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NUR 146 Neuro Exam Questions and
Answers 100% Solved | Graded A+
The nurse is providing care for a client who is unconscious. What nursing
intervention takes highest priority?
A. Maintaining accurate records of intake and output
B. Maintaining a patent airway
C. Inserting a nasogastric (NG) tube as prescribed
D. Providing appropriate pain control - ✔✔B. Maintaining a patent airway
A client with a documented history of seizure disorder experiences a
generalized seizure. What nursing action is most appropriate?
A. Restrain the client to prevent injury.
B. Open the client's jaws to insert an oral airway.
C. Place client in high Fowler position.
D. Loosen the client's restrictive clothing - ✔✔D. Loosen the client's
restrictive clothing
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A client who has been on long-term phenytoin therapy is admitted to the
unit. In light of the adverse of effects of this medication, the nurse should
prioritize which of the following in the client's plan of care?
A. Monitoring of pulse oximetry
B. Administration of a low-protein diet
C. Administration of thorough oral hygiene
D. Fluid restriction as prescribed - ✔✔C. Administration of thorough oral
hygiene
A client exhibiting an altered level of consciousness (LOC) due to blunt
force trauma to the head is admitted to the emergency department (ED).
The nurse should first gauge the client's LOC on the results of what
diagnostic tool?
A. Monro-Kellie hypothesis
B. Glasgow Coma scale
C. Cranial nerve function
D. Mental status examination - ✔✔B. Glasgow Coma scale
A client with increased intracranial pressure (ICP) has a ventriculostomy for
monitoring ICP. The nurse's most recent assessment reveals that the client
is now exhibiting nuchal rigidity and photophobia. The nurse would be
correct in suspecting the presence of what complication?
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
A. Encephalitis
B. Cerebral spinal fluid leak
C. Meningitis
D. Catheter occlusion - ✔✔C. Meningitis
The nurse is caring for a client who is in status epilepticus. What
medication should the nurse anticipate administering to halt the seizure
immediately?
A. Intravenous phenobarbital
B. Intravenous diazepam
C. Oral lorazepam
D. Oral phenytoin - ✔✔B. Intravenous diazepam
A clinic nurse is caring for a client diagnosed with migraine headaches.
During the client teaching session, the client questions the nurse regarding
alcohol consumption. What would the nurse be correct in telling the client
about the effects of alcohol?
A. Alcohol causes hormone fluctuations.
B. Alcohol causes vasodilation of the blood vessels.
C. Alcohol has an excitatory effect on the CNS.
D. Alcohol diminishes endorphins in the brain - ✔✔B. Alcohol causes
vasodilation of the blood vessels.
NUR 146 Neuro Exam Questions and
Answers 100% Solved | Graded A+
The nurse is providing care for a client who is unconscious. What nursing
intervention takes highest priority?
A. Maintaining accurate records of intake and output
B. Maintaining a patent airway
C. Inserting a nasogastric (NG) tube as prescribed
D. Providing appropriate pain control - ✔✔B. Maintaining a patent airway
A client with a documented history of seizure disorder experiences a
generalized seizure. What nursing action is most appropriate?
A. Restrain the client to prevent injury.
B. Open the client's jaws to insert an oral airway.
C. Place client in high Fowler position.
D. Loosen the client's restrictive clothing - ✔✔D. Loosen the client's
restrictive clothing
,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
A client who has been on long-term phenytoin therapy is admitted to the
unit. In light of the adverse of effects of this medication, the nurse should
prioritize which of the following in the client's plan of care?
A. Monitoring of pulse oximetry
B. Administration of a low-protein diet
C. Administration of thorough oral hygiene
D. Fluid restriction as prescribed - ✔✔C. Administration of thorough oral
hygiene
A client exhibiting an altered level of consciousness (LOC) due to blunt
force trauma to the head is admitted to the emergency department (ED).
The nurse should first gauge the client's LOC on the results of what
diagnostic tool?
A. Monro-Kellie hypothesis
B. Glasgow Coma scale
C. Cranial nerve function
D. Mental status examination - ✔✔B. Glasgow Coma scale
A client with increased intracranial pressure (ICP) has a ventriculostomy for
monitoring ICP. The nurse's most recent assessment reveals that the client
is now exhibiting nuchal rigidity and photophobia. The nurse would be
correct in suspecting the presence of what complication?
, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
A. Encephalitis
B. Cerebral spinal fluid leak
C. Meningitis
D. Catheter occlusion - ✔✔C. Meningitis
The nurse is caring for a client who is in status epilepticus. What
medication should the nurse anticipate administering to halt the seizure
immediately?
A. Intravenous phenobarbital
B. Intravenous diazepam
C. Oral lorazepam
D. Oral phenytoin - ✔✔B. Intravenous diazepam
A clinic nurse is caring for a client diagnosed with migraine headaches.
During the client teaching session, the client questions the nurse regarding
alcohol consumption. What would the nurse be correct in telling the client
about the effects of alcohol?
A. Alcohol causes hormone fluctuations.
B. Alcohol causes vasodilation of the blood vessels.
C. Alcohol has an excitatory effect on the CNS.
D. Alcohol diminishes endorphins in the brain - ✔✔B. Alcohol causes
vasodilation of the blood vessels.
