NSG 3250 Adult Health I Exam 3 | Neurologic,
Musculoskeletal & Sensory Disorders Exam
Review | Questions, Multiple Choices, Correct
Answers, and Expert Rationales | Latest Update |
Galen College Of Nursing
Question 1
A client with a stroke has left-sided neglect. Which nursing intervention is most appropriate?
A) Place all items on the right side
B) Approach from the left and remind the client to scan left
C) Restrain the right arm
D) Keep the room dark
Answer
Answer: B
Rationale
Encourage attention to the neglected side with cues and placement of items on the affected side.
Question 2
A client with a new onset of slurred speech and facial droop arrives 1 hour after symptom onset.
What is the priority action?
A) Administer aspirin
B) Activate stroke protocol and prepare for CT
C) Give oxygen
D) Place supine
Answer
Answer: B
,Rationale
Acute stroke requires rapid CT to rule out hemorrhage before thrombolytics.
Question 3
A client with a head injury has a Glasgow Coma Scale score of 8. Which action is priority?
A) Notify neurosurgeon
B) Assess airway and breathing
C) Prepare for CT
D) Administer mannitol
Answer
Answer: B
Rationale
GCS ≤8 indicates severe injury; airway protection is the first priority.
Question 4
A client with ICP has a CPP of 55 mmHg. Which action should the nurse take?
A) Lower HOB
B) Elevate HOB to 30 degrees and notify provider
C) Increase fluids rapidly
D) Administer epinephrine
Answer
Answer: B
Rationale
CPP <60 indicates inadequate cerebral perfusion; elevate HOB and notify.
,Question 5
A client with a seizure disorder is in status epilepticus. Which medication is first-line?
A) Oral phenytoin
B) IV lorazepam
C) IV levetiracetam
D) IM haloperidol
Answer
Answer: B
Rationale
Benzodiazepines are first-line for status epilepticus to stop seizure activity.
Question 6
A client with meningitis has photophobia and neck stiffness. Which precaution is required?
A) Contact
B) Droplet
C) Airborne
D) Standard only
Answer
Answer: B
Rationale
Meningococcal meningitis requires droplet precautions until 24 hours of antibiotics.
Question 7
, A client with Parkinson’s disease is prescribed carbidopa-levodopa. Which instruction is correct?
A) Take with high-protein meal
B) Take 30 minutes before meals
C) Stop if tremor improves
D) Take at bedtime only
Answer
Answer: B
Rationale
Protein competes with levodopa absorption; take on empty stomach.
Question 8
A client with myasthenia gravis reports difficulty swallowing and drooling. Which action is
priority?
A) Offer oral fluids
B) Assess airway and notify provider
C) Administer pyridostigmine
D) Place supine
Answer
Answer: B
Rationale
Dysphagia and drooling indicate myasthenic crisis and aspiration risk.
Question 9
A client with Guillain-Barré syndrome is admitted. Which assessment is most important?
A) Pain level
B) Vital capacity and respiratory effort
Musculoskeletal & Sensory Disorders Exam
Review | Questions, Multiple Choices, Correct
Answers, and Expert Rationales | Latest Update |
Galen College Of Nursing
Question 1
A client with a stroke has left-sided neglect. Which nursing intervention is most appropriate?
A) Place all items on the right side
B) Approach from the left and remind the client to scan left
C) Restrain the right arm
D) Keep the room dark
Answer
Answer: B
Rationale
Encourage attention to the neglected side with cues and placement of items on the affected side.
Question 2
A client with a new onset of slurred speech and facial droop arrives 1 hour after symptom onset.
What is the priority action?
A) Administer aspirin
B) Activate stroke protocol and prepare for CT
C) Give oxygen
D) Place supine
Answer
Answer: B
,Rationale
Acute stroke requires rapid CT to rule out hemorrhage before thrombolytics.
Question 3
A client with a head injury has a Glasgow Coma Scale score of 8. Which action is priority?
A) Notify neurosurgeon
B) Assess airway and breathing
C) Prepare for CT
D) Administer mannitol
Answer
Answer: B
Rationale
GCS ≤8 indicates severe injury; airway protection is the first priority.
Question 4
A client with ICP has a CPP of 55 mmHg. Which action should the nurse take?
A) Lower HOB
B) Elevate HOB to 30 degrees and notify provider
C) Increase fluids rapidly
D) Administer epinephrine
Answer
Answer: B
Rationale
CPP <60 indicates inadequate cerebral perfusion; elevate HOB and notify.
,Question 5
A client with a seizure disorder is in status epilepticus. Which medication is first-line?
A) Oral phenytoin
B) IV lorazepam
C) IV levetiracetam
D) IM haloperidol
Answer
Answer: B
Rationale
Benzodiazepines are first-line for status epilepticus to stop seizure activity.
Question 6
A client with meningitis has photophobia and neck stiffness. Which precaution is required?
A) Contact
B) Droplet
C) Airborne
D) Standard only
Answer
Answer: B
Rationale
Meningococcal meningitis requires droplet precautions until 24 hours of antibiotics.
Question 7
, A client with Parkinson’s disease is prescribed carbidopa-levodopa. Which instruction is correct?
A) Take with high-protein meal
B) Take 30 minutes before meals
C) Stop if tremor improves
D) Take at bedtime only
Answer
Answer: B
Rationale
Protein competes with levodopa absorption; take on empty stomach.
Question 8
A client with myasthenia gravis reports difficulty swallowing and drooling. Which action is
priority?
A) Offer oral fluids
B) Assess airway and notify provider
C) Administer pyridostigmine
D) Place supine
Answer
Answer: B
Rationale
Dysphagia and drooling indicate myasthenic crisis and aspiration risk.
Question 9
A client with Guillain-Barré syndrome is admitted. Which assessment is most important?
A) Pain level
B) Vital capacity and respiratory effort
