NEUROLOGICAL DISORDERS NCLEX EXAM
SCRIPT WITH VERIFIED SOLUTIONS
◉ A nurse would use which standardized tool as a guide in assessing a
client with a head injury and increased intracranial pressure (ICP)?
A. Snellen chart
B. Pulse oximetry graph
C. Visual Analogue Scale
D. Glasgow Coma Scale. Answer: D.
GCS is a method of assessing consciousness. The Visual Analogue
Scale can be used to determine pain rating. A pulse oximetry graph
would be used to document pulse ox readings. A Snellen chart would
be used to assess visual acuity.
◉ A nurse is caring for a client with a neurological disorder is
planning care to maintain nutritional status. The nurse is concerned
about the client's swallowing ability. Which of the following food
items would the nurse plan to avoid in this client's diet?
A. Spinach
B. Custard
C. Scrambled eggs
D. Mashed potatoes. Answer: A.
Flavorful, warm, or well-chilled foods with texture stimulate the
swallowing reflex. Soft and semisoft foods, such as custards or
puddings, egg dishes, and potatoes, are usually effective Raw
, vegetables, chunky vegetables, such as diced beets, and stringy
vegetables, such as spinach, corn, and peas are foods commonly
excluded from the diet of a client with a poor swallowing reflex.
◉ A client experiences an episode of Bell's palsy and complains about
increasing clumsiness. The nurse should prepare the client for which
diagnostic study(ies) to determine the cause of the assessment
findings?
A. Serum sodium level
B. Cerebral angiography
C. Lumbar puncture (LP)
D. Oculovestibular reflex
E. Electroencephalogram
F. Computed tomography. Answer: B, C, F
The most sensitive and specific tests that provide relevant diagnostic
information for these types of pathology are cerebral angiography, LP,
and CT. The imaging studies potentially illustrate central nervous
system lesions and the LP enables the care provider to analyze
cerebrospinal fluid for immunoglobulins (antibodies) and other
components. Because the client's neurological problem unlikely to be
metabolic, the sodium level is unlikely to be helpful (option A).
Usually electroencephalogram and oculovestibular reflex are tests that
are reserved to evaluate electrical activity of the brain in seizure
disorders and to determine brain death (options D and E). In addition,
the oculovestibular reflex is not performed on a client who is
conscious.
SCRIPT WITH VERIFIED SOLUTIONS
◉ A nurse would use which standardized tool as a guide in assessing a
client with a head injury and increased intracranial pressure (ICP)?
A. Snellen chart
B. Pulse oximetry graph
C. Visual Analogue Scale
D. Glasgow Coma Scale. Answer: D.
GCS is a method of assessing consciousness. The Visual Analogue
Scale can be used to determine pain rating. A pulse oximetry graph
would be used to document pulse ox readings. A Snellen chart would
be used to assess visual acuity.
◉ A nurse is caring for a client with a neurological disorder is
planning care to maintain nutritional status. The nurse is concerned
about the client's swallowing ability. Which of the following food
items would the nurse plan to avoid in this client's diet?
A. Spinach
B. Custard
C. Scrambled eggs
D. Mashed potatoes. Answer: A.
Flavorful, warm, or well-chilled foods with texture stimulate the
swallowing reflex. Soft and semisoft foods, such as custards or
puddings, egg dishes, and potatoes, are usually effective Raw
, vegetables, chunky vegetables, such as diced beets, and stringy
vegetables, such as spinach, corn, and peas are foods commonly
excluded from the diet of a client with a poor swallowing reflex.
◉ A client experiences an episode of Bell's palsy and complains about
increasing clumsiness. The nurse should prepare the client for which
diagnostic study(ies) to determine the cause of the assessment
findings?
A. Serum sodium level
B. Cerebral angiography
C. Lumbar puncture (LP)
D. Oculovestibular reflex
E. Electroencephalogram
F. Computed tomography. Answer: B, C, F
The most sensitive and specific tests that provide relevant diagnostic
information for these types of pathology are cerebral angiography, LP,
and CT. The imaging studies potentially illustrate central nervous
system lesions and the LP enables the care provider to analyze
cerebrospinal fluid for immunoglobulins (antibodies) and other
components. Because the client's neurological problem unlikely to be
metabolic, the sodium level is unlikely to be helpful (option A).
Usually electroencephalogram and oculovestibular reflex are tests that
are reserved to evaluate electrical activity of the brain in seizure
disorders and to determine brain death (options D and E). In addition,
the oculovestibular reflex is not performed on a client who is
conscious.
