Neuro NCLEX Questions from Class (4 on exam)
Neuro NCLEX Questions from Class (4 on exam)
Study online at https://quizlet.com/_dhw3u9
1. Your patient who had a stroke has issues with under- D
standing speech. What type of aphasia is this patient
experiencing and what area of the brain is affected?
A. Expressive; Wernicke's area
B. Receptive, Broca's area
C. Expressive; Hippocampus
D. Receptive; Wernicke's area
2. The nurse is caring for a client who has been admitted D
to the hospital with a diagnosis of Guillain-Barre syn-
drome, which past medical history finding makes the
client most at risk for this disease?
A) Meningitis or encephalitis during the last 5 years
B) Seizures or trauma to the brain within the last year
C) Back injury or trauma to the spinal cord during the
last 2 years
D) Respiratory or gastrointestinal infection during the
previous month
3. The patient has a blood pressure of 130/88 and ICP A
reading of 12. What is the patient's cerebral perfusion
pressure, and how do you interpret this as the nurse?
a) 90 mmHg, normal
b) 62 mmHg, abnormal
c) 36 mmHg, abnormal
d) 56 mmHg, normal
4. Your patient has a history of epilepsy. While helping C
the patient to the restroom, the patient reports having
this feeling of déjà vu and seeing spots in their visual
field. Your next nursing action is to?
A) Continue assisting the patient to the restroom and
actualstudy Page 1
, Neuro NCLEX Questions from Class (4 on exam)
Neuro NCLEX Questions from Class (4 on exam)
Study online at https://quizlet.com/_dhw3u9
let them sit down.
B) Initiate the emergency response system.
C) Lay the patient down on their side with a pillow
underneath the head.
D) Assess the patient's medication history.
5. A patient who experienced a cerebral hemorrhage is C
at risk for developing increased ICP. Which sign and
symptom below is the EARLIEST indicator the patient
is having this complication?
A. Bradycardia
B. Decerebrate posturing
C. Restlessness
D. Unequal pupil size
6. The nurse is assessing a client with a traumatic head A, B, C, E
injury and suspects increased intracranial pressure
(IICP). Which assessment finding supports this suspi-
cion? (Select all that apply.)
A. Hemiparesis
B. Blurred vision
C. Double vision
D. Increased heart rate
E. Drowsiness
7. A nurse educator is teaching students about the risk C
for stroke. Which of the following would place the pa-
tient most at risk for hemorrhagic stroke?
a. Presence of atrial fibrillation
b. Use of oral contraceptives
c. Blood pressure 160/100 mmHg
d. Resting heart rate of 78 bpm
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, Neuro NCLEX Questions from Class (4 on exam)
Neuro NCLEX Questions from Class (4 on exam)
Study online at https://quizlet.com/_dhw3u9
8. A patient is being treated for increased intracranial A, B, D, E
pressure. Which activities below should the patient
avoid performing?
A. Coughing
B. Sneezing
C. Talking
D. Valsalva maneuver
E. Vomiting
9. The nurse is caring for the client with increased in- B
tracranial pressure as a result of a head injury. The
nurse would note which trend in vital signs if the in-
tracranial pressure is rising?
A) Increasing temperature, increasing pulse, increas-
ing respirations, decreasing blood pressure
B) Increasing temperature, decreasing pulse, decreas-
ing respirations, increasing blood pressure.
C) Decreasing temperature, decreasing pulse, increas-
ing respirations, decreasing blood pressure.
D) decreasing temperature, increasing pulse, decreas-
ing respirations, increasing blood pressure.
10. The nurse is assessing the client after sustaining a D
closed head injury. When applying nail bed pressure,
the client's body suddenly stiffens, the eyes roll up-
ward, and there is increased salvation and loss of swal-
lowing reflexes. Which observation should the nurse
document?
A. Decerebrate posturing observed
B. Decorticate posturing observed
C. Positive Kernig's sign observed
D. Tonic seizure activity observed
actualstudy Page 3
Neuro NCLEX Questions from Class (4 on exam)
Study online at https://quizlet.com/_dhw3u9
1. Your patient who had a stroke has issues with under- D
standing speech. What type of aphasia is this patient
experiencing and what area of the brain is affected?
A. Expressive; Wernicke's area
B. Receptive, Broca's area
C. Expressive; Hippocampus
D. Receptive; Wernicke's area
2. The nurse is caring for a client who has been admitted D
to the hospital with a diagnosis of Guillain-Barre syn-
drome, which past medical history finding makes the
client most at risk for this disease?
A) Meningitis or encephalitis during the last 5 years
B) Seizures or trauma to the brain within the last year
C) Back injury or trauma to the spinal cord during the
last 2 years
D) Respiratory or gastrointestinal infection during the
previous month
3. The patient has a blood pressure of 130/88 and ICP A
reading of 12. What is the patient's cerebral perfusion
pressure, and how do you interpret this as the nurse?
a) 90 mmHg, normal
b) 62 mmHg, abnormal
c) 36 mmHg, abnormal
d) 56 mmHg, normal
4. Your patient has a history of epilepsy. While helping C
the patient to the restroom, the patient reports having
this feeling of déjà vu and seeing spots in their visual
field. Your next nursing action is to?
A) Continue assisting the patient to the restroom and
actualstudy Page 1
, Neuro NCLEX Questions from Class (4 on exam)
Neuro NCLEX Questions from Class (4 on exam)
Study online at https://quizlet.com/_dhw3u9
let them sit down.
B) Initiate the emergency response system.
C) Lay the patient down on their side with a pillow
underneath the head.
D) Assess the patient's medication history.
5. A patient who experienced a cerebral hemorrhage is C
at risk for developing increased ICP. Which sign and
symptom below is the EARLIEST indicator the patient
is having this complication?
A. Bradycardia
B. Decerebrate posturing
C. Restlessness
D. Unequal pupil size
6. The nurse is assessing a client with a traumatic head A, B, C, E
injury and suspects increased intracranial pressure
(IICP). Which assessment finding supports this suspi-
cion? (Select all that apply.)
A. Hemiparesis
B. Blurred vision
C. Double vision
D. Increased heart rate
E. Drowsiness
7. A nurse educator is teaching students about the risk C
for stroke. Which of the following would place the pa-
tient most at risk for hemorrhagic stroke?
a. Presence of atrial fibrillation
b. Use of oral contraceptives
c. Blood pressure 160/100 mmHg
d. Resting heart rate of 78 bpm
actualstudy Page 2
, Neuro NCLEX Questions from Class (4 on exam)
Neuro NCLEX Questions from Class (4 on exam)
Study online at https://quizlet.com/_dhw3u9
8. A patient is being treated for increased intracranial A, B, D, E
pressure. Which activities below should the patient
avoid performing?
A. Coughing
B. Sneezing
C. Talking
D. Valsalva maneuver
E. Vomiting
9. The nurse is caring for the client with increased in- B
tracranial pressure as a result of a head injury. The
nurse would note which trend in vital signs if the in-
tracranial pressure is rising?
A) Increasing temperature, increasing pulse, increas-
ing respirations, decreasing blood pressure
B) Increasing temperature, decreasing pulse, decreas-
ing respirations, increasing blood pressure.
C) Decreasing temperature, decreasing pulse, increas-
ing respirations, decreasing blood pressure.
D) decreasing temperature, increasing pulse, decreas-
ing respirations, increasing blood pressure.
10. The nurse is assessing the client after sustaining a D
closed head injury. When applying nail bed pressure,
the client's body suddenly stiffens, the eyes roll up-
ward, and there is increased salvation and loss of swal-
lowing reflexes. Which observation should the nurse
document?
A. Decerebrate posturing observed
B. Decorticate posturing observed
C. Positive Kernig's sign observed
D. Tonic seizure activity observed
actualstudy Page 3
