Neurological NCLEX Exam Test Questions with 100% Verified Answers
1. Taking medica- The nurse is teaching the client with myasthenia gravis
tions on time to about prevention of myasthenic and cholinergic crises.
maintain thera- The nurse tells the client that this is most effectively done
peutic blood lev- by which activity?
els
2. Monitor the A thymectomy via a median sternotomy approach is per-
chest tube formed on a client with a diagnosis of myasthenia gravis.
drainage. The nurse has assisted in developing a plan of care for
the client and includes which nursing action in the plan?
3. "Are you getting The nurse is caring for a client with a diagnosis of multiple
up at night to uri- sclerosis who has been prescribed oxybutynin (Ditropan).
nate?" The nurse evaluates the effectiveness of the medication
by asking the client which question?
4. Confusion The nurse caring for a client following a craniotomy mon-
itors for signs of increased intracranial pressure (ICP).
Which indicates an early sign of increased ICP?
5. Desmopressin A client who sustained a closed head injury has a new
(DDAVP) onset of copious urinary output. Urine output for the pre-
vious 8-hour shift was 3300 mL, and 2800 mL for the shift
before that. The findings have been reported to the health
care provider, and the nurse anticipates a prescription for
which medication?
6. Cholinergic cri- A client with myasthenia gravis is experiencing prolonged
sis periods of weakness. The health care provider prescribes
a test dose of edrophonium (Enlon) and the client be-
comes weaker. The nurse interprets this outcome as in-
dicative of which result?
7. Limiting blad- The client with spinal cord injury is prone to experiencing
der catheteriza- autonomic dysreflexia. The least appropriate measure to
tion to once minimize the risk of autonomic dysreflexia is which ac-
every 12 hours tion?
8. "I will bend at A halo vest is applied to a client following a cervical spine
the waist, keep- fracture. The nurse reinforces instructions to the client re-
,Neurological NCLEX Exam Test Questions with 100% Verified Answers
ing the halo vest garding safety measures related to the vest. Which state-
straight to pick ment by the client indicates a need for further teaching?
up items."
9. Drainage from The nurse is monitoring a client who sustained a head
ear injury and suspects that the client has a skull fracture.
This conclusion is based on which findings? Select all that
Bruising around apply.
the eyes
Pink-tinged
drainage from
the nose
10. Client demon- The nurse is collecting neurological data on an uncon-
strated decere- scious client. On application of a central noxious stimulus,
brate posturing. the nurse observes this response. How should the nurse
document this response on the client's record? Refer to
figure.
11. Allowing the A client with spinal cord injury has experienced more than
client's bladder one episode of autonomic dysreflexia. The nurse should
to become dis- avoid which action that could trigger an episode of this
tended complication?
12. Encourage and A client with Parkinson's disease is embarrassed about
praise persever- the symptoms of the disorder and is bored and lonely.
ance in exercis- The nurse should plan which approach as therapeutic in
ing and perform- assisting the client to cope with the disease?
ing ADL.
13. The client com- A client with a T4 spinal cord injury is to be monitored
plains of a for autonomic dysreflexia (hyperreflexia). Which finding is
headache, and indicative of this complication?
the blood pres-
sure is elevated.
14. Bowel sounds The nurse is monitoring a client with a C5 spinal cord in-
are absent. jury for spinal shock. Which findings would be associated
with spinal shock in this client? Select all that apply.
, Neurological NCLEX Exam Test Questions with 100% Verified Answers
The client's ab-
domen is dis-
tended.
Respiratory ex-
cursion is dimin-
ished.
Accessory mus-
cles of respira-
tion are areflexic.
15. Decrease cere- Acetazolamide is prescribed for a client with a diagnosis
brospinal fluid of a supratentorial lesion. The nurse monitors the client
production for effectiveness of this medication, knowing which is its
primary action?
16. Separates into The client has clear fluid leaking from the nose after a
concentric rings basilar skull fracture. The nurse determines that this is
and tests posi- cerebrospinal fluid (CSF) if the fluid meets which criteria?
tive for glucose
17. It is possible the The family of an unconscious client with increased in-
client can hear tracranial pressure is talking at the client's bedside. They
the family. are discussing the gravity of the client's condition and
wondering if the client will ever recover. How should the
nurse interpret the client's situation?
18. Minor headache The client was seen and treated in the emergency de-
partment (ED) for a concussion. Before discharge, the
nurse explains the signs/symptoms of a worsening con-
dition. The nurse determines that the family needs further
teaching if they state they will return to the ED if the client
experiences which sign/symptom?
19. "Going to the The nurse has instructed the client with myasthenia gravis
beach will be about ways to manage his or her own health at home. The
a nice, relaxing nurse determines that the client needs further teaching if
form of activity." the client makes which statements?
1. Taking medica- The nurse is teaching the client with myasthenia gravis
tions on time to about prevention of myasthenic and cholinergic crises.
maintain thera- The nurse tells the client that this is most effectively done
peutic blood lev- by which activity?
els
2. Monitor the A thymectomy via a median sternotomy approach is per-
chest tube formed on a client with a diagnosis of myasthenia gravis.
drainage. The nurse has assisted in developing a plan of care for
the client and includes which nursing action in the plan?
3. "Are you getting The nurse is caring for a client with a diagnosis of multiple
up at night to uri- sclerosis who has been prescribed oxybutynin (Ditropan).
nate?" The nurse evaluates the effectiveness of the medication
by asking the client which question?
4. Confusion The nurse caring for a client following a craniotomy mon-
itors for signs of increased intracranial pressure (ICP).
Which indicates an early sign of increased ICP?
5. Desmopressin A client who sustained a closed head injury has a new
(DDAVP) onset of copious urinary output. Urine output for the pre-
vious 8-hour shift was 3300 mL, and 2800 mL for the shift
before that. The findings have been reported to the health
care provider, and the nurse anticipates a prescription for
which medication?
6. Cholinergic cri- A client with myasthenia gravis is experiencing prolonged
sis periods of weakness. The health care provider prescribes
a test dose of edrophonium (Enlon) and the client be-
comes weaker. The nurse interprets this outcome as in-
dicative of which result?
7. Limiting blad- The client with spinal cord injury is prone to experiencing
der catheteriza- autonomic dysreflexia. The least appropriate measure to
tion to once minimize the risk of autonomic dysreflexia is which ac-
every 12 hours tion?
8. "I will bend at A halo vest is applied to a client following a cervical spine
the waist, keep- fracture. The nurse reinforces instructions to the client re-
,Neurological NCLEX Exam Test Questions with 100% Verified Answers
ing the halo vest garding safety measures related to the vest. Which state-
straight to pick ment by the client indicates a need for further teaching?
up items."
9. Drainage from The nurse is monitoring a client who sustained a head
ear injury and suspects that the client has a skull fracture.
This conclusion is based on which findings? Select all that
Bruising around apply.
the eyes
Pink-tinged
drainage from
the nose
10. Client demon- The nurse is collecting neurological data on an uncon-
strated decere- scious client. On application of a central noxious stimulus,
brate posturing. the nurse observes this response. How should the nurse
document this response on the client's record? Refer to
figure.
11. Allowing the A client with spinal cord injury has experienced more than
client's bladder one episode of autonomic dysreflexia. The nurse should
to become dis- avoid which action that could trigger an episode of this
tended complication?
12. Encourage and A client with Parkinson's disease is embarrassed about
praise persever- the symptoms of the disorder and is bored and lonely.
ance in exercis- The nurse should plan which approach as therapeutic in
ing and perform- assisting the client to cope with the disease?
ing ADL.
13. The client com- A client with a T4 spinal cord injury is to be monitored
plains of a for autonomic dysreflexia (hyperreflexia). Which finding is
headache, and indicative of this complication?
the blood pres-
sure is elevated.
14. Bowel sounds The nurse is monitoring a client with a C5 spinal cord in-
are absent. jury for spinal shock. Which findings would be associated
with spinal shock in this client? Select all that apply.
, Neurological NCLEX Exam Test Questions with 100% Verified Answers
The client's ab-
domen is dis-
tended.
Respiratory ex-
cursion is dimin-
ished.
Accessory mus-
cles of respira-
tion are areflexic.
15. Decrease cere- Acetazolamide is prescribed for a client with a diagnosis
brospinal fluid of a supratentorial lesion. The nurse monitors the client
production for effectiveness of this medication, knowing which is its
primary action?
16. Separates into The client has clear fluid leaking from the nose after a
concentric rings basilar skull fracture. The nurse determines that this is
and tests posi- cerebrospinal fluid (CSF) if the fluid meets which criteria?
tive for glucose
17. It is possible the The family of an unconscious client with increased in-
client can hear tracranial pressure is talking at the client's bedside. They
the family. are discussing the gravity of the client's condition and
wondering if the client will ever recover. How should the
nurse interpret the client's situation?
18. Minor headache The client was seen and treated in the emergency de-
partment (ED) for a concussion. Before discharge, the
nurse explains the signs/symptoms of a worsening con-
dition. The nurse determines that the family needs further
teaching if they state they will return to the ED if the client
experiences which sign/symptom?
19. "Going to the The nurse has instructed the client with myasthenia gravis
beach will be about ways to manage his or her own health at home. The
a nice, relaxing nurse determines that the client needs further teaching if
form of activity." the client makes which statements?
