Neuro NCLEX Review Guide: Key Neurological Nursing Concepts and Practice Questions for Exam Success 232 questions and answers verified A+ tips NEW!!!

Neuro NCLEX Review Guide: Key Neurological Nursing Concepts and Practice Questions for Exam Success 232 questions and answers verified A+ tips NEW!!!Neuro NCLEX Review Guide: Key Neurological Nursing Concepts and Practice Questions for Exam Success 232 questions and answers verified A+ tips NEW!!!Neuro NCLEX Review Guide: Key Neurological Nursing Concepts and Practice Questions for Exam Success 232 questions and answers verified A+ tips NEW!!!Neuro NCLEX Review Guide: Key Neurological Nursing Concepts and Practice Questions for Exam Success 232 questions and answers verified A+ tips NEW!!! 1. The nurse is caring for a client with a herniated lumbar intervertebral disk who is experiencing low back pain. Which position should the nurse place the client in to minimize the pain?: Semi-Fowler's position with the knees slightly raised 2. A client with myasthenia gravis is experiencing prolonged periods of weak- ness, and the health care provider prescribes an edrophonium (Enlon) test, also known as a Tensilon test. A test dose is administered and the client becomes weaker. How should the nurse interpret these results?: Cholinergic crisis is present. 3. A client with trigeminal neuralgia (tic douloureux) asks the nurse for a snack and something to drink. Which is the best selection the nurse should provide for the client?: Vanilla pudding and lukewarm milk 4. The nurse is assessing a client with a brainstem injury. What else should the nurse do in addition to performing the Glasgow Coma Scale?: Assess cranial nerve functioning and respiratory rate and rhythm. 5. The nurse caring for a client with a neurological disorder is planning care to maintain nutritional status. The nurse is concerned about the client's swal- lowing ability. Which food item should the nurse eliminate from this client's diet?: Spinach 6. The nurse is caring for a client after a supratentorial craniotomy. The nurse places a sign above the client's bed stating that the client should be main- tained in which position?: Semi-Fowler's 7. The nurse is caring for a client with a head injury and is monitoring the client for decerebrate posturing. Which is characteristic of this type of posturing?- : Abnormal involuntary extension of the extremities 8. The nurse is caring for a client admitted to the hospital after sustaining a head injury. In which position should the nurse place the client to prevent increased intracranial pressure (ICP)?: With the head of the bed elevated at least 30 degrees 9. In caring for a client with myasthenia gravis, the nurse should be alert for which manifestations of myasthenic crisis? Select all that apply.: Increased diaphoresis Bowel and bladder incontinence Absent cough and swallow reflex Sudden marked rise in blood pressure 10. The nurse is planning care for a client with a T3 spinal cord injury. The nurse should include which intervention in the plan to prevent autonomic dysreflexia (hyperreflexia)?: Assist the client to develop a daily bowel routine to prevent constipation. 11. The nurse has developed a plan of care for a client with a diagnosis of anterior cord syndrome. Which intervention should the nurse include in the plan of care?: Teach the client about loss of motor function and decreased pain sensation. 12. The nurse is caring for a client with a thoracic spinal cord injury. As part of the nursing care plan, the nurse monitors for spinal shock. In the event that spinal shock occurs, which intravenous (IV) fluid should the nurse anticipate being prescribed?: 0.9% Normal saline 13. While providing care to a client with a head injury, the nurse notes that a client exhibits this posture. What should the nurse document that the client is exhibiting? Refer to figure.: Decorticate posturing 14. The nurse is caring for a client with a spinal cord injury who is in spinal shock. The nurse performs an assessment on the client, knowing that which assessment will provide the best information about recovery from spinal shock?: Reflexes 15. A client is admitted to the hospital for repair of an unruptured cerebral aneurysm. Before surgery, the nurse performs frequent assessments on the client. Which assessment finding would be noted first if the aneurysm rup- tures?: A decline in the level of consciousness 16. A client admitted to the hospital is suspected of having Guillain-Barré syndrome and the nurse performs an assessment. The nurse next reviews the client's medical record, expecting to note documentation of which manifesta- tions of this disorder? Select all that apply.: Dysphagia Paresthesia Facial weakness Difficulty speaking 17. The nurse develops a discharge plan for a client with diabetes mellitus who has peripheral neuropathy of the lower extremities. Which instructions should the nurse include in the plan? Select all that apply.: Wear support or elastic stockings. Apply lanolin or lubricating lotion to the legs and feet once or twice daily. Wash the feet and legs with mild soap and water and rinse and dry them well. 18. A client comes into the health care clinic stating that she thinks she has restless legs syndrome. The nurse assesses the client and determines that which data are characteristics of this disorder? Select all that apply.: Burning sensations in the limbs Feeling the need to move the limbs repeatedly 19. A client with a spinal cord injury is at risk of developing footdrop. What should the nurse use as the effective preventive measure?: Posterior splints 20. After a cervical spine fracture, this device is placed on the client. The nurse develops a discharge plan for the client to ensure safety and includes which measures? Refer to figure. Select all that apply.: Teach the client how to ambulate with a walker. Demonstrate the procedure for scanning the environment for vision. Inform the client about the importance of wearing rubber-soled shoes. 21. The nurse is caring for a client who has undergone transsphenoidal surgery for a pituitary adenoma. In the postoperative period, which action should the nurse teach the client to take?: Report frequent swallowing or post- nasal drip. 22. A client begins to experience a tonic-clonic seizure. Which actions should the nurse take? Select all that apply.: Turn the client to the side. Maintain the client's airway. Loosen any restrictive clothing that the client is wearing. Protect the client from injury, and guide the client's movements. 23. A client with a subarachnoid hemorrhage secondary to ruptured cere- bral aneurysm has been placed on aneurysm precautions. To provide a safe environment, the nurse should ensure that which item is provided to the client?: Daily stool softeners 24. A client who has experienced a stroke has partial hemiplegia of the left leg. The straight-leg cane formerly used by the client is not sufficient to provide support. The nurse determines that the client could benefit from the somewhat greater support, stability, and safety provided by which devices? Select all that apply.: Walker Tripod cane Quadripod cane 25. The nurse is caring for a client with a C-6 spinal cord injury during the spinal shock phase. What should the nurse implement when preparing the client to sit in a chair?: Raise the head of the bed slowly to decrease orthostatic hypotensive episodes. 26. The nurse is planning a discharge teaching plan for a client with a spinal cord injury. To provide for a safe environment regarding home care, which option should be the priority in the discharge teaching plan?: Including the client's significant others in the teaching session 27. The home care nurse visits a client who had a stroke with resultant unilat- eral neglect who was recently discharged from the hospital. Which instruction should the nurse provide to the family regarding care?: Assist the client from the affected side. 28. The nurse makes a home care visit to a client with Bell's palsy. Which statement by the client indicates a need for further teaching?: "I am staying on a liquid diet." 29. The home care nurse is evaluating a client's understanding of the self-man- agement of trigeminal neuralgia. Which client statement indicates that there is a need for further teaching?: "An analgesic will relieve my pain." 30. The nurse has implemented a plan of care for a client with a cervical 5 (C5) spinal cord injury to promote health maintenance. Which client outcome would indicate the effectiveness of the plan?: Maintenance of intact skin 31. The nurse is caring for a client who has undergone transsphenoidal re- section of a pituitary adenoma. What should the nurse measure to detect occurrence of a common complication of this type of surgery?: Urine output 32. A client who sustained a thoracic cord injury a year ago returns to the clinic for a follow-up visit, and the nurse notes a small reddened area on the coccyx. The client is not aware of the reddened area. After counseling the client to relieve pressure on the area by adhering to a turning schedule, which action by the nurse is most appropriate?: Teaching the client to use a mirror for skin assessment 33. A young adult client with a spinal cord injury tells the nurse, "It's so depressing that I'll never get to have sex again." What is the realistic reply for the nurse to make to the client?: "It's still possible to have a sexual relationship, but it will be differe