caring for a patient with multiple sclerosis (MS). The patient
tells the nurse the hardest thing to deal with is the fatigue. When teaching the
patient how to reduce fatigue, what action should the nurse suggest?
A) Taking a hot bath at least once daily
B) Resting in an air-conditioned room whenever possible
C) Increasing the dose of muscle relaxants
, Page 3 of 38
D) Avoiding naps during the day
Ans: B
Feedback:
Fatigue is a common symptom of patients with MS. Lowering the body temperature
by resting in an air-conditioned room may relieve fatigue; however, extreme cold
should be avoided. A hot bath or shower can increase body temperature, producing
fatigue. Muscle relaxants, prescribed to reduce spasticity, can cause drowsiness and
fatigue. Planning for frequent rest periods and naps can relieve fatigue. Other
measures to reduce fatigue in the patient with MS include treating depression, using
occupational therapy to learn energy conservation techniques, and reducing
spasticity.
4. A patient with Guillain-Barré syndrome has experienced a sharp decline in
vital capacity. What is the nurse's most appropriate action?
A) Administer bronchodilators as ordered.
B) Remind the patient of the importance of deep breathing and coughing
exercises.
C) Prepare to assist with intubation.
D) Administer supplementary oxygen by nasal cannula.
Ans: C
Feedback:
For the patient with Guillain-Barré syndrome, mechanical ventilation is required if the
vital capacity falls, making spontaneous breathing impossible and tissue oxygenation
inadequate. Each of the other listed actions is likely insufficient to meet the patient’s
oxygenation needs.
5. A patient diagnosed with Bell's palsy is being cared for on an outpatient
basis. During health education, the nurse should promote which of the
following actions?
A) Applying a protective eye shield at night
B) Chewing on the affected side to prevent unilateral neglect
C) Avoiding the use of analgesics whenever possible
D) Avoiding brushing the teeth
Ans: A
Feedback:
Corneal irritation and ulceration may occur if the eye is unprotected. While paralysis
lasts, the involved eye must be protected. The patient should be encouraged to eat
on the unaffected side, due to swallowing difficulties. Analgesics are used to control
the facial pain. The patient should continue to provide self-care including oral
hygiene.
6. The nurse is working with a patient who is newly diagnosed with MS. What
basic information should the nurse provide to the patient?
, Page 4 of 38
A) MS is a progressive demyelinating disease of the nervous system.
B) MS usually occurs more frequently in men.
C) MS typically has an acute onset.
D) MS is sometimes caused by a bacterial infection.
Ans: A
Feedback:
MS is a chronic, degenerative, progressive disease of the central nervous system,
characterized by the occurrence of small patches of demyelination in the brain and
spinal cord. The cause of MS is not known, and the disease affects twice as many
women as men.
7. The nurse is creating a plan of care for a patient who has a recent diagnosis
of MS. Which of the following should the nurse include in the patient's care
plan?
A) Encourage patient to void every hour.
B) Order a low-residue diet.
C) Provide total assistance with all ADLs.
D) Instruct the patient on daily muscle stretching.
Ans: D
Feedback:
A patient diagnosed with MS should be encouraged to increase the fiber in his or her
diet and void 30 minutes after drinking to help train the bladder. The patient should
participate in daily muscle stretching to help alleviate and relax muscle spasms.
8. A patient with metastatic cancer has developed trigeminal neuralgia and is
taking carbamazepine (Tegretol) for pain relief. What principle applies to the
administration of this medication?
A) Tegretol is not known to have serious adverse effects.
B) The patient should be monitored for bone marrow depression.
C) Side effects of the medication include renal dysfunction.
D) The medication should be first taken in the maximum dosage form to be
effective.
Ans: B
Feedback:
The anticonvulsant agents carbamazepine (Tegretol) and phenytoin (Dilantin) relieve
pain in most patients diagnosed with trigeminal neuralgia by reducing the
transmission of impulses at certain nerve terminals. Side effects include nausea,
dizziness, drowsiness, and aplastic anemia. Carbamazepine should be gradually
increased until pain relief is obtained.
9. A male patient presents to the clinic complaining of a headache. The nurse
notes that the patient is guarding his neck and tells the nurse that he has
