NCLEX NEUROLOGY/SENSORY SYSTEMS TEST QUESTIONS WITH VERIFIED
ANSWERS | GRADED A+
1. C. Difficulty in A client has had a carotid endarterectomy. To monitor for
swallowing the complication of cranial nerve dysfunction, the nurse
assesses the client for which finding?
A. Labored breathing
B. Edema of the neck
C. Difficulty in swallowing
D. Alteration in blood pressure
2. B. Kernig sign A client has surgery for the creation of burr holes after
sustaining head trauma. Which early clinical manifestation
of meningeal irritation does the nurse assess in the client?
A. Sunset eyes
B. Kernig sign
C. Plantar reflex
D. Homans sign
3. C. The dose is Haloperidol 100 mg intramuscularly (IM) stat has been
more than rec- prescribed for a client who is battered and agitated after a
ommended. street brawl. What does the nurse conclude after reviewing
the prescription?
A. The medication is appropriate and should be given as
prescribed.
B. The medication is inappropriate because it takes one
week for antidepressants to be effective.
C. The dose is more than recommended.
D. The route of administration is incorrect.
4. A. Push-ups to A client who is recuperating from a spinal cord injury at the
strengthen arm T4 level wants to use a wheelchair. What should the nurse
muscles teach the client to do in preparation for this activity?
A. Push-ups to strengthen arm muscles
B. Leg lifts to prevent hip contractures
C. Balancing exercises to promote equilibrium
D. Quadriceps-setting exercises to maintain muscle tone
, NCLEX NEUROLOGY/SENSORY SYSTEMS TEST QUESTIONS WITH VERIFIED
ANSWERS | GRADED A+
5. A. Ketorolac A client who is receiving medication for an eye disorder
reports bleeding in the eye. Which drug will the nurse
most likely observe written in the medication administra-
tion record?
A. Ketorolac
B. Trifluridine
C. Natamycin
D. Ciprofloxacin
6. A. An opacity of A client's relative asks the nurse what a cataract is. Which
the lens explanation should the nurse provide?
A. An opacity of the lens
B. A thin film over the cornea
C. A crystallization of the pupil
D. An increase in the density of the conjunctiva
7. D. Inform A client who sustained a closed head injury is being mon-
the healthcare itored for increased intracranial pressure. Arterial blood
provider of the gases are obtained, and the results include a PCO2 of
results and con- 33 mm Hg. What action is most important for the nurse to
tinue to mon- take?
itor for signs
of increasing in- A. Encourage the client to slow the breathing rate.
tracranial pres- B. Auscultate the client's lungs and suction if indicated.
sure. C. Advise the healthcare provider that the client needs
supplemental oxygen.
D. Inform the healthcare provider of the results and contin-
ue to monitor for signs of increasing intracranial pressure.
8. D. Ascending A client with Guillain-Barré syndrome has been hospital-
weakness ized for three days. Which assessment finding would the
nurse expect and need to monitor frequently in this client?
A. Localized seizures
B. Skin desquamation
C. Hyperactive reflexes
D. Ascending weakness
ANSWERS | GRADED A+
1. C. Difficulty in A client has had a carotid endarterectomy. To monitor for
swallowing the complication of cranial nerve dysfunction, the nurse
assesses the client for which finding?
A. Labored breathing
B. Edema of the neck
C. Difficulty in swallowing
D. Alteration in blood pressure
2. B. Kernig sign A client has surgery for the creation of burr holes after
sustaining head trauma. Which early clinical manifestation
of meningeal irritation does the nurse assess in the client?
A. Sunset eyes
B. Kernig sign
C. Plantar reflex
D. Homans sign
3. C. The dose is Haloperidol 100 mg intramuscularly (IM) stat has been
more than rec- prescribed for a client who is battered and agitated after a
ommended. street brawl. What does the nurse conclude after reviewing
the prescription?
A. The medication is appropriate and should be given as
prescribed.
B. The medication is inappropriate because it takes one
week for antidepressants to be effective.
C. The dose is more than recommended.
D. The route of administration is incorrect.
4. A. Push-ups to A client who is recuperating from a spinal cord injury at the
strengthen arm T4 level wants to use a wheelchair. What should the nurse
muscles teach the client to do in preparation for this activity?
A. Push-ups to strengthen arm muscles
B. Leg lifts to prevent hip contractures
C. Balancing exercises to promote equilibrium
D. Quadriceps-setting exercises to maintain muscle tone
, NCLEX NEUROLOGY/SENSORY SYSTEMS TEST QUESTIONS WITH VERIFIED
ANSWERS | GRADED A+
5. A. Ketorolac A client who is receiving medication for an eye disorder
reports bleeding in the eye. Which drug will the nurse
most likely observe written in the medication administra-
tion record?
A. Ketorolac
B. Trifluridine
C. Natamycin
D. Ciprofloxacin
6. A. An opacity of A client's relative asks the nurse what a cataract is. Which
the lens explanation should the nurse provide?
A. An opacity of the lens
B. A thin film over the cornea
C. A crystallization of the pupil
D. An increase in the density of the conjunctiva
7. D. Inform A client who sustained a closed head injury is being mon-
the healthcare itored for increased intracranial pressure. Arterial blood
provider of the gases are obtained, and the results include a PCO2 of
results and con- 33 mm Hg. What action is most important for the nurse to
tinue to mon- take?
itor for signs
of increasing in- A. Encourage the client to slow the breathing rate.
tracranial pres- B. Auscultate the client's lungs and suction if indicated.
sure. C. Advise the healthcare provider that the client needs
supplemental oxygen.
D. Inform the healthcare provider of the results and contin-
ue to monitor for signs of increasing intracranial pressure.
8. D. Ascending A client with Guillain-Barré syndrome has been hospital-
weakness ized for three days. Which assessment finding would the
nurse expect and need to monitor frequently in this client?
A. Localized seizures
B. Skin desquamation
C. Hyperactive reflexes
D. Ascending weakness
