NEURO NCLEX QUESTIONS AND ANSWERS 2024
VERSION VERIFIED RATIONALE GRADED A+
A 32-year-old pa�ent has a stroke resul�ng from a ruptured aneurysm and subarachnoid hemorrhage.
Which interven�on will be included in the care plan?
a. Applying intermitent pneuma�c compression stockings
b. Assis�ng to dangle on edge of bed and assess for dizziness
c. Encouraging pa�ent to cough and deep breathe every 4 hours
d. Inser�ng an oropharyngeal airway to prevent airway obstruc�on - ansa. Applying intermitent
pneuma�c compression stockings
Ra�onale:
The pa�ent with a subarachnoid hemorrhage usually has minimal ac�vity to prevent cerebral vasospasm
or further bleeding and is at risk for venous thromboemboism (VTE). Ac�vi�es such as coughing and
si�ng up that might increase intracranial pressure (ICP) or decrease cerebral blood flow are avoided.
Because there is no indica�on that the pa�ent is unconscious, an oropharyngeal airway is inappropriate.
A 58-year-old pa�ent who began experiencing right-sided arm and leg weakness is admited to the
emergency department. In which order will the nurse implement these ac�ons included in the stroke
protocol? Put a comma and space between each answer choice (a, b, c, d, etc.) ____________________
a. Obtain CT scan without contrast.
b. Infuse �ssue plasminogen ac�vator (tPA).
c. Administer oxygen to keep O2 satura�on >95%.
d. Use Na�onal Ins�tute of Health Stroke Scale to assess pa�ent - ansIn this order:
C, D, A, B
Ra�onale:
The ini�al ac�ons should be those that help with airway, breathing, and circula�on. Baseline neurologic
assessments should be done next. A CT scan will be needed to rule out hemorrhagic stroke before tPA
can be administered.
A client asks if convulsions and seizures are the same. The nurse's response is based on the knowledge
that:
, NEURO NCLEX QUESTIONS AND ANSWERS 2024
VERSION VERIFIED RATIONALE GRADED A+
a.) The terms can be used interchangeably.
b.) Convulsions always involve violent skeletal muscle ac�vity.
c.) Seizures involve muscle spasms on one side only.
d.) Seizure ac�vity is more harmful than are convulsions. - ansb.) Convulsions always involve violent
skeletal muscle ac�vity.
Ra�onale:
Convulsions specifically refer to involuntary, violent spasms of the large muscles of the face, neck, arms,
and legs. Seizure ac�vity does not always involve these characteris�cs.
A client has dysfunc�on of cranial nerve VIII. The nurse should determine that the client is adequately
adap�ng to this problem if he or she states a plan to obtain which item?
a.) A walker
b.) Eyeglasses
c.) A hearing aid
d.) A bath thermometer
e.) A hearing aid - anse.) A hearing aid
A client has suffered damage to Broca's area of the brain. The nurse providing care for this client
an�cipates that which area will be affected?
a.) Speech
b.) Hearing
c.) Balance
d.) Level of consciousness - ansa.) Speech
A client has sustained damage to Wernicke's area in the temporal lobe from a stroke (brain atack). The
nurse an�cipates that the client will have difficulty with which func�on?
VERSION VERIFIED RATIONALE GRADED A+
A 32-year-old pa�ent has a stroke resul�ng from a ruptured aneurysm and subarachnoid hemorrhage.
Which interven�on will be included in the care plan?
a. Applying intermitent pneuma�c compression stockings
b. Assis�ng to dangle on edge of bed and assess for dizziness
c. Encouraging pa�ent to cough and deep breathe every 4 hours
d. Inser�ng an oropharyngeal airway to prevent airway obstruc�on - ansa. Applying intermitent
pneuma�c compression stockings
Ra�onale:
The pa�ent with a subarachnoid hemorrhage usually has minimal ac�vity to prevent cerebral vasospasm
or further bleeding and is at risk for venous thromboemboism (VTE). Ac�vi�es such as coughing and
si�ng up that might increase intracranial pressure (ICP) or decrease cerebral blood flow are avoided.
Because there is no indica�on that the pa�ent is unconscious, an oropharyngeal airway is inappropriate.
A 58-year-old pa�ent who began experiencing right-sided arm and leg weakness is admited to the
emergency department. In which order will the nurse implement these ac�ons included in the stroke
protocol? Put a comma and space between each answer choice (a, b, c, d, etc.) ____________________
a. Obtain CT scan without contrast.
b. Infuse �ssue plasminogen ac�vator (tPA).
c. Administer oxygen to keep O2 satura�on >95%.
d. Use Na�onal Ins�tute of Health Stroke Scale to assess pa�ent - ansIn this order:
C, D, A, B
Ra�onale:
The ini�al ac�ons should be those that help with airway, breathing, and circula�on. Baseline neurologic
assessments should be done next. A CT scan will be needed to rule out hemorrhagic stroke before tPA
can be administered.
A client asks if convulsions and seizures are the same. The nurse's response is based on the knowledge
that:
, NEURO NCLEX QUESTIONS AND ANSWERS 2024
VERSION VERIFIED RATIONALE GRADED A+
a.) The terms can be used interchangeably.
b.) Convulsions always involve violent skeletal muscle ac�vity.
c.) Seizures involve muscle spasms on one side only.
d.) Seizure ac�vity is more harmful than are convulsions. - ansb.) Convulsions always involve violent
skeletal muscle ac�vity.
Ra�onale:
Convulsions specifically refer to involuntary, violent spasms of the large muscles of the face, neck, arms,
and legs. Seizure ac�vity does not always involve these characteris�cs.
A client has dysfunc�on of cranial nerve VIII. The nurse should determine that the client is adequately
adap�ng to this problem if he or she states a plan to obtain which item?
a.) A walker
b.) Eyeglasses
c.) A hearing aid
d.) A bath thermometer
e.) A hearing aid - anse.) A hearing aid
A client has suffered damage to Broca's area of the brain. The nurse providing care for this client
an�cipates that which area will be affected?
a.) Speech
b.) Hearing
c.) Balance
d.) Level of consciousness - ansa.) Speech
A client has sustained damage to Wernicke's area in the temporal lobe from a stroke (brain atack). The
nurse an�cipates that the client will have difficulty with which func�on?
