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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. Laceration of the middle meningeal artery
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 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 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?
Seizures are divided into two broad categories:

2. Call the physician while another nurse checks the vital signs and ascertains the patient's Glasgow Coma score
A nurse assesses a client who has episodes of autonomic dysreflexia. Which of the following conditions can cause 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?
Sudden and general loss of muscle tone - particularly in the arms and legs - which often results in a fall.
A patient with glaucoma has medication prescribed to decrease intraocular pressure. Which of the following medication should be questioned by the nurse?

3. nsg intervention for spinal injury
A client receiving vent - assisted mode ventilation begins to experience cluster breathing after recent intracranial occipital bleeding. Which action would be most appropriate?
Vitals/turn freq/call light close/ ROM
Repetitive - rhythmic jerks that involve both sides of the body at the same time.
Whiplash - shaken baby

4. Epidural hematoma
Which of the following clients on the rehab unit is most likely to develop autonomic dysreflexia?
Meningies - csf - blood - brain barrier - skull
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 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?

5. Damage to cranial nerve I
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
Which of the following describes decerebrate posturing?
CN III
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

6. Encouraging compliance with drug therapy to prevent loss of vision
A patient has a question about a recent eye exam. Which of the following statements would be an accurate response to inquiry?
Meningies - csf - blood - brain barrier - skull
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 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:

7. Epidural hematoma
Vitals/turn freq/call light close/ ROM
A client has been pronounced brain dead. Which findings would the nurse assess?
Which of the following describes decerebrate posturing?
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?

8. Reposition the client to avoid neck flexion
Whiplash - shaken baby
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?
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?
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.

9. Equal pupillary constriction in response to light
A patient with glaucoma has medication prescribed to decrease intraocular pressure. Which of the following medication should be questioned by the nurse?
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?
Sudden and general loss of muscle tone - particularly in the arms and legs - which often results in a fall.
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?

10. A client with a high cervical spine injury
Which of the following clients on the rehab unit is most likely to develop autonomic dysreflexia?
Which of the following physiologic changes would be expected in a patient with presbyopia?
Head is suddenly forced to stop or start moving - or to turn rapidly.
A patient has a normal sensory change that results in diminished sense of taste. How would this be documented

11. 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
Which neurotransmitter is responsible for may of the functions of the frontal lobe?
A client receiving vent - assisted mode ventilation begins to experience cluster breathing after recent intracranial occipital bleeding. Which action would be most appropriate?
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?

12. generalized and partial (also called local or focal)
Which of the following describes decerebrate posturing?
Seizures are divided into two broad categories:
A client is at risk for increased ICP. Which of the following would be a priority for the nurse to monitor?
Which neurotransmitter is responsible for may of the functions of the frontal lobe?

13. Unequal pupil size
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
Seizures are divided into two broad categories:
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 client is at risk for increased ICP. Which of the following would be a priority for the nurse to monitor?

14. The patient should be placed on droplet precautions.
Meningies - csf - blood - brain barrier - skull
A client has signs of increased ICP. Which of the following is an early indicator of deterioration in the client's condition?
After falling 20' - a 36-year - old man sustains a C6 fracture with spinal cord transaction. Which other findings should the nurse expect
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.

15. Loss of lens elasticity
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?
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 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

16. Intracranial hemorrhages
A patient with glaucoma has medication prescribed to decrease intraocular pressure. Which of the following medication should be questioned by the nurse?
Meningies - csf - blood - brain barrier - skull
Dural and arachnoid membranes and their associated blood vessels are readily torn by the impact and fractured bone fragments
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?

17. Raise the head of the bed immediately to 90 degrees
Abnormal posturing that involves rigidity - flexion of the arms - clenched fists - and extended legs.
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?
Which neurotransmitter is responsible for may of the functions of the frontal lobe?
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?

18. Linear skull fractures
Blunt trauma
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?
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 has signs of increased ICP. Which of the following is an early indicator of deterioration in the client's condition?

19. 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?
Which of the following physiologic changes would be expected in a patient with presbyopia?
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 client has been pronounced brain dead. Which findings would the nurse assess?

20. Myoclonic Seizure
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
are produced by electrical impulses from throughout the entire brain
After falling 20' - a 36-year - old man sustains a C6 fracture with spinal cord transaction. Which other findings should the nurse expect

21. 'Wake him every hour and assess his orientation to person - time - and place
Repetitive - rhythmic jerks that involve both sides of the body at the same time.
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:
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 respiratory patterns indicate increasing ICP in the brain stem?

22. Noxious stimuli
A nurse assesses a client who has episodes of autonomic dysreflexia. Which of the following conditions can cause autonomic dysreflexia?
Which of the following clients on the rehab unit is most likely to develop autonomic dysreflexia?
Seizures are divided into two broad categories:
During an episode of autonomic dysreflexia in which the client becomes hypertensive - the nurse should perform which of the following interventions?

23. Hypogeusia
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 nurse assesses a client who has episodes of autonomic dysreflexia. Which of the following conditions can cause autonomic dysreflexia?
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 patient has a normal sensory change that results in diminished sense of taste. How would this be documented

24. Rapid dilantin administration can cause cardiac arrhythmias
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.
Whiplash - shaken baby
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?
are produced (at least initially) by electrical impulses in a relatively small part of the brain.

25. Artificial tears
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?
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?
Meningies - csf - blood - brain barrier - skull
A patient with glaucoma has medication prescribed to decrease intraocular pressure. Which of the following medication should be questioned by the nurse?

26. Slow - irregular respirations
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 respiratory patterns indicate increasing ICP in the brain stem?
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.
After falling 20' - a 36-year - old man sustains a C6 fracture with spinal cord transaction. Which other findings should the nurse expect

27. Encourage the client to hyperventilate
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 has been pronounced brain dead. Which findings would the nurse assess?
Repetitive - rhythmic jerks that involve both sides of the body at the same time.
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?

28. Evaluate urine specific gravity
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
A client is at risk for increased ICP. Which of the following would be a priority for the nurse to monitor?
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?
Blunt trauma

29. Generalized seizures
A client is at risk for increased ICP. Which of the following would be a priority for the nurse to monitor?
are produced by electrical impulses from throughout the entire brain
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 nurse assesses a client who has episodes of autonomic dysreflexia. Which of the following conditions can cause autonomic dysreflexia?

30. 'Grand Mal' or Generalized tonic - clonic
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?
Abnormal posturing that involves rigidity - flexion of the arms - clenched fists - and extended legs.
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?
Unconsciousness - convulsions - muscle rigidity

31. CN IX and CN VII
A patient has a normal sensory change that results in diminished sense of taste. How would this be documented
A client has noticed a decrease in taste sensation. Which of the following cranial nerves are most likely involved
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
Gap between the dura and the cortical surface of the brain.

32. Check the fluid for dextrose with a dipstick
Seizures are divided into two broad categories:
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?
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?
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?

33. Hyperflexion injuries
A client with a cervical spine injury has Gardner - Wells tongs inserted for which of the following reasons?
A nurse assesses a client who has episodes of autonomic dysreflexia. Which of the following conditions can cause autonomic dysreflexia?
Whiplash - shaken baby
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

34. Depressed skull fractures
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?
Which neurotransmitter is responsible for may of the functions of the frontal lobe?
High - energy transfer - such as a blow from a baseball bat
Repetitive - rhythmic jerks that involve both sides of the body at the same time.

35. Decorticate
A client has noticed a decrease in taste sensation. Which of the following cranial nerves are most likely involved
Abnormal posturing that involves rigidity - flexion of the arms - clenched fists - and extended legs.
Vitals/turn freq/call light close/ ROM
Collision between a rapidly moving body part and a stationary object

36. Back arched; rigid extension of all four extremities.
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?
Which of the following describes decerebrate posturing?
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?

37. Inability to elicit a Babinski's reflex
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?
A patient with glaucoma has medication prescribed to decrease intraocular pressure. Which of the following medication should be questioned by the nurse?
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?
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?

38. Absence Seizure
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
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 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 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?

39. Subdural hemorrhage
Head is suddenly forced to stop or start moving - or to turn rapidly.
Gap between the dura and the cortical surface of the brain.
Which of the following describes decerebrate posturing?
A patient has a normal sensory change that results in diminished sense of taste. How would this be documented

40. Basilar skull fractures
A client with a cervical spine injury has Gardner - Wells tongs inserted for which of the following reasons?
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
are produced (at least initially) by electrical impulses in a relatively small part of the brain.
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

41. partial seizures
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 client has been pronounced brain dead. Which findings would the nurse assess?
are produced (at least initially) by electrical impulses in a relatively small part of the brain.
Abnormal posturing that involves rigidity - flexion of the arms - clenched fists - and extended legs.

42. To immobilize the surgical spine
Head is suddenly forced to stop or start moving - or to turn rapidly.
A client with a cervical spine injury has Gardner - Wells tongs inserted for which of the following reasons?
Abnormal posturing that involves rigidity - flexion of the arms - clenched fists - and extended legs.
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

43. acceleration injury
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?
A patient has a question about a recent eye exam. Which of the following statements would be an accurate response to inquiry?
Head is suddenly forced to stop or start moving - or to turn rapidly.
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.

44. Atonic Seizure
Sudden and general loss of muscle tone - particularly in the arms and legs - which often results in a fall.
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 receiving vent - assisted mode ventilation begins to experience cluster breathing after recent intracranial occipital bleeding. Which action would be most appropriate?
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?

45. 'The lens is normally transparent
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?
Seizures are divided into two broad categories:
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?
A patient has a question about a recent eye exam. Which of the following statements would be an accurate response to inquiry?

46. 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?
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
During an episode of autonomic dysreflexia in which the client becomes hypertensive - the nurse should perform which of the following interventions?
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?

47. deceleration injury
Collision between a rapidly moving body part and a stationary object
A client has been pronounced brain dead. Which findings would the nurse assess?
A patient has a question about a recent eye exam. Which of the following statements would be an accurate response to inquiry?
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?

48. Dilated non reactive pupils
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?
Head is suddenly forced to stop or start moving - or to turn rapidly.
are produced (at least initially) by electrical impulses in a relatively small part of the brain.
A client has been pronounced brain dead. Which findings would the nurse assess?

49. Limiting bladder catherization to once every 12 hours
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 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 noticed a decrease in taste sensation. Which of the following cranial nerves are most likely involved

50. Dopamine
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
Which neurotransmitter is responsible for may of the functions of the frontal lobe?
CN III
Which of the following physiologic changes would be expected in a patient with presbyopia?