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NCLEX Neuro

Subjects : nclex, health-sciences, nursing

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. The patient should be placed on droplet precautions.
The nurse is evaluating neurological signs of the male client in spinal shock following spinal cord injury. Which of the following observations by the nurse indicates that spinal shock persists?
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?
The nurse is discussing the purpose of an electroencephalogram (EEG) with the family of a client with massive cerebral hemorrhage and loss of consciousness. It would be most accurate for the nurse to tell family members that the test measures which o
You are working in the emergency department when a college freshman is brought in by his roommate. The freshman has a severe headache - stiff neck - subjective fever and his roommate had to pull over en route to the hospital to let the patient vomit.

2. Reposition the client to avoid neck flexion
A nurse assesses a client who has episodes of autonomic dysreflexia. Which of the following conditions can cause autonomic dysreflexia?
An 18-year - old client is admitted with a closed head injury sustained in a MVA. His intracranial pressure (ICP) shows an upward trend. Which intervention should the nurse perform first?
CN III
A client receiving vent - assisted mode ventilation begins to experience cluster breathing after recent intracranial occipital bleeding. Which action would be most appropriate?

3. Wrap her hands in soft 'mitten' restraints
Collision between a rapidly moving body part and a stationary object
An 18-year - old client is admitted with a closed head injury sustained in a MVA. His intracranial pressure (ICP) shows an upward trend. Which intervention should the nurse perform first?
A client who is regaining consciousness after a craniotomy becomes restless and attempts to pull out her IV line. Which nursing intervention protects the client without increasing her ICP?
A patient with glaucoma has medication prescribed to decrease intraocular pressure. Which of the following medication should be questioned by the nurse?

4. Decorticate
An 18-year - old client was hit in the head with a baseball during practice. When discharging him to the care of his mother - the nurse gives which of the following instructions?
Repetitive - rhythmic jerks that involve both sides of the body at the same time.
Meningies - csf - blood - brain barrier - skull
Abnormal posturing that involves rigidity - flexion of the arms - clenched fists - and extended legs.

5. Atonic Seizure
Abnormal posturing that involves rigidity - flexion of the arms - clenched fists - and extended legs.
Sudden and general loss of muscle tone - particularly in the arms and legs - which often results in a fall.
Short loss of consciousness (just a few seconds) with few or no symptoms. The patient - most often a child - typically interrupts an activity and stares blankly. These seizures begin and end abruptly and may occur several times a day. Patients are us
Collision between a rapidly moving body part and a stationary object

6. Dilated non reactive pupils
Head is suddenly forced to stop or start moving - or to turn rapidly.
Sporadic jerks - usually on both sides of the body. Patients sometimes describe the jerks as brief electrical shocks. When violent - these seizures may result in dropping or involuntarily throwing objects.
A client has been pronounced brain dead. Which findings would the nurse assess?
Which of the following clients on the rehab unit is most likely to develop autonomic dysreflexia?

7. Artificial tears
A patient with glaucoma has medication prescribed to decrease intraocular pressure. Which of the following medication should be questioned by the nurse?
A client with head trauma develops a urine output of 300 ml/hr - dry skin - and dry mucous membranes. Which of the following nursing interventions is the most appropriate to perform initially?
Short loss of consciousness (just a few seconds) with few or no symptoms. The patient - most often a child - typically interrupts an activity and stares blankly. These seizures begin and end abruptly and may occur several times a day. Patients are us
Which of the following clients on the rehab unit is most likely to develop autonomic dysreflexia?

8. Inability to elicit a Babinski's reflex
A client who is regaining consciousness after a craniotomy becomes restless and attempts to pull out her IV line. Which nursing intervention protects the client without increasing her ICP?
A gentleman from Peru is brought by his wife to the clinic. He does not speak English and she is translating for him. You learn that he was a manganese miner for over twenty years. This gentleman is at particular risk of developing symptoms of which
A patient has a normal sensory change that results in diminished sense of taste. How would this be documented
The nurse is evaluating neurological signs of the male client in spinal shock following spinal cord injury. Which of the following observations by the nurse indicates that spinal shock persists?

9. Epidural hematoma
A client arrives at the ER after slipping on a patch of ice and hitting her head. A CT scan of the head shows a collection of blood between the skull and dura mater. Which type of head injury does this finding suggest?
are produced (at least initially) by electrical impulses in a relatively small part of the brain.
are produced by electrical impulses from throughout the entire brain
A gentleman from Peru is brought by his wife to the clinic. He does not speak English and she is translating for him. You learn that he was a manganese miner for over twenty years. This gentleman is at particular risk of developing symptoms of which

10. Dopamine
Which neurotransmitter is responsible for may of the functions of the frontal lobe?
A client is at risk for increased ICP. Which of the following would be a priority for the nurse to monitor?
The nurse is caring for the client in the ER following a head injury. The client momentarily lost consciousness at the time of the injury and then regained it. The client now has lost consciousness again. The nurse takes quick action - knowing this i
A 78-year - old client is admitted to the Emergency Department (ED) via emergency medical service (EMS) with complaints of severe diarrhea with resultant weakness and signs of dehydration. Discussion with the significant other reveals that the patien

11. 'Grand Mal' or Generalized tonic - clonic
Collision between a rapidly moving body part and a stationary object
Which of the following clients on the rehab unit is most likely to develop autonomic dysreflexia?
Meningies - csf - blood - brain barrier - skull
Unconsciousness - convulsions - muscle rigidity

12. Loss of lens elasticity
Which of the following physiologic changes would be expected in a patient with presbyopia?
A client who is regaining consciousness after a craniotomy becomes restless and attempts to pull out her IV line. Which nursing intervention protects the client without increasing her ICP?
Which neurotransmitter is responsible for may of the functions of the frontal lobe?
After falling 20' - a 36-year - old man sustains a C6 fracture with spinal cord transaction. Which other findings should the nurse expect

13. Raise the head of the bed immediately to 90 degrees
Whiplash - shaken baby
A client with a spinal cord injury is prone to experiencing autonomic dysreflexia. The nurse would avoid which of the following measures to minimize the risk of recurrence?
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?
A 22-year - old client with quadriplegia is apprehensive and flushed - with a blood pressure of 210/100 and a heart rate of 50 bpm. Which of the following nursing interventions should be done first?

14. Subdural hemorrhage
Gap between the dura and the cortical surface of the brain.
Sudden and general loss of muscle tone - particularly in the arms and legs - which often results in a fall.
Abnormal posturing that involves rigidity - flexion of the arms - clenched fists - and extended legs.
A patient has a question about a recent eye exam. Which of the following statements would be an accurate response to inquiry?

15. 4 things that protect the brain
Meningies - csf - blood - brain barrier - skull
The nurse is discussing the purpose of an electroencephalogram (EEG) with the family of a client with massive cerebral hemorrhage and loss of consciousness. It would be most accurate for the nurse to tell family members that the test measures which o
A client who is regaining consciousness after a craniotomy becomes restless and attempts to pull out her IV line. Which nursing intervention protects the client without increasing her ICP?
are produced by electrical impulses from throughout the entire brain

16. Tonic Seizure
A client is at risk for increased ICP. Which of the following would be a priority for the nurse to monitor?
After falling 20' - a 36-year - old man sustains a C6 fracture with spinal cord transaction. Which other findings should the nurse expect
Sporadic jerks - usually on both sides of the body. Patients sometimes describe the jerks as brief electrical shocks. When violent - these seizures may result in dropping or involuntarily throwing objects.
Muscle stiffness - rigidity

17. Linear skull fractures
Seizures are divided into two broad categories:
A client receiving vent - assisted mode ventilation begins to experience cluster breathing after recent intracranial occipital bleeding. Which action would be most appropriate?
High - energy transfer - such as a blow from a baseball bat
Blunt trauma

18. Limiting bladder catherization to once every 12 hours
A client with a spinal cord injury is prone to experiencing autonomic dysreflexia. The nurse would avoid which of the following measures to minimize the risk of recurrence?
Meningies - csf - blood - brain barrier - skull
A patient in the hospital for observation after a presumed seizure is found thrashing about in his room. Which of the following would be an improper intervention?
Caused by a blow to the back of the head - characteristic signs: blood in the sinuses; a clear fluid called cerebrospinal fluid (CSF) leaking from the nose or ears; raccoon eyes

19. Back arched; rigid extension of all four extremities.
Which of the following describes decerebrate posturing?
Dural and arachnoid membranes and their associated blood vessels are readily torn by the impact and fractured bone fragments
Caused by a blow to the back of the head - characteristic signs: blood in the sinuses; a clear fluid called cerebrospinal fluid (CSF) leaking from the nose or ears; raccoon eyes
A client with a subarachnoid hemorrhage is prescribed a 1 -000- mg loading dose of Dilantin IV. Which consideration is most important when administering this dose?

20. CN IX and CN VII
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?
A client has noticed a decrease in taste sensation. Which of the following cranial nerves are most likely involved
You are working in the emergency department when a college freshman is brought in by his roommate. The freshman has a severe headache - stiff neck - subjective fever and his roommate had to pull over en route to the hospital to let the patient vomit.
A client who is regaining consciousness after a craniotomy becomes restless and attempts to pull out her IV line. Which nursing intervention protects the client without increasing her ICP?

21. deceleration injury
Which of the following respiratory patterns indicate increasing ICP in the brain stem?
Seizures are divided into two broad categories:
Sudden and general loss of muscle tone - particularly in the arms and legs - which often results in a fall.
Collision between a rapidly moving body part and a stationary object

22. Encouraging compliance with drug therapy to prevent loss of vision
A client with a cervical spine injury has Gardner - Wells tongs inserted for which of the following reasons?
Seizures are divided into two broad categories:
A patient has a question about a recent eye exam. Which of the following statements would be an accurate response to inquiry?
A client with history of glaucoma was diagnosed by the community nurse as experiencing Visual Sensory/Perceptual Alterations R/T increased intraocular pressure. The plan of care should focus on:

23. A trauma nurse is caring for a patient that sustained trauma to the head. She notices that the patient has a 'blown pupil' (one pupil is fixed a dilated). This is caused by intracranial swelling and brain herniation. A blown pupil is caused by disrup
Repetitive - rhythmic jerks that involve both sides of the body at the same time.
The nurse is discussing the purpose of an electroencephalogram (EEG) with the family of a client with massive cerebral hemorrhage and loss of consciousness. It would be most accurate for the nurse to tell family members that the test measures which o
Sporadic jerks - usually on both sides of the body. Patients sometimes describe the jerks as brief electrical shocks. When violent - these seizures may result in dropping or involuntarily throwing objects.
CN III

24. A client with a high cervical spine injury
Head is suddenly forced to stop or start moving - or to turn rapidly.
Which of the following clients on the rehab unit is most likely to develop autonomic dysreflexia?
A client receiving vent - assisted mode ventilation begins to experience cluster breathing after recent intracranial occipital bleeding. Which action would be most appropriate?
Short loss of consciousness (just a few seconds) with few or no symptoms. The patient - most often a child - typically interrupts an activity and stares blankly. These seizures begin and end abruptly and may occur several times a day. Patients are us

25. Place a tongue - blade in the patient's mouth to prevent blockage of the airway.
A patient in the hospital for observation after a presumed seizure is found thrashing about in his room. Which of the following would be an improper intervention?
After falling 20' - a 36-year - old man sustains a C6 fracture with spinal cord transaction. Which other findings should the nurse expect
A client has signs of increased ICP. Which of the following is an early indicator of deterioration in the client's condition?
Collision between a rapidly moving body part and a stationary object

26. Equal pupillary constriction in response to light
A nurse assesses a client who has episodes of autonomic dysreflexia. Which of the following conditions can cause autonomic dysreflexia?
Seizures are divided into two broad categories:
You are the nurse assigned to perform an eye assessment on an 80-year - old client. Which of the following findings during the assessment is considered normal?
A client comes into the ER after hitting his head in an MVA. He's alert and oriented. Which of the following nursing interventions should be done first?

27. Generalized seizures
Which of the following physiologic changes would be expected in a patient with presbyopia?
A patient in the hospital for observation after a presumed seizure is found thrashing about in his room. Which of the following would be an improper intervention?
A patient has a question about a recent eye exam. Which of the following statements would be an accurate response to inquiry?
are produced by electrical impulses from throughout the entire brain

28. To immobilize the surgical spine
The nurse is discussing the purpose of an electroencephalogram (EEG) with the family of a client with massive cerebral hemorrhage and loss of consciousness. It would be most accurate for the nurse to tell family members that the test measures which o
A client with a cervical spine injury has Gardner - Wells tongs inserted for which of the following reasons?
Blunt trauma
A 22-year - old client with quadriplegia is apprehensive and flushed - with a blood pressure of 210/100 and a heart rate of 50 bpm. Which of the following nursing interventions should be done first?

29. Depressed skull fractures
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?
A 22-year - old client with quadriplegia is apprehensive and flushed - with a blood pressure of 210/100 and a heart rate of 50 bpm. Which of the following nursing interventions should be done first?
High - energy transfer - such as a blow from a baseball bat
A client has noticed a decrease in taste sensation. Which of the following cranial nerves are most likely involved

30. Hyperflexion injuries
Whiplash - shaken baby
Which of the following physiologic changes would be expected in a patient with presbyopia?
Vitals/turn freq/call light close/ ROM
Short loss of consciousness (just a few seconds) with few or no symptoms. The patient - most often a child - typically interrupts an activity and stares blankly. These seizures begin and end abruptly and may occur several times a day. Patients are us

31. Immobilize the client's head and neck

32. Rapid dilantin administration can cause cardiac arrhythmias
A client with a spinal cord injury is prone to experiencing autonomic dysreflexia. The nurse would avoid which of the following measures to minimize the risk of recurrence?
are produced by electrical impulses from throughout the entire brain
An 18-year - old client is admitted with a closed head injury sustained in a MVA. His intracranial pressure (ICP) shows an upward trend. Which intervention should the nurse perform first?
A client with a subarachnoid hemorrhage is prescribed a 1 -000- mg loading dose of Dilantin IV. Which consideration is most important when administering this dose?

33. Intracranial hemorrhages
Dural and arachnoid membranes and their associated blood vessels are readily torn by the impact and fractured bone fragments
Short loss of consciousness (just a few seconds) with few or no symptoms. The patient - most often a child - typically interrupts an activity and stares blankly. These seizures begin and end abruptly and may occur several times a day. Patients are us
You are the nurse assigned to perform an eye assessment on an 80-year - old client. Which of the following findings during the assessment is considered normal?
A client with a subarachnoid hemorrhage is prescribed a 1 -000- mg loading dose of Dilantin IV. Which consideration is most important when administering this dose?

34. Decrease in LOC

35. Slow - irregular respirations
A client with a cervical spine injury has Gardner - Wells tongs inserted for which of the following reasons?
Gap between the dura and the cortical surface of the brain.
Which of the following respiratory patterns indicate increasing ICP in the brain stem?
A client has noticed a decrease in taste sensation. Which of the following cranial nerves are most likely involved

36. Basilar skull fractures
Caused by a blow to the back of the head - characteristic signs: blood in the sinuses; a clear fluid called cerebrospinal fluid (CSF) leaking from the nose or ears; raccoon eyes
High - energy transfer - such as a blow from a baseball bat
A 23-year - old client has been hit on the head with a baseball bat. The nurse notes clear fluid draining from his ears and nose. Which of the following nursing interventions should be done first?
You are the nurse assigned to perform an eye assessment on an 80-year - old client. Which of the following findings during the assessment is considered normal?

37. Quadriplegia with gross arm movement and diaphragmic breathing

38. Myoclonic Seizure
Head is suddenly forced to stop or start moving - or to turn rapidly.
A patient has a question about a recent eye exam. Which of the following statements would be an accurate response to inquiry?
High - energy transfer - such as a blow from a baseball bat
Sporadic jerks - usually on both sides of the body. Patients sometimes describe the jerks as brief electrical shocks. When violent - these seizures may result in dropping or involuntarily throwing objects.

39. Parkinson's disease
A gentleman from Peru is brought by his wife to the clinic. He does not speak English and she is translating for him. You learn that he was a manganese miner for over twenty years. This gentleman is at particular risk of developing symptoms of which
Muscle stiffness - rigidity
Head is suddenly forced to stop or start moving - or to turn rapidly.
During an episode of autonomic dysreflexia in which the client becomes hypertensive - the nurse should perform which of the following interventions?

40. Encourage the client to hyperventilate
An 18-year - old client was hit in the head with a baseball during practice. When discharging him to the care of his mother - the nurse gives which of the following instructions?
A client who is regaining consciousness after a craniotomy becomes restless and attempts to pull out her IV line. Which nursing intervention protects the client without increasing her ICP?
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?
A client has noticed a decrease in taste sensation. Which of the following cranial nerves are most likely involved

41. Hypogeusia
A gentleman from Peru is brought by his wife to the clinic. He does not speak English and she is translating for him. You learn that he was a manganese miner for over twenty years. This gentleman is at particular risk of developing symptoms of which
A client is admitted to the ER for head trauma is diagnosed with an epidural hematoma. The underlying cause of epidural hematoma is usually related to which of the following conditions?
A patient has a normal sensory change that results in diminished sense of taste. How would this be documented
Unconsciousness - convulsions - muscle rigidity

42. 'Wake him every hour and assess his orientation to person - time - and place
Which neurotransmitter is responsible for may of the functions of the frontal lobe?
A client with a subarachnoid hemorrhage is prescribed a 1 -000- mg loading dose of Dilantin IV. Which consideration is most important when administering this dose?
An 18-year - old client was hit in the head with a baseball during practice. When discharging him to the care of his mother - the nurse gives which of the following instructions?
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?

43. partial seizures
A client with history of glaucoma was diagnosed by the community nurse as experiencing Visual Sensory/Perceptual Alterations R/T increased intraocular pressure. The plan of care should focus on:
Sporadic jerks - usually on both sides of the body. Patients sometimes describe the jerks as brief electrical shocks. When violent - these seizures may result in dropping or involuntarily throwing objects.
A client is at risk for increased ICP. Which of the following would be a priority for the nurse to monitor?
are produced (at least initially) by electrical impulses in a relatively small part of the brain.

44. Activity of the brain
A client with history of glaucoma was diagnosed by the community nurse as experiencing Visual Sensory/Perceptual Alterations R/T increased intraocular pressure. The plan of care should focus on:
The nurse is discussing the purpose of an electroencephalogram (EEG) with the family of a client with massive cerebral hemorrhage and loss of consciousness. It would be most accurate for the nurse to tell family members that the test measures which o
A client with a spinal cord injury is prone to experiencing autonomic dysreflexia. The nurse would avoid which of the following measures to minimize the risk of recurrence?
A client has been pronounced brain dead. Which findings would the nurse assess?

45. 'The lens is normally transparent
A client is admitted to the ER for head trauma is diagnosed with an epidural hematoma. The underlying cause of epidural hematoma is usually related to which of the following conditions?
A client with head trauma develops a urine output of 300 ml/hr - dry skin - and dry mucous membranes. Which of the following nursing interventions is the most appropriate to perform initially?
A patient has a question about a recent eye exam. Which of the following statements would be an accurate response to inquiry?
Whiplash - shaken baby

46. Check the fluid for dextrose with a dipstick
Sudden and general loss of muscle tone - particularly in the arms and legs - which often results in a fall.
A client arrives at the ER after slipping on a patch of ice and hitting her head. A CT scan of the head shows a collection of blood between the skull and dura mater. Which type of head injury does this finding suggest?
Which of the following describes decerebrate posturing?
A 23-year - old client has been hit on the head with a baseball bat. The nurse notes clear fluid draining from his ears and nose. Which of the following nursing interventions should be done first?

47. Unequal pupil size
Collision between a rapidly moving body part and a stationary object
Sudden and general loss of muscle tone - particularly in the arms and legs - which often results in a fall.
A patient has a question about a recent eye exam. Which of the following statements would be an accurate response to inquiry?
A client is at risk for increased ICP. Which of the following would be a priority for the nurse to monitor?

48. Noxious stimuli
A nurse assesses a client who has episodes of autonomic dysreflexia. Which of the following conditions can cause autonomic dysreflexia?
High - energy transfer - such as a blow from a baseball bat
Which of the following physiologic changes would be expected in a patient with presbyopia?
A client is admitted to the ER for head trauma is diagnosed with an epidural hematoma. The underlying cause of epidural hematoma is usually related to which of the following conditions?

49. Damage to cranial nerve I
A 78-year - old client is admitted to the Emergency Department (ED) via emergency medical service (EMS) with complaints of severe diarrhea with resultant weakness and signs of dehydration. Discussion with the significant other reveals that the patien
A patient has a question about a recent eye exam. Which of the following statements would be an accurate response to inquiry?
A client is admitted to the ER for head trauma is diagnosed with an epidural hematoma. The underlying cause of epidural hematoma is usually related to which of the following conditions?
A 23-year - old client has been hit on the head with a baseball bat. The nurse notes clear fluid draining from his ears and nose. Which of the following nursing interventions should be done first?

50. Put the client in the high - Fowler's position
During an episode of autonomic dysreflexia in which the client becomes hypertensive - the nurse should perform which of the following interventions?
A client with history of glaucoma was diagnosed by the community nurse as experiencing Visual Sensory/Perceptual Alterations R/T increased intraocular pressure. The plan of care should focus on:
A patient in the hospital for observation after a presumed seizure is found thrashing about in his room. Which of the following would be an improper intervention?
You are the nurse assigned to perform an eye assessment on an 80-year - old client. Which of the following findings during the assessment is considered normal?