NEUROLOGICAL DISORDERS NCLEX EXAM
Q&A STUDY GUIDE WITH VERIFIED ANSWERS
◉ The nurse is assessing the motor function of an unconscious client.
The nurse should plan to use which technique to test the client's
peripheral response to pain?
a. Sternal Rub
b. Nail bed pressure
c. Pressure on the orbital rim
4. Squeezing of the sterocleidomastoid muscle. Answer: b. Nail bed
pressure (tests a basic peripheral response)
◉ The nurse is caring for the client with increased intracranial
pressure. The nurse would note which trend in vital signs if the
intracranial pressure is rising?
a. increasing temp, increase HR, increasing RR, decreasing BP
b. increasing temp, decreasing HR, decreasing RR, increasing BP
c. decreasing temp, decreasing HR, increasing RR, decreasing BP
d. decreasing temp, increasing HR, decreasing RR, increasing BP.
Answer: b. increasing temp, decreasing HR, decreasing RR,
increasing BP
◉ A client recovering from a head injury is participating in care. The
nurse determines that the client understands measures to prevent
Q&A STUDY GUIDE WITH VERIFIED ANSWERS
◉ The nurse is assessing the motor function of an unconscious client.
The nurse should plan to use which technique to test the client's
peripheral response to pain?
a. Sternal Rub
b. Nail bed pressure
c. Pressure on the orbital rim
4. Squeezing of the sterocleidomastoid muscle. Answer: b. Nail bed
pressure (tests a basic peripheral response)
◉ The nurse is caring for the client with increased intracranial
pressure. The nurse would note which trend in vital signs if the
intracranial pressure is rising?
a. increasing temp, increase HR, increasing RR, decreasing BP
b. increasing temp, decreasing HR, decreasing RR, increasing BP
c. decreasing temp, decreasing HR, increasing RR, decreasing BP
d. decreasing temp, increasing HR, decreasing RR, increasing BP.
Answer: b. increasing temp, decreasing HR, decreasing RR,
increasing BP
◉ A client recovering from a head injury is participating in care. The
nurse determines that the client understands measures to prevent
