EXAM 1
Neurological and Musculoskeletal Foundations
75 Multiple-Choice Questions • Correct Answers Highlighted • Brief Rationales
Instructions: Choose the single best answer for each question. The correct option is highlighted in yellow, followed by a brief
rationale.
Study resource: Original practice questions based on the working assumption that NR-252 covers Adult Health II /
medical-surgical nursing. This is not an official Chamberlain exam; verify topics against your current syllabus.
1. Client scenario: A stroke client has new decreasing level of consciousness. Which instruction should the nurse reinforce?
A. Document and reassess at the end of the shift
B. Offer a sedative for restlessness
C. Place the client flat and leave alone
D. Notify the rapid response/stroke team and assess airway and neurologic status
Rationale: A decline can signal hemorrhage, edema, or worsening stroke and requires urgent reassessment.
2. Teaching and care planning: A client begins having a generalized tonic-clonic seizure in bed. Which statement shows the
best understanding of care?
A. Insert a tongue blade
B. Protect the head, clear nearby hazards, and turn to the side when possible
C. Give oral medication during convulsions
D. Restrain the arms and legs
Rationale: Protect from injury and support airway; never restrain or place objects in the mouth.
3. Safety check: A client begins having a generalized tonic-clonic seizure in bed. Which action best promotes client safety?
A. Protect the head, clear nearby hazards, and turn to the side when possible
B. Give oral medication during convulsions
C. Restrain the arms and legs
D. Insert a tongue blade
Rationale: Protect from injury and support airway; never restrain or place objects in the mouth.
4. Teaching and care planning: A client has dysphagia after a stroke. Which statement shows the best understanding of
care?
A. Give water through a straw
B. Encourage rapid sips to strengthen swallowing
C. Keep the client NPO until a swallow screen is completed
D. Crush all medications into thin liquid
Rationale: Swallow screening helps prevent aspiration; oral intake waits until safety is established.
5. At the bedside, a client has dysphagia after a stroke. What should the nurse do next?
A. Give water through a straw
B. Keep the client NPO until a swallow screen is completed
C. Crush all medications into thin liquid
D. Encourage rapid sips to strengthen swallowing
Rationale: Swallow screening helps prevent aspiration; oral intake waits until safety is established.
, 6. Client scenario: A client is being assessed for thrombolytic eligibility. Which instruction should the nurse reinforce?
A. Wait for symptoms to worsen
B. Establish the exact last-known-well time
C. Ask only when the client reached the hospital
D. Assume symptom onset was at arrival
Rationale: Treatment eligibility depends on timing and clinical/imaging criteria.
7. Clinical review: A client with suspected acute stroke arrives in the emergency department. Which finding or action best fits
this situation?
A. Offer food for possible hypoglycemia
B. Delay assessment until family arrives
C. Check blood glucose promptly while activating the stroke pathway
D. Administer an antiplatelet before brain imaging
Rationale: Hypoglycemia can mimic stroke, and imaging is needed before treatments that may cause bleeding.
8. Clinical review: A client with right-brain stroke attempts to get out of bed without help. Which finding or action best fits this
situation?
A. Keep all side rails up as the only intervention
B. Encourage independent walking immediately
C. Assume the client fully recognizes all deficits
D. Use close supervision and fall precautions
Rationale: Right-hemisphere injury may cause neglect, impulsivity, and poor safety awareness.
9. Teaching and care planning: A client is being assessed for thrombolytic eligibility. Which statement shows the best
understanding of care?
A. Wait for symptoms to worsen
B. Assume symptom onset was at arrival
C. Ask only when the client reached the hospital
D. Establish the exact last-known-well time
Rationale: Treatment eligibility depends on timing and clinical/imaging criteria.
10. Complication prevention: A client has a hemorrhagic stroke. Which complication or risk should the nurse address first?
A. Administer thrombolytics without imaging
B. Give anticoagulants routinely
C. Monitor neurologic status and blood pressure as prescribed
D. Encourage vigorous coughing
Rationale: Hemorrhage requires careful monitoring and avoidance of therapies that worsen bleeding.
11. Safety check: A client with suspected acute stroke arrives in the emergency department. Which action best promotes
client safety?
A. Offer food for possible hypoglycemia
B. Administer an antiplatelet before brain imaging
C. Delay assessment until family arrives
D. Check blood glucose promptly while activating the stroke pathway
Rationale: Hypoglycemia can mimic stroke, and imaging is needed before treatments that may cause bleeding.
Neurological and Musculoskeletal Foundations
75 Multiple-Choice Questions • Correct Answers Highlighted • Brief Rationales
Instructions: Choose the single best answer for each question. The correct option is highlighted in yellow, followed by a brief
rationale.
Study resource: Original practice questions based on the working assumption that NR-252 covers Adult Health II /
medical-surgical nursing. This is not an official Chamberlain exam; verify topics against your current syllabus.
1. Client scenario: A stroke client has new decreasing level of consciousness. Which instruction should the nurse reinforce?
A. Document and reassess at the end of the shift
B. Offer a sedative for restlessness
C. Place the client flat and leave alone
D. Notify the rapid response/stroke team and assess airway and neurologic status
Rationale: A decline can signal hemorrhage, edema, or worsening stroke and requires urgent reassessment.
2. Teaching and care planning: A client begins having a generalized tonic-clonic seizure in bed. Which statement shows the
best understanding of care?
A. Insert a tongue blade
B. Protect the head, clear nearby hazards, and turn to the side when possible
C. Give oral medication during convulsions
D. Restrain the arms and legs
Rationale: Protect from injury and support airway; never restrain or place objects in the mouth.
3. Safety check: A client begins having a generalized tonic-clonic seizure in bed. Which action best promotes client safety?
A. Protect the head, clear nearby hazards, and turn to the side when possible
B. Give oral medication during convulsions
C. Restrain the arms and legs
D. Insert a tongue blade
Rationale: Protect from injury and support airway; never restrain or place objects in the mouth.
4. Teaching and care planning: A client has dysphagia after a stroke. Which statement shows the best understanding of
care?
A. Give water through a straw
B. Encourage rapid sips to strengthen swallowing
C. Keep the client NPO until a swallow screen is completed
D. Crush all medications into thin liquid
Rationale: Swallow screening helps prevent aspiration; oral intake waits until safety is established.
5. At the bedside, a client has dysphagia after a stroke. What should the nurse do next?
A. Give water through a straw
B. Keep the client NPO until a swallow screen is completed
C. Crush all medications into thin liquid
D. Encourage rapid sips to strengthen swallowing
Rationale: Swallow screening helps prevent aspiration; oral intake waits until safety is established.
, 6. Client scenario: A client is being assessed for thrombolytic eligibility. Which instruction should the nurse reinforce?
A. Wait for symptoms to worsen
B. Establish the exact last-known-well time
C. Ask only when the client reached the hospital
D. Assume symptom onset was at arrival
Rationale: Treatment eligibility depends on timing and clinical/imaging criteria.
7. Clinical review: A client with suspected acute stroke arrives in the emergency department. Which finding or action best fits
this situation?
A. Offer food for possible hypoglycemia
B. Delay assessment until family arrives
C. Check blood glucose promptly while activating the stroke pathway
D. Administer an antiplatelet before brain imaging
Rationale: Hypoglycemia can mimic stroke, and imaging is needed before treatments that may cause bleeding.
8. Clinical review: A client with right-brain stroke attempts to get out of bed without help. Which finding or action best fits this
situation?
A. Keep all side rails up as the only intervention
B. Encourage independent walking immediately
C. Assume the client fully recognizes all deficits
D. Use close supervision and fall precautions
Rationale: Right-hemisphere injury may cause neglect, impulsivity, and poor safety awareness.
9. Teaching and care planning: A client is being assessed for thrombolytic eligibility. Which statement shows the best
understanding of care?
A. Wait for symptoms to worsen
B. Assume symptom onset was at arrival
C. Ask only when the client reached the hospital
D. Establish the exact last-known-well time
Rationale: Treatment eligibility depends on timing and clinical/imaging criteria.
10. Complication prevention: A client has a hemorrhagic stroke. Which complication or risk should the nurse address first?
A. Administer thrombolytics without imaging
B. Give anticoagulants routinely
C. Monitor neurologic status and blood pressure as prescribed
D. Encourage vigorous coughing
Rationale: Hemorrhage requires careful monitoring and avoidance of therapies that worsen bleeding.
11. Safety check: A client with suspected acute stroke arrives in the emergency department. Which action best promotes
client safety?
A. Offer food for possible hypoglycemia
B. Administer an antiplatelet before brain imaging
C. Delay assessment until family arrives
D. Check blood glucose promptly while activating the stroke pathway
Rationale: Hypoglycemia can mimic stroke, and imaging is needed before treatments that may cause bleeding.
