Neuro Nclex Questions and Answers

Neuro Nclex Questions and Answers1. A nurse obtains a focused health history for a client who is suspected of having bacterial meningitis. Which question would the nurse ask? A. “Do you live in a crowded residence?” B. “When was your last tetanus vaccination?” C. “Have you had any viral infections recently?” D. “Have you traveled out of the country in the last month?” 2. A nurse evaluates the results of diagnostic tests on a client’s cerebrospinal fluid (CSF). Which fluid results alert the nurse to possible viral meningitis? (Select all that apply.) A. Clear B. Cloudy C. Increased protein level D. Normal glucose level E. Bacterial organisms present F. Increased white blood cells 3. A nurse assesses a patient with a spinal cord injury at level T5. The patient’s blood pressure is 184/95 mm Hg, and the patient presents with a flushed face and blurred vision. What action would the nurse take first? A. Initiate oxygen via a nasal cannula. B. Place the patient in a supine position. C. Palpate the bladder for distention. D. Administer a prescribed beta-blocker. 4. An emergency room nurse initiates care for a patient with a cervical spinal cord injury who arrives via emergency medical services. What action would the nurse take first? A. Assess level of consciousness. B. Obtain vital signs. C. Administer oxygen therapy. D. Evaluate respiratory status. 5. After teaching a patient with a spinal cord injury, the nurse assesses the patient’s understanding. Which patient statement indicates a correct understanding of how to prevent respiratory problems at home? A. “I’ll use my incentive spirometer every 2 hours while I’m awake.” B. “I’ll drink thinned fluids to prevent choking.” C. “I’ll take cough medicine to prevent excessive coughing.” D. “I’ll position myself on my right side so I don’t aspirate.” 6. A nurse assesses a patient with a neurologic disorder. Which assessment finding would the nurse identify as a late manifestation of amyotrophic lateral sclerosis (ALS)? A. Dysarthria B. Dysphagia C. Muscle weakness D. Impairment of respiratory muscles Created from exam creator software provided by: Ignatavicius, D. D., Workman, L. M., & Rebar, C. (2018). Medical-surgical nursing: Concepts for interprofessional collaborative care (9th ed.). St. Louis, MO: Elsevier. Downloaded by DANIEL NDAMBIRI () lOMoARcPSD| A++ 7. A nurse cares for a patient with a spinal cord injury. With which interdisciplinary team member would the nurse consult to assist the patient with activities of daily living? A. Social worker B. Physical therapist C. Occupational therapist D. Case manager 8. A nurse cares for a patient with amyotrophic lateral sclerosis (ALS). The patient states, “I do not want to be placed on a mechanical ventilator.” How would the nurse respond? A. “You should discuss this with your family and health care provider.” B. “Why are you afraid of being placed on a breathing machine?” C. “Using the incentive spirometer each hour will delay the need for a ventilator.” D. “What would you like to be done if you begin to have difficulty breathing?” 9. After teaching a male patient with a spinal cord injury at the T4 level, the nurse assesses the patient’s understanding. Which patient statements indicate a correct understanding of the teaching related to sexual effects of this injury? (Select all that apply.) A. “I will explore other ways besides intercourse to please my partner.” B. “I will not be able to have an erection because of my injury.” C. “Ejaculation may not be as predictable as before.” D. “I may urinate with ejaculation but this will not cause infection.” E. “I should be able to have an erection with stimulation.” 10. A nurse assesses a patient with paraplegia from a spinal cord injury and notes reddened areas over the patient’s hips and sacrum. What actions would the nurse take? (Select all that apply.) A. Apply a barrier cream to protect the skin from excoriation. B. Perform range-of-motion (ROM) exercises for the hip joint. C. Reposition the patient off of the reddened areas. D. Get the patient out of bed and into a chair once a day. E. Obtain a low-air-loss mattress to minimize pressure. 11. A nurse assesses a patient who experienced a spinal cord injury at the T5 level 12 hours ago. Which manifestations would the nurse correlate with neurogenic shock? (Select all that apply.) A. Heart rate of 34 beats/min B. Blood pressure of 185/65 mm Hg C. Urine output less than 30 mL/hr D. Decreased level of consciousness E. Increased oxygen saturation 12. A patient is admitted with Guillain-Barré syndrome (GBS). What assessment takes priority? A. Bladder control Created from exam creator software provided by: Ignatavicius, D. D., Workman, L. M., & Rebar, C. (2018). Medical-surgical nursing: Concepts for interprofessional collaborative care (9th ed.). St. Louis, MO: Elsevier. Downloaded by DANIEL NDAMBIRI () lOMoARcPSD| A++ B. Cognitive perception C. Respiratory system D. Sensory functions 13. The nurse learns that the pathophysiology of Guillain-Barré syndrome includes segmental demyelination. The nurse understands that this causes what? A. Delayed afferent nerve impulses B. Paralysis of affected muscles C. Paresthesia in upper extremities D. Slowed nerve impulse transmission 14. A patient with Guillain-Barré syndrome is admitted to the hospital. The nurse plans caregiving priority to interventions that address which priority patient problem? A. Anxiety B. Low fluid volume C. Inadequate airway D. Potential for skin breakdown 15. The nurse is preparing a patient for a Tensilon (edrophonium chloride) test. What action by the nurse is most important? A. Administering anxiolytics B. Having a ventilator nearby C. Obtaining atropine sulfate D. Sedating the patient 16. A patient is taking long-term corticosteroids for myasthenia gravis. What teaching is most important? A. Avoid large crowds and people who are ill. B. Check blood sugars four times a day. C. Use two forms of contraception. D. Wear properly fitting socks and shoes. 17. A patient with myasthenia gravis has the priority patient problem of inadequate nutrition. What assessment finding indicates that the priority goal for this patient problem has been met? A. Ability to chew and swallow without aspiration B. Eating 75% of meals and between-meal snacks C. Intake greater than output 3 days in a row D. Weight gain of 3 lbs (1.4 kg) in 1 month 18. A patient has undergone a percutaneous stereotactic rhizotomy. What instruction by the nurse is most important on discharge from the ambulatory surgical center? A. “Avoid having teeth pulled for 1 year.” B. “Brush your teeth with a soft toothbrush.” C. “Do not use harsh chemicals on your face.” D. “Inform your dentist of this procedure.” Created from exam creator software provided by: Ignatavicius, D. D., Workman, L. M., & Rebar, C. (2018). Medical-surgical nursing: Concepts for interprofessional collaborative care (9th ed.). St. Louis, MO: Elsevier. Downloaded by DANIEL NDAMBIRI () lOMoARcPSD| A++ 19. A patient has trigeminal neuralgia and has begun skipping meals and not brushing his teeth, and his family believes that the patient has become depressed. What action by the nurse is best? A. Ask the patient to explain feelings related to this disorder. B. Explain how dental hygiene is related to overall health. C. Refer the patient to a medical social worker for assessment. D. Tell the patient that he or she will become malnourished in time. 20. A patient is receiving plasmapheresis. What assessment findings need to be reported to the provider as a priority? (Select all that apply.) A. Serum calcium level of 6.4 mg/dL (1.6 mmol/L) B. Urticarial rash C. Weight the following day D. Potassium level of 4.2 mEq/L (4.2 mmol/L) E. Photophobia 21. A patient is receiving plasmapheresis. What action by the nurse best prevents infection in this patient? A. Giving antibiotics prior to treatments B. Monitoring the patient’s vital signs C. Performing appropriate hand hygiene D. Placing the patient in protective isolation 22. An older patient is hospitalized with Guillain-Barré syndrome. A family member tells the nurse that the patient is restless and seems confused. What action by the nurse is best? A. Assess the patient’s oxygen saturation. B. Check the medication list for interactions. C. Place the patient on a bed alarm. D. Put the patient on safety precautions. 23. A patient with myasthenia gravis (MG) asks the nurse to explain the disease. What response by the nurse is best? A. “MG is an autoimmune problem in which nerves do not cause muscles to contract.” B. “MG is an inherited destruction of peripheral nerve endings and junctions.” C. “MG consists of trauma-induced paralysis of specific cranial nerves.” D. “MG is a viral infection of the dorsal root of sensory nerve fibers.” 24. A patient with myasthenia gravis is prescribed pyridostigmine (Mestinon). What teaching should the nurse plan regarding this medication? (Select all that apply.) A. “Do not eat a full meal for 45 minutes after taking the drug.” B. “Seek immediate care if you develop trouble swallowing.” C. “Take this drug on an empty stomach for best absorption.” D. “The dose may change frequently depending on symptoms.” E. “Your urine may turn a reddish-orange color while on this drug.” Created from exam creator software provided by