NCLEX Neurologic Problems
NCLEX Neurologic Problems
Study online at https://quizlet.com/_9y19pf
1. The nurse is assessing a client with a neurologic health 1. Perform a complete
problem and discovers a change in level of conscious- neurologic assessment
ness from alert to lethargic. What is the nurse's best
action? -if a decline occurs, call a
1. Perform a complete neurologic assessment rapid response
2. Assess the cranial nerve functions
3. Contact the Rapid Response Team
4. Reassess the client in 30 min
2. The nurse on the neurologic acute care unit is assess- 1, 3, 4, 6
ing the orientation of a client with severe headaches.
Which questions would the nurse use to determine
orientation? Select all that apply.
1. When did you first experience the headache symp-
toms?
2. Who is the Mayor of Cleveland?
3. What is the health care provider's name?
4. What year and month is it?
5. What is your parents' address?
6. What is the name of this health care facility?
3. What is the priority nursing concern for a client expe- 1. Pain
riencing a migraine headache?
1. Pain
2. Anxiety
3. Hopelessness
4. Risk for brain injury
4. The nurse is creating a teaching plan for a client 1, 2, 3, 4, 5
with newly diagnosed migraine headaches. Which key
items will be included in the teaching plan? Select all
that apply.
actualstudy 1
, NCLEX Neurologic Problems
NCLEX Neurologic Problems
Study online at https://quizlet.com/_9y19pf
1. Foods that contain tryamine, such as alcohol and
aged cheese, should be avoided
2. Drugs such as nitroglycerin and nifedipine should be
avoided.
3. Abortive therapy is aimed at eliminating the pain
during the aura.
4. A potential side effect of medications is rebound
headache.
5. Complementary therapies such as biofeedback and
relaxation may be helpful
6. Estrogen therapy should be continued as prescribed
by the client's health care provider
5. After a client has a seizure, which action can the nurse 3. Checking the client's vi-
delegate to the unlicensed assistive personnel? tal signs
1. Documenting the seizure
2. Performing neurologic checks
3. Checking the client's vital signs
4. Restraining the client for protection
6. The nurse is preparing to admit a client with a seizure 2. Setting up oxygen and
disorder. Which action can be assigned to an LPN? suction equipment
1. Completing the admission assessment
2. Setting up oxygen and suction equipment
3. Placing a padded tongue blade at the bedside
4. Padding the side rails before the client arrives
7. A nursing student is teaching a client and family about 4. "It's OK to take
epilepsy before the client's discharge. For which state- over-the-counter medica-
ment should the nurse intervene? tions"
1. "You should avoid consumption of all forms of alco-
hol"
actualstudy 2
, NCLEX Neurologic Problems
NCLEX Neurologic Problems
Study online at https://quizlet.com/_9y19pf
2. "Wear your medical alert bracelet at all times"
3. "Protect your loved one's airway during a seizure"
4. It's OK to take over-the-counter medications"
8. A client with Parkinson disease has a problem with 3. Performing the client's
decreased mobility related to neuromuscular impair- complete bathing and oral
ment. The nurse observes the unlicensed assistive per- care
sonnel (UAP) performing all of these actions. For which
action must the nurse intervene? -although all of these ac-
1. Helping the client ambulate to the bathroom and tions fall within the scope
back to bed of practice for a UAP,
2. Reminding the client not to look at his feet when he the UAP should help the
is waling client with morning care
3. Performing the client's complete bathing and oral as needed, but the goal is
care to keep this client as in-
4. Setting up the client's tray and encouraging the dependent and mobile as
client to feed himself possible.
9. The nurse is preparing to discharge a client with chron- 1. "I will avoid exercise
ic low back pain. Which statement by the client indi- because the pain gets
cates the need for additional teaching? worse"
1. "I will avoid exercise because the pain gets worse"
2. "I will use heat or ice to help control the pain" -Exercises are used to
3. "I will not wear high-heeled shoes at home or work." strengthen the back, re-
4. "I will purchase a firm mattress to replace my old lieve pressure on com-
one" pressed nerves, and pro-
tect the back from reinjury.
Ice, heat, and firm mat-
tresses are appropriate in-
terventions for back pain.
People with chronic back
pain should avoid wear-
actualstudy 3
NCLEX Neurologic Problems
Study online at https://quizlet.com/_9y19pf
1. The nurse is assessing a client with a neurologic health 1. Perform a complete
problem and discovers a change in level of conscious- neurologic assessment
ness from alert to lethargic. What is the nurse's best
action? -if a decline occurs, call a
1. Perform a complete neurologic assessment rapid response
2. Assess the cranial nerve functions
3. Contact the Rapid Response Team
4. Reassess the client in 30 min
2. The nurse on the neurologic acute care unit is assess- 1, 3, 4, 6
ing the orientation of a client with severe headaches.
Which questions would the nurse use to determine
orientation? Select all that apply.
1. When did you first experience the headache symp-
toms?
2. Who is the Mayor of Cleveland?
3. What is the health care provider's name?
4. What year and month is it?
5. What is your parents' address?
6. What is the name of this health care facility?
3. What is the priority nursing concern for a client expe- 1. Pain
riencing a migraine headache?
1. Pain
2. Anxiety
3. Hopelessness
4. Risk for brain injury
4. The nurse is creating a teaching plan for a client 1, 2, 3, 4, 5
with newly diagnosed migraine headaches. Which key
items will be included in the teaching plan? Select all
that apply.
actualstudy 1
, NCLEX Neurologic Problems
NCLEX Neurologic Problems
Study online at https://quizlet.com/_9y19pf
1. Foods that contain tryamine, such as alcohol and
aged cheese, should be avoided
2. Drugs such as nitroglycerin and nifedipine should be
avoided.
3. Abortive therapy is aimed at eliminating the pain
during the aura.
4. A potential side effect of medications is rebound
headache.
5. Complementary therapies such as biofeedback and
relaxation may be helpful
6. Estrogen therapy should be continued as prescribed
by the client's health care provider
5. After a client has a seizure, which action can the nurse 3. Checking the client's vi-
delegate to the unlicensed assistive personnel? tal signs
1. Documenting the seizure
2. Performing neurologic checks
3. Checking the client's vital signs
4. Restraining the client for protection
6. The nurse is preparing to admit a client with a seizure 2. Setting up oxygen and
disorder. Which action can be assigned to an LPN? suction equipment
1. Completing the admission assessment
2. Setting up oxygen and suction equipment
3. Placing a padded tongue blade at the bedside
4. Padding the side rails before the client arrives
7. A nursing student is teaching a client and family about 4. "It's OK to take
epilepsy before the client's discharge. For which state- over-the-counter medica-
ment should the nurse intervene? tions"
1. "You should avoid consumption of all forms of alco-
hol"
actualstudy 2
, NCLEX Neurologic Problems
NCLEX Neurologic Problems
Study online at https://quizlet.com/_9y19pf
2. "Wear your medical alert bracelet at all times"
3. "Protect your loved one's airway during a seizure"
4. It's OK to take over-the-counter medications"
8. A client with Parkinson disease has a problem with 3. Performing the client's
decreased mobility related to neuromuscular impair- complete bathing and oral
ment. The nurse observes the unlicensed assistive per- care
sonnel (UAP) performing all of these actions. For which
action must the nurse intervene? -although all of these ac-
1. Helping the client ambulate to the bathroom and tions fall within the scope
back to bed of practice for a UAP,
2. Reminding the client not to look at his feet when he the UAP should help the
is waling client with morning care
3. Performing the client's complete bathing and oral as needed, but the goal is
care to keep this client as in-
4. Setting up the client's tray and encouraging the dependent and mobile as
client to feed himself possible.
9. The nurse is preparing to discharge a client with chron- 1. "I will avoid exercise
ic low back pain. Which statement by the client indi- because the pain gets
cates the need for additional teaching? worse"
1. "I will avoid exercise because the pain gets worse"
2. "I will use heat or ice to help control the pain" -Exercises are used to
3. "I will not wear high-heeled shoes at home or work." strengthen the back, re-
4. "I will purchase a firm mattress to replace my old lieve pressure on com-
one" pressed nerves, and pro-
tect the back from reinjury.
Ice, heat, and firm mat-
tresses are appropriate in-
terventions for back pain.
People with chronic back
pain should avoid wear-
actualstudy 3
