Neuro Nclex Questions answered
Neuro Nclex Questions
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1. A client is being monitored for transient ischemic at- 15
tacks. This client is oriented, can open the eyes spon-
taneously, and follow commands. What is the Glasgow
coma scale score?
2. The nurse is teaching a client about taking prophy- B. "Maximum dosage is
lactic warfarin sodium (Coumadin). Which statement not achieved until 3 to 4
indicates that the client understands how to take this days after starting med-
drug? Select all that apply. ications."
C. "Effects of the drug con-
a. "The drug's action peaks in two hours." tinue for 4 to 5 days af-
b. "Maximum dosage is not achieved until 3 to 4 days ter discontinuing medica-
after starting medications." tion."
c. Effects of the drug continue for 4 to 5 days after E. "I should have my blood
discontinuing medication." vessels tested periodical-
d. "Protamine sulfate is the antidote for warfarin." ly."
e. " I should have my blood levels tested periodically."
3. Which of the following nursing measures is not appro- A. Placing the client on the
priate when providing oral hygiene for a client who back with a small pillow
has had a stroke? under the head
a. Placing the client on the back with a small pillow
under the head
b. Keeping portable suctioning equipment at the bed-
side
c. Opening the client's mouth with a padded tongue
blade.
d. Cleaning the client's mouth and teeth with a tooth-
brush.
4. A client arrives in the emergency department with C. Identify the time and
an ischemic stroke and receives tissue plasminogen onset of the stroke
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Neuro Nclex Questions
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activator (t-PA) administration. The nurse should first:
a. Ask what medications the client is taking
b. Complete a history and health assessment
c. Identify the time of onset of the stroke
d. Determine if the client is scheduled for any surgical
procedures
5. During the first 24 hr after thrombolytic treatment for c. Blood pressure
an ischemic stroke, the primary goal is to control the
client's:
a. Pulse
b. Respirations
c. Blood pressure
d. Temperature
6. What is a priority nursing assessment in the first 24 b. Pupil size and pupillary
hr after admission of the client with a thrombotic constriction
stroke?
a. Cholesterol level
b. Pupil size and pupillary response
c. Bowel sounds
d. Echocardiogram
7. In planning care for the client who has had a stroke, A. The rehabilitation plan
the nurse should obtain a history of the client's func- will be guided by it
tional status before the stroke because
a. The rehabilitation plan will be guided by it
b. Functional status before the stroke will help predict
outcomes
c. It will help the client recognize physical limitations
d. The client can be expected to regain most functional
status
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Neuro Nclex Questions
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8. Which of the following techniques is not appropriate b. Sliding the client to
when the nurse changes a client's position in bed if move up in bed
the client has hemiparalysis?
a. Rolling the client onto the side
b. Sliding the client to move up in bed
c. Lifting the client when moving the client up in bed
d. Having the client help lift off the bed using a trapeze
9. Which of the following is the most effective means of c. Have the client wear
preventing plantar flexion in a client who has had a ankle high tennis shoes
stroke with residual paralysis? at intervals throughout the
a. Place the client's feet against a firm footboard. day.
b. Reposition the client every 2 hr
c. Have the client wear ankle-high tennis shoes at
intervals throughout the day
d. Massage the client's feet and ankles regularly
10. The nurse is planning the care of a hemiplegic client to a. Placing a pillow in the
prevent joint deformities of the arm and hand. Which axilla so the arm is away
of the following positions are appropriate? Select all from the body.
that apply. b. Inserting a pillow un-
a. Placing a pillow in a axilla so the arm is away from der the slightly flexed arm
the body so the hand is higher than
b. Inserting a pillow under the slightly flexed arm so the elbow
the hand is higher than the elbow d. Positioning a hand cone
c. Immobilizing the extremity in a sling in the hand so the fingers
d. Positioning a hand cone in the hand so the fingers are barely flexed
are barely flexed
e. Keeping the arm at the side using a pillow
11. For the client who is experiencing expressive aphasia,
which nursing intervention is most helpful in promot-
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Neuro Nclex Questions
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ing communication? b. Using a "picture board"
a. Speaking loudly and slowly for the client to point to
b. Using a "picture board" for the client to point to pictures
pictures
c. Writing directions so client can read them
d. Speaking in short sentences
12. The nurse is teaching the family of a client with dys- a. Maintaining an upright
phagia about decreasing the risk of aspiration while position while eating
eating. Which of the following strategies should the c. Introducing foods on
nurse include in the teaching plan. Select all that ap- the unaffected side of the
ply mouth
a. Maintaining an upright position while eating d. Keeping distractions to
b. Restricting the diet to liquids until swallowing im- a minimum
proves
c. Introducing foods on the unaffected side of the
mouth
d. Keeping distractions to a minimum.
e. Cutting food into large pieces of finger food
13. The nurse is assisting a client with a stroke who has b. Eat food only on half of
homonymous hemianopia. The nurse should under- the plate
stand that the client will:
a. Have a preference for foods high in salt
b. Eat food on only half of the plate
c. Forget the names of foods
d. Not to be able to swallow liquids
14. A nurse is teaching a client who had a stroke about d. Turn the head from side
ways to adapt to a visual disability. Which does the to side when walking
nurse identify as the primary safety precaution to
use?
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Neuro Nclex Questions
Study online at https://quizlet.com/_8apzn0
1. A client is being monitored for transient ischemic at- 15
tacks. This client is oriented, can open the eyes spon-
taneously, and follow commands. What is the Glasgow
coma scale score?
2. The nurse is teaching a client about taking prophy- B. "Maximum dosage is
lactic warfarin sodium (Coumadin). Which statement not achieved until 3 to 4
indicates that the client understands how to take this days after starting med-
drug? Select all that apply. ications."
C. "Effects of the drug con-
a. "The drug's action peaks in two hours." tinue for 4 to 5 days af-
b. "Maximum dosage is not achieved until 3 to 4 days ter discontinuing medica-
after starting medications." tion."
c. Effects of the drug continue for 4 to 5 days after E. "I should have my blood
discontinuing medication." vessels tested periodical-
d. "Protamine sulfate is the antidote for warfarin." ly."
e. " I should have my blood levels tested periodically."
3. Which of the following nursing measures is not appro- A. Placing the client on the
priate when providing oral hygiene for a client who back with a small pillow
has had a stroke? under the head
a. Placing the client on the back with a small pillow
under the head
b. Keeping portable suctioning equipment at the bed-
side
c. Opening the client's mouth with a padded tongue
blade.
d. Cleaning the client's mouth and teeth with a tooth-
brush.
4. A client arrives in the emergency department with C. Identify the time and
an ischemic stroke and receives tissue plasminogen onset of the stroke
actualstudy Page 1
, Neuro Nclex Questions answered
Neuro Nclex Questions
Study online at https://quizlet.com/_8apzn0
activator (t-PA) administration. The nurse should first:
a. Ask what medications the client is taking
b. Complete a history and health assessment
c. Identify the time of onset of the stroke
d. Determine if the client is scheduled for any surgical
procedures
5. During the first 24 hr after thrombolytic treatment for c. Blood pressure
an ischemic stroke, the primary goal is to control the
client's:
a. Pulse
b. Respirations
c. Blood pressure
d. Temperature
6. What is a priority nursing assessment in the first 24 b. Pupil size and pupillary
hr after admission of the client with a thrombotic constriction
stroke?
a. Cholesterol level
b. Pupil size and pupillary response
c. Bowel sounds
d. Echocardiogram
7. In planning care for the client who has had a stroke, A. The rehabilitation plan
the nurse should obtain a history of the client's func- will be guided by it
tional status before the stroke because
a. The rehabilitation plan will be guided by it
b. Functional status before the stroke will help predict
outcomes
c. It will help the client recognize physical limitations
d. The client can be expected to regain most functional
status
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, Neuro Nclex Questions answered
Neuro Nclex Questions
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8. Which of the following techniques is not appropriate b. Sliding the client to
when the nurse changes a client's position in bed if move up in bed
the client has hemiparalysis?
a. Rolling the client onto the side
b. Sliding the client to move up in bed
c. Lifting the client when moving the client up in bed
d. Having the client help lift off the bed using a trapeze
9. Which of the following is the most effective means of c. Have the client wear
preventing plantar flexion in a client who has had a ankle high tennis shoes
stroke with residual paralysis? at intervals throughout the
a. Place the client's feet against a firm footboard. day.
b. Reposition the client every 2 hr
c. Have the client wear ankle-high tennis shoes at
intervals throughout the day
d. Massage the client's feet and ankles regularly
10. The nurse is planning the care of a hemiplegic client to a. Placing a pillow in the
prevent joint deformities of the arm and hand. Which axilla so the arm is away
of the following positions are appropriate? Select all from the body.
that apply. b. Inserting a pillow un-
a. Placing a pillow in a axilla so the arm is away from der the slightly flexed arm
the body so the hand is higher than
b. Inserting a pillow under the slightly flexed arm so the elbow
the hand is higher than the elbow d. Positioning a hand cone
c. Immobilizing the extremity in a sling in the hand so the fingers
d. Positioning a hand cone in the hand so the fingers are barely flexed
are barely flexed
e. Keeping the arm at the side using a pillow
11. For the client who is experiencing expressive aphasia,
which nursing intervention is most helpful in promot-
actualstudy Page 3
, Neuro Nclex Questions answered
Neuro Nclex Questions
Study online at https://quizlet.com/_8apzn0
ing communication? b. Using a "picture board"
a. Speaking loudly and slowly for the client to point to
b. Using a "picture board" for the client to point to pictures
pictures
c. Writing directions so client can read them
d. Speaking in short sentences
12. The nurse is teaching the family of a client with dys- a. Maintaining an upright
phagia about decreasing the risk of aspiration while position while eating
eating. Which of the following strategies should the c. Introducing foods on
nurse include in the teaching plan. Select all that ap- the unaffected side of the
ply mouth
a. Maintaining an upright position while eating d. Keeping distractions to
b. Restricting the diet to liquids until swallowing im- a minimum
proves
c. Introducing foods on the unaffected side of the
mouth
d. Keeping distractions to a minimum.
e. Cutting food into large pieces of finger food
13. The nurse is assisting a client with a stroke who has b. Eat food only on half of
homonymous hemianopia. The nurse should under- the plate
stand that the client will:
a. Have a preference for foods high in salt
b. Eat food on only half of the plate
c. Forget the names of foods
d. Not to be able to swallow liquids
14. A nurse is teaching a client who had a stroke about d. Turn the head from side
ways to adapt to a visual disability. Which does the to side when walking
nurse identify as the primary safety precaution to
use?
actualstudy Page 4
