Neuro Nclex (Assessment, stroke, headache, seizure)
Neuro Nclex (Assessment, stroke, headache, seizure)
Study online at https://quizlet.com/_3b0r3c
1. The patient has been receiving B. Diplopia is a sign of phenytoin toxicity. The nurse should
scheduled doses of phenytoin assess for other signs of toxicity, which include neurological
(Dilantin) and begins to expe- changes such as nystagmus, ataxia, confusion, dizziness, or
rience diplopia. The nurse im- slurred speech.
mediately assesses the patient
for which of the following?
A. An aura
B. Nystagmus or confusion
C. Abdominal pain or cramp-
ing
D. Irregular pulse or palpita-
tions
2. 1. After teaching a patient ANS: C
about management of mi- It is recommended that the patient with a migraine rest in
graine headaches, the nurse a dark, quiet area. Topiramate (Topamax) is used to prevent
determines that the teaching migraines and must be taken for several months to determine
has been effective when the effectiveness. Aspirin or other nonsteroidal anti-inflammatory
patient says, medications can be taken with the triptans. Alcohol may pre-
a. "I will take the (Topamax) as cipitate migraine headaches.
soon as any headaches start."
b. "I should avoid taking as-
pirin and sumatriptan (Imitrex)
at the same time."
c. "I will try to lie down some-
place dark and quiet when the
headaches begin."
d. "A glass of wine might
help me relax and prevent
headaches from developing."
3.
actualstudy Page 1 of 49
, Neuro Nclex (Assessment, stroke, headache, seizure)
Neuro Nclex (Assessment, stroke, headache, seizure)
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2. When a patient is experi- .ANS: C
encing a cluster headache, the Unilateral eye edema, tearing, and ptosis are characteristic of
nurse will plan to assess for cluster headaches. Nuchal rigidity suggests meningeal irri-
a. nuchal rigidity. tation, such as occurs with meningitis. Although nausea and
b. projectile vomiting. vomiting may occur with migraine headaches, projectile vom-
c. unilateral eyelid swelling. iting is more consistent with increases in intracranial pressure
d. throbbing, bilateral facial (ICP). Unilateral sharp, stabbing pain, rather than throbbing
pain. pain, is characteristic of cluster headaches.
4. 5. Which action will the nurse ANS: A
take when evaluating a patient Phenytoin can cause gingival hyperplasia, but does not affect
who is taking phenytoin (Dilan- bowel tones, lung sounds, or pupil reaction to light.
tin) for adverse effects of the
medication?
a. Inspect the oral mucosa.
b. Listen to the lung sounds.
c. Auscultate the bowel tones.
d. Check pupil reaction to light.
5. A patient reports a headache 3 A stroke is a medical condition characterized by poor blood
to the nurse. After reviewing flow to the brain. Sumatriptan is a serotonin-receptor antag-
the patient's history, the nurse onist that acts by constricting the blood vessels. This drug
finds that the patient has previ- may aggravate the patient's condition and should be excluded.
ously had a stroke. Which drug Fluoxetine, propranolol, and amitriptyline do not affect blood
should be excluded from the vessels and are safe to include in the patient's treatment reg-
patient's treatment regimen? imen.
1 Fluoxetine
2 Propanolol
3Sumatriptan
4Amitriptyline
6.
actualstudy Page 2 of 49
, Neuro Nclex (Assessment, stroke, headache, seizure)
Neuro Nclex (Assessment, stroke, headache, seizure)
Study online at https://quizlet.com/_3b0r3c
Which complaint made by the 3 Cluster headaches usually occur at night and causes
patient indicates that the indi- sleep disturbances. Therefore, the patient's complaint about
vidual may be suffering from a sleep-disturbing pain is a sign of a cluster headache. Constant
cluster headache? pain is a characteristic of tension-type headaches. Migraine
1"The pain is constant." headaches are associated with nausea and vomiting; they usu-
2"The pain is followed by nau- ally exist for 4 to 72 hours.
sea."
3"The pain disturbs my sleep
at night."
4"The pain lasts for longer
than eight hours.
7. The primary health care 1,3,4 A cluster headache is manifested by pain in the cheeks,
provider diagnoses that a pa- gums, nose, and forehead. Cluster headache is also associated
tient has a cluster headache. with restlessness and pallor (skin paleness). Feelings of limb
Which statements made by the movement and food cravings are clinical manifestations of
patient support the health care migraine headache.
provider's diagnosis? Select all
that apply.
1
"My cheeks also ache during
the headache."
2
"I feel like my limbs are moving
during the headache."
3
"I don't feel like sitting in one
place during the headache."
4
"My skin appears pale during
the headache."
5
actualstudy Page 3 of 49
, Neuro Nclex (Assessment, stroke, headache, seizure)
Neuro Nclex (Assessment, stroke, headache, seizure)
Study online at https://quizlet.com/_3b0r3c
"I have a strong desire to eat
ice cream and chocolates dur-
ing the headache."
8. A patient with a history of clus- 3 Refractory cluster headaches do not subside after taking
ter headaches complains to medications such as analgesics. Patients with refractory cluster
the nurse that he or she does headaches should be prescribed deep brain stimulation, in-
not have any pain relief even vasive nerve block procedures, or ablative neurosurgical pro-
after taking analgesics. Which cedures. Lithium and melatonin therapies are used to treat
treatment will be beneficial for nonrefractory cluster headaches. Vagal nerve stimulation is
the patient? used to treat epilepsies.
1Lithium therapy
2 Melatonin therapy
3Deep brain stimulation
4Vagal nerve stimulation
9. A nurse is interviewing a 4 A migraine headache is caused by a series of neurovascular
patient who is seeking re- events that result from some trigger stimulus. The pain usually
lief for frequent headaches. is one-sided, throbbing in nature, and synchronous with the
Which description is consistent patient's pulse. Palpable tenseness in the neck and shoulders
with symptoms of a migraine occurs with a tension headache. A cluster headache awakens
headache? the patient from sleep and involves tearing of one eye with
1 Extreme tenseness in the nasal drainage on the same side.
area of the neck and shoul-
ders.
2Tears flow from one eye and
nasal drainage occurs with
the headache.
3 The pain of the headache
wakes the patient from sleep.
4The pain throbs and is syn-
actualstudy Page 4 of 49
Neuro Nclex (Assessment, stroke, headache, seizure)
Study online at https://quizlet.com/_3b0r3c
1. The patient has been receiving B. Diplopia is a sign of phenytoin toxicity. The nurse should
scheduled doses of phenytoin assess for other signs of toxicity, which include neurological
(Dilantin) and begins to expe- changes such as nystagmus, ataxia, confusion, dizziness, or
rience diplopia. The nurse im- slurred speech.
mediately assesses the patient
for which of the following?
A. An aura
B. Nystagmus or confusion
C. Abdominal pain or cramp-
ing
D. Irregular pulse or palpita-
tions
2. 1. After teaching a patient ANS: C
about management of mi- It is recommended that the patient with a migraine rest in
graine headaches, the nurse a dark, quiet area. Topiramate (Topamax) is used to prevent
determines that the teaching migraines and must be taken for several months to determine
has been effective when the effectiveness. Aspirin or other nonsteroidal anti-inflammatory
patient says, medications can be taken with the triptans. Alcohol may pre-
a. "I will take the (Topamax) as cipitate migraine headaches.
soon as any headaches start."
b. "I should avoid taking as-
pirin and sumatriptan (Imitrex)
at the same time."
c. "I will try to lie down some-
place dark and quiet when the
headaches begin."
d. "A glass of wine might
help me relax and prevent
headaches from developing."
3.
actualstudy Page 1 of 49
, Neuro Nclex (Assessment, stroke, headache, seizure)
Neuro Nclex (Assessment, stroke, headache, seizure)
Study online at https://quizlet.com/_3b0r3c
2. When a patient is experi- .ANS: C
encing a cluster headache, the Unilateral eye edema, tearing, and ptosis are characteristic of
nurse will plan to assess for cluster headaches. Nuchal rigidity suggests meningeal irri-
a. nuchal rigidity. tation, such as occurs with meningitis. Although nausea and
b. projectile vomiting. vomiting may occur with migraine headaches, projectile vom-
c. unilateral eyelid swelling. iting is more consistent with increases in intracranial pressure
d. throbbing, bilateral facial (ICP). Unilateral sharp, stabbing pain, rather than throbbing
pain. pain, is characteristic of cluster headaches.
4. 5. Which action will the nurse ANS: A
take when evaluating a patient Phenytoin can cause gingival hyperplasia, but does not affect
who is taking phenytoin (Dilan- bowel tones, lung sounds, or pupil reaction to light.
tin) for adverse effects of the
medication?
a. Inspect the oral mucosa.
b. Listen to the lung sounds.
c. Auscultate the bowel tones.
d. Check pupil reaction to light.
5. A patient reports a headache 3 A stroke is a medical condition characterized by poor blood
to the nurse. After reviewing flow to the brain. Sumatriptan is a serotonin-receptor antag-
the patient's history, the nurse onist that acts by constricting the blood vessels. This drug
finds that the patient has previ- may aggravate the patient's condition and should be excluded.
ously had a stroke. Which drug Fluoxetine, propranolol, and amitriptyline do not affect blood
should be excluded from the vessels and are safe to include in the patient's treatment reg-
patient's treatment regimen? imen.
1 Fluoxetine
2 Propanolol
3Sumatriptan
4Amitriptyline
6.
actualstudy Page 2 of 49
, Neuro Nclex (Assessment, stroke, headache, seizure)
Neuro Nclex (Assessment, stroke, headache, seizure)
Study online at https://quizlet.com/_3b0r3c
Which complaint made by the 3 Cluster headaches usually occur at night and causes
patient indicates that the indi- sleep disturbances. Therefore, the patient's complaint about
vidual may be suffering from a sleep-disturbing pain is a sign of a cluster headache. Constant
cluster headache? pain is a characteristic of tension-type headaches. Migraine
1"The pain is constant." headaches are associated with nausea and vomiting; they usu-
2"The pain is followed by nau- ally exist for 4 to 72 hours.
sea."
3"The pain disturbs my sleep
at night."
4"The pain lasts for longer
than eight hours.
7. The primary health care 1,3,4 A cluster headache is manifested by pain in the cheeks,
provider diagnoses that a pa- gums, nose, and forehead. Cluster headache is also associated
tient has a cluster headache. with restlessness and pallor (skin paleness). Feelings of limb
Which statements made by the movement and food cravings are clinical manifestations of
patient support the health care migraine headache.
provider's diagnosis? Select all
that apply.
1
"My cheeks also ache during
the headache."
2
"I feel like my limbs are moving
during the headache."
3
"I don't feel like sitting in one
place during the headache."
4
"My skin appears pale during
the headache."
5
actualstudy Page 3 of 49
, Neuro Nclex (Assessment, stroke, headache, seizure)
Neuro Nclex (Assessment, stroke, headache, seizure)
Study online at https://quizlet.com/_3b0r3c
"I have a strong desire to eat
ice cream and chocolates dur-
ing the headache."
8. A patient with a history of clus- 3 Refractory cluster headaches do not subside after taking
ter headaches complains to medications such as analgesics. Patients with refractory cluster
the nurse that he or she does headaches should be prescribed deep brain stimulation, in-
not have any pain relief even vasive nerve block procedures, or ablative neurosurgical pro-
after taking analgesics. Which cedures. Lithium and melatonin therapies are used to treat
treatment will be beneficial for nonrefractory cluster headaches. Vagal nerve stimulation is
the patient? used to treat epilepsies.
1Lithium therapy
2 Melatonin therapy
3Deep brain stimulation
4Vagal nerve stimulation
9. A nurse is interviewing a 4 A migraine headache is caused by a series of neurovascular
patient who is seeking re- events that result from some trigger stimulus. The pain usually
lief for frequent headaches. is one-sided, throbbing in nature, and synchronous with the
Which description is consistent patient's pulse. Palpable tenseness in the neck and shoulders
with symptoms of a migraine occurs with a tension headache. A cluster headache awakens
headache? the patient from sleep and involves tearing of one eye with
1 Extreme tenseness in the nasal drainage on the same side.
area of the neck and shoul-
ders.
2Tears flow from one eye and
nasal drainage occurs with
the headache.
3 The pain of the headache
wakes the patient from sleep.
4The pain throbs and is syn-
actualstudy Page 4 of 49
