Neurological NCLEX Exam Test Questions with 100% Verified
Answers Graded A+
1. The nurse is teaching the client with myasthenia Taking medica-
gravis about prevention of myasthenic and choliner- tions on time
gic crises. The nurse tells the client that this is most to maintain thera-
effectively done by which activity? peutic blood levels
2. A thymectomy via a median sternotomy approach is Monitor the chest
performed on a client with a diagnosis of myasthenia tube drainage.
gravis. The nurse has assisted in developing a plan of
care for the client and includes which nursing action
in the plan?
3. The nurse is caring for a client with a diagnosis of "Are you getting
multiple sclerosis who has been prescribed oxybu- up at night to uri-
tynin (Ditropan). The nurse evaluates the effective- nate?"
ness of the medication by asking the client which
question?
4. The nurse caring for a client following a craniotomy Confusion
monitors for signs of increased intracranial pressure
(ICP). Which indicates an early sign of increased ICP?
5. A client who sustained a closed head injury has a new Desmopressin
onset of copious urinary output. Urine output for the (DDAVP)
previous 8-hour shift was 3300 mL, and 2800 mL for
the shift before that. The findings have been reported
to the health care provider, and the nurse anticipates
a prescription for which medication?
6. A client with myasthenia gravis is experiencing pro- Cholinergic crisis
longed periods of weakness. The health care provider
prescribes a test dose of edrophonium (Enlon) and
the client becomes weaker. The nurse interprets this
outcome as indicative of which result?
7. The client with spinal cord injury is prone to experi- Limiting bladder
encing autonomic dysreflexia. The least appropriate catheterization to
measure to minimize the risk of autonomic dysreflex- once every 12
ia is which action? hours
8.
, Neurological NCLEX Exam Test Questions with 100% Verified
Answers Graded A+
A halo vest is applied to a client following a cervical "I will bend at the
spine fracture. The nurse reinforces instructions to waist, keeping the
the client regarding safety measures related to the halo vest straight
vest. Which statement by the client indicates a need to pick up items."
for further teaching?
9. The nurse is monitoring a client who sustained a Drainage from ear
head injury and suspects that the client has a skull
fracture. This conclusion is based on which findings? Bruising around
Select all that apply. the eyes
Pink-tinged
drainage from the
nose
10. The nurse is collecting neurological data on an un- Client demonstrat-
conscious client. On application of a central nox- ed decerebrate
ious stimulus, the nurse observes this response. How posturing.
should the nurse document this response on the
client's record? Refer to figure.
11. A client with spinal cord injury has experienced Allowing the
more than one episode of autonomic dysreflexia. The client's bladder to
nurse should avoid which action that could trigger an become distended
episode of this complication?
12. A client with Parkinson's disease is embarrassed Encourage and
about the symptoms of the disorder and is bored praise persever-
and lonely. The nurse should plan which approach as ance in exercis-
therapeutic in assisting the client to cope with the ing and perform-
disease? ing ADL.
13. A client with a T4 spinal cord injury is to be monitored The client com-
for autonomic dysreflexia (hyperreflexia). Which find- plains of a
ing is indicative of this complication? headache, and the
blood pressure is
elevated.
14. The nurse is monitoring a client with a C5 spinal Bowel sounds are
cord injury for spinal shock. Which findings would be absent.
, Neurological NCLEX Exam Test Questions with 100% Verified
Answers Graded A+
associated with spinal shock in this client? Select all
that apply. The client's ab-
domen is distend-
ed.
Respiratory excur-
sion is diminished.
Accessory mus-
cles of respiration
are areflexic.
15. Acetazolamide is prescribed for a client with a diag- Decrease cere-
nosis of a supratentorial lesion. The nurse monitors brospinal fluid pro-
the client for effectiveness of this medication, know- duction
ing which is its primary action?
16. The client has clear fluid leaking from the nose after a Separates into
basilar skull fracture. The nurse determines that this concentric rings
is cerebrospinal fluid (CSF) if the fluid meets which and tests positive
criteria? for glucose
17. The family of an unconscious client with increased It is possible the
intracranial pressure is talking at the client's bedside. client can hear the
They are discussing the gravity of the client's condi- family.
tion and wondering if the client will ever recover. How
should the nurse interpret the client's situation?
18. The client was seen and treated in the emergency de- Minor headache
partment (ED) for a concussion. Before discharge, the
nurse explains the signs/symptoms of a worsening
condition. The nurse determines that the family needs
further teaching if they state they will return to the ED
if the client experiences which sign/symptom?
19. The nurse has instructed the client with myasthenia "Going to the
gravis about ways to manage his or her own health at beach will be a
home. The nurse determines that the client needs fur- nice, relaxing form
ther teaching if the client makes which statements? of activity."
Answers Graded A+
1. The nurse is teaching the client with myasthenia Taking medica-
gravis about prevention of myasthenic and choliner- tions on time
gic crises. The nurse tells the client that this is most to maintain thera-
effectively done by which activity? peutic blood levels
2. A thymectomy via a median sternotomy approach is Monitor the chest
performed on a client with a diagnosis of myasthenia tube drainage.
gravis. The nurse has assisted in developing a plan of
care for the client and includes which nursing action
in the plan?
3. The nurse is caring for a client with a diagnosis of "Are you getting
multiple sclerosis who has been prescribed oxybu- up at night to uri-
tynin (Ditropan). The nurse evaluates the effective- nate?"
ness of the medication by asking the client which
question?
4. The nurse caring for a client following a craniotomy Confusion
monitors for signs of increased intracranial pressure
(ICP). Which indicates an early sign of increased ICP?
5. A client who sustained a closed head injury has a new Desmopressin
onset of copious urinary output. Urine output for the (DDAVP)
previous 8-hour shift was 3300 mL, and 2800 mL for
the shift before that. The findings have been reported
to the health care provider, and the nurse anticipates
a prescription for which medication?
6. A client with myasthenia gravis is experiencing pro- Cholinergic crisis
longed periods of weakness. The health care provider
prescribes a test dose of edrophonium (Enlon) and
the client becomes weaker. The nurse interprets this
outcome as indicative of which result?
7. The client with spinal cord injury is prone to experi- Limiting bladder
encing autonomic dysreflexia. The least appropriate catheterization to
measure to minimize the risk of autonomic dysreflex- once every 12
ia is which action? hours
8.
, Neurological NCLEX Exam Test Questions with 100% Verified
Answers Graded A+
A halo vest is applied to a client following a cervical "I will bend at the
spine fracture. The nurse reinforces instructions to waist, keeping the
the client regarding safety measures related to the halo vest straight
vest. Which statement by the client indicates a need to pick up items."
for further teaching?
9. The nurse is monitoring a client who sustained a Drainage from ear
head injury and suspects that the client has a skull
fracture. This conclusion is based on which findings? Bruising around
Select all that apply. the eyes
Pink-tinged
drainage from the
nose
10. The nurse is collecting neurological data on an un- Client demonstrat-
conscious client. On application of a central nox- ed decerebrate
ious stimulus, the nurse observes this response. How posturing.
should the nurse document this response on the
client's record? Refer to figure.
11. A client with spinal cord injury has experienced Allowing the
more than one episode of autonomic dysreflexia. The client's bladder to
nurse should avoid which action that could trigger an become distended
episode of this complication?
12. A client with Parkinson's disease is embarrassed Encourage and
about the symptoms of the disorder and is bored praise persever-
and lonely. The nurse should plan which approach as ance in exercis-
therapeutic in assisting the client to cope with the ing and perform-
disease? ing ADL.
13. A client with a T4 spinal cord injury is to be monitored The client com-
for autonomic dysreflexia (hyperreflexia). Which find- plains of a
ing is indicative of this complication? headache, and the
blood pressure is
elevated.
14. The nurse is monitoring a client with a C5 spinal Bowel sounds are
cord injury for spinal shock. Which findings would be absent.
, Neurological NCLEX Exam Test Questions with 100% Verified
Answers Graded A+
associated with spinal shock in this client? Select all
that apply. The client's ab-
domen is distend-
ed.
Respiratory excur-
sion is diminished.
Accessory mus-
cles of respiration
are areflexic.
15. Acetazolamide is prescribed for a client with a diag- Decrease cere-
nosis of a supratentorial lesion. The nurse monitors brospinal fluid pro-
the client for effectiveness of this medication, know- duction
ing which is its primary action?
16. The client has clear fluid leaking from the nose after a Separates into
basilar skull fracture. The nurse determines that this concentric rings
is cerebrospinal fluid (CSF) if the fluid meets which and tests positive
criteria? for glucose
17. The family of an unconscious client with increased It is possible the
intracranial pressure is talking at the client's bedside. client can hear the
They are discussing the gravity of the client's condi- family.
tion and wondering if the client will ever recover. How
should the nurse interpret the client's situation?
18. The client was seen and treated in the emergency de- Minor headache
partment (ED) for a concussion. Before discharge, the
nurse explains the signs/symptoms of a worsening
condition. The nurse determines that the family needs
further teaching if they state they will return to the ED
if the client experiences which sign/symptom?
19. The nurse has instructed the client with myasthenia "Going to the
gravis about ways to manage his or her own health at beach will be a
home. The nurse determines that the client needs fur- nice, relaxing form
ther teaching if the client makes which statements? of activity."
