NEURO NCLEX QUESTIONS AND ANSWERS 2024
VERSION VERIFIED RATIONALE GRADED A+
A 32-year-old patient has a stroke resulting from a ruptured aneurysm and subarachnoid hemorrhage.
Which intervention will be included in the care plan?
a. Applying intermittent pneumatic compression stockings
b. Assisting to dangle on edge of bed and assess for dizziness
c. Encouraging patient to cough and deep breathe every 4 hours
d. Inserting an oropharyngeal airway to prevent airway obstruction - ansa. Applying intermittent
pneumatic compression stockings
Rationale:
The patient with a subarachnoid hemorrhage usually has minimal activity to prevent cerebral vasospasm
or further bleeding and is at risk for venous thromboemboism (VTE). Activities such as coughing and
sitting up that might increase intracranial pressure (ICP) or decrease cerebral blood flow are avoided.
Because there is no indication that the patient is unconscious, an oropharyngeal airway is inappropriate.
A 58-year-old patient who began experiencing right-sided arm and leg weakness is admitted to the
emergency department. In which order will the nurse implement these actions 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 tissue plasminogen activator (tPA).
c. Administer oxygen to keep O2 saturation >95%.
d. Use National Institute of Health Stroke Scale to assess patient - ansIn this order:
C, D, A, B
Rationale:
The initial actions should be those that help with airway, breathing, and circulation. 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 activity.
c.) Seizures involve muscle spasms on one side only.
d.) Seizure activity is more harmful than are convulsions. - ansb.) Convulsions always involve violent
skeletal muscle activity.
Rationale:
Convulsions specifically refer to involuntary, violent spasms of the large muscles of the face, neck, arms,
and legs. Seizure activity does not always involve these characteristics.
A client has dysfunction of cranial nerve VIII. The nurse should determine that the client is adequately
adapting 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
anticipates 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 attack). The
nurse anticipates that the client will have difficulty with which function?
VERSION VERIFIED RATIONALE GRADED A+
A 32-year-old patient has a stroke resulting from a ruptured aneurysm and subarachnoid hemorrhage.
Which intervention will be included in the care plan?
a. Applying intermittent pneumatic compression stockings
b. Assisting to dangle on edge of bed and assess for dizziness
c. Encouraging patient to cough and deep breathe every 4 hours
d. Inserting an oropharyngeal airway to prevent airway obstruction - ansa. Applying intermittent
pneumatic compression stockings
Rationale:
The patient with a subarachnoid hemorrhage usually has minimal activity to prevent cerebral vasospasm
or further bleeding and is at risk for venous thromboemboism (VTE). Activities such as coughing and
sitting up that might increase intracranial pressure (ICP) or decrease cerebral blood flow are avoided.
Because there is no indication that the patient is unconscious, an oropharyngeal airway is inappropriate.
A 58-year-old patient who began experiencing right-sided arm and leg weakness is admitted to the
emergency department. In which order will the nurse implement these actions 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 tissue plasminogen activator (tPA).
c. Administer oxygen to keep O2 saturation >95%.
d. Use National Institute of Health Stroke Scale to assess patient - ansIn this order:
C, D, A, B
Rationale:
The initial actions should be those that help with airway, breathing, and circulation. 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 activity.
c.) Seizures involve muscle spasms on one side only.
d.) Seizure activity is more harmful than are convulsions. - ansb.) Convulsions always involve violent
skeletal muscle activity.
Rationale:
Convulsions specifically refer to involuntary, violent spasms of the large muscles of the face, neck, arms,
and legs. Seizure activity does not always involve these characteristics.
A client has dysfunction of cranial nerve VIII. The nurse should determine that the client is adequately
adapting 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
anticipates 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 attack). The
nurse anticipates that the client will have difficulty with which function?
