Neurologic NCLEX Practice Test Part 1

1. If a male client experienced a cerebrovascular accident (CVA) that damaged the hypothalamus, the nurse would anticipate that the client has problems with: a. body temperature control. b. balance and equilibrium. c. visual acuity. d. thinking and reasoning. 2. A female client admitted to an acute care facility after a car accident develops signs and symptoms of increased intracranial pressure (ICP). The client is intubated and placed on mechanical ventilation to help reduce ICP. To prevent a further rise in ICP caused by suctioning, the nurse anticipates administering which drug endotracheally before suctioning? a. phenytoin (Dilantin) b. mannitol (Osmitrol) c. lidocaine (Xylocaine) d. furosemide (Lasix) 3. After striking his head on a tree while falling from a ladder, a young man age 18 is admitted to the emergency department. He’s unconscious and his pupils are nonreactive. Which intervention would be the most dangerous for the client? a. Give him a barbiturate. b. Place him on mechanical ventilation. c. Perform a lumbar puncture. d. Elevate the head of his bed. 4. When obtaining the health history from a male client with retinal detachment, the nurse expects the client to report: a. light flashes and floaters in front of the eye. b. a recent driving accident while changing lanes. c. headaches, nausea, and redness of the eyes. d. frequent episodes of double vision. 5. Which nursing diagnosis takes highest priority for a client with Parkinson’s crisis? a. Imbalanced nutrition: Less than body requirements b. Ineffective airway clearance c. Impaired urinary elimination d. Risk for injury 6. To encourage adequate nutritional intake for a female client with Alzheimer’s disease, the nurse should: a. stay with the client and encourage him to eat. b. help the client fill out his menu.

This test assesses which of the following? a. Shortly after admission to an acute care facility. stat. Ophthalmologic examination reveals a small.5% ointment to be placed in . irregular.V. Adrenergic blocker d. In 1 to 2 hours 9. Cerebral function d. Emergency medical technicians transport a 27-year-old iron worker to the emergency department.5% solution in the right eye twice daily.1% solution to be instilled initially into the conjunctival sacs of both eyes every hour. His coworkers irrigate his eyes with water for 20 minutes. and then take him to the emergency department of a nearby hospital. blurred vision. In 10 to 15 minutes c. Sensory function 8. As part of the client’s therapeutic regimen. Atropine sulfate belongs to which drug classification? a. if needed and prescribed? a. We intubated him and he’s maintaining an arterial oxygen saturation of 92% by pulse oximeter with a manualresuscitation bag. give the client privacy during meals. Cholinergic blocker 10.” Which intervention by the nurse has the highest priority? a. In 30 to 45 seconds b. two drops of 0. 7. 0. “He fell from a two-story building. Cerebellar function b. An auto mechanic accidentally has battery acid splashed in his eyes. The nurse is performing a mental status examination on a male client diagnosed with subdural hematoma. and photophobia in her right eye. The physician orders diazepam (Valium) 10 mg I.c. where he receives emergency care for corneal injury. Assessing the pupils c. tearing. They tell the nurse. d. How soon can the nurse administer a second dose of diazepam. and polymyxin B sulfate (Neosporin Ophthalmic). Placing the client in Trendelenburg’s position d. a male client with a seizure disorder develops status epilepticus. A female client complains of periorbital aching. He has a compound fracture of his left femur and he’s comatose. Sympatholytic agent c. the physician prescribes atropine sulfate (Atropisol). two drops of 0. Assessing level of consciousness 11. Assessing the left leg b. He has a large contusion on his left chest and a hematoma in the left parietal area. In 30 to 45 minutes d. The physician prescribes dexamethasone (Maxidex Ophthalmic Suspension). Parasympathomimetic agent b. nonreactive pupil — a condition resulting from acute iris inflammation (iritis). Intellectual function c. fill out the menu for the client.

The client leaves the side rails down. 15. with each step. a male client is diagnosed with open-angle glaucoma.25% into both eyes four times daily.i. Urine retention or incontinence d.the conjunctival sacs of both eyes every 3 hours. age 22. To document the client’s gait. A female client who’s paralyzed on the left side has been receiving physical therapy and attending teaching sessions about safety. To assess gait.25% gtt i. decreasing leukocyte infiltration at the site of ocular inflammation. A private room down the hall from the nurses’ station b. producing a miotic reaction by stimulating and contracting the sphincter muscles of the iris. b. instilling one drop of pilocarpine 0. c. b. 14. d. The physician prescribes pilocarpine ophthalmic solution (Pilocar). More back pain than the first postoperative day b. instilling one drop of pilocarpine 0. A two-bed room with a client who previously had bacterial meningitis . Dystrophic c. A male client in the emergency department has a suspected neurologic disorder. The client uses a mirror to inspect the skin. instilling one drop of pilocarpine 0. A client. b. Ataxic b. Based on this prescription. The client hangs the left arm over the side of the wheelchair. instilling one drop of pilocarpine 0. Which behavior indicates that the client accurately understands safety measures related to paralysis? a. c. 12. 0. An isolation room three doors from the nurses’ station c.d. The client repositions only after being reminded to do so.2° F (37. Nurse April is caring for a client who underwent a lumbar laminectomy 2 days ago.25% into the left eye four times daily. Steppage 16. Paresthesia in the dermatomes near the wounds c. inhibiting the action of carbonic anhydrase.25% into both eyes daily. c. OU q. Dexamethasone exerts its therapeutic effect by: a. the nurse should teach the client or a family member to administer the drug by: a. After an eye examination. Helicopod d. d. Which of the following findings should the nurse consider abnormal? a. Temperature of 99. is admitted with bacterial meningitis.3° C) 13. Which hospital room would be the best choice for this client? a. the nurse asks the client to take a few steps. d. the client’s feet make a half circle.25% into the right eye daily. A semiprivate room with a 32-year-old client who has viral meningitis d. the nurse should use which term? a. increasing the exudative reaction of ocular tissue.

Which adverse reaction is most common? a. blurred vision. Ulcerative colitis b. 60 mg P.17. Tachycardia b. and hearing impairment. After the stapedectomy. vertigo. and hearing loss. “Don’t fly in an airplane. and nystagmus c. every 3 hours. the nurse reviews the client’s history. A male client is admitted with a cervical spine injury sustained during a diving accident.O. “Shampoo your hair every day for 10 days to help prevent ear infection. A female client is admitted to the facility for investigation of balance and coordination problems.” 20. “Try to ambulate independently after about 24 hours. Apnea 22. Intestinal obstruction d. A physician diagnoses a client with myasthenia gravis. 19.” b. pain. climb to high altitudes. Systemic absorption of atropine sulfate through the conjunctiva can cause which adverse reaction? a. A male client with a conductive hearing disorder caused by ankylosis of the stapes in the oval window undergoes a stapedectomy to remove the stapes and replace the impaired bone with a prosthesis. b. vertigo. make sudden movements. d. Before administering this anticholinesterase agent. the nurse should assign highest priority to which nursing diagnosis? . the nurse expects to note: a. Muscle weakness d. vertigo. “Lie in bed with your head elevated. and refrain from blowing your nose for 24 hours. Increased salivation c. Nurse Oliver is monitoring a client for adverse reactions to dantrolene (Dantrium).” c. or expose yourself to loud sounds for 30 days. Excessive tearing b. including possible Ménière’s disease. When assessing this client. the nurse should provide which client instruction? a.” d. The nurse is monitoring a male client for adverse reactions to atropine sulfate (Atropine Care) eyedrops. Which preexisting condition would contraindicate the use of pyridostigmine? a. Blood dyscrasia c. Urine retention c. and fever. tinnitus. prescribing pyridostigmine (Mestinon). Spinal cord injury 18. When planning this client’s care. Hypotension d. vertigo. Slurred speech 21. vomiting.

Disturbed sensory perception (tactile) d. 24. d. Cortex . His physician prescribes diazepam (Valium). Medulla c. the client responds to painful stimuli with decerebrate posturing. He has taken several skeletal muscle relaxants without experiencing relief. c. diazepam also is recommended for: a. c. turning the client’s head suddenly while holding the eyelids open. Midbrain d. A male client is color blind. A male client has a history of painful. 27. rods. introducing ice water into the external auditory canal. shining a bright light into the pupil. lens. 2 mg P. While reviewing a client’s chart. b. A female client who was trapped inside a car for hours after a head-on collision is rushed to the emergency department with multiple injuries. A female client who was found unconscious at home is brought to the hospital by a rescue squad. d. During the neurologic examination. In addition to being used to relieve painful muscle spasms. b.a. aqueous humor. c.O. Ineffective breathing pattern c. 26. The client may be less sensitive to the effects of a neuromuscular blocking agent. 25. the nurse checks the client’s oculocephalic (doll’s eye) response by: a. Pancuronium and succinylcholine both require cautious administration. d. continuous muscle spasms. pancuronium may be used in a lower dosage. long-term treatment of epilepsy. touching the cornea with a wisp of cotton. The nurse understands that this client has a problem with: a. Impaired physical mobility b. Self-care deficient: Dressing/grooming 23. postoperative pain management of diskectomy clients d. c. postoperative pain management of laminectomy clients. twice daily. Which of the following statements about neuromuscular blocking agents is true for a client with this condition? a. cones. Diencephalon b. the nurse notices that the female client has myasthenia gravis. b. b. Pancuronium shouldn’t be used. In the intensive care unit. succinylcholine may be used in a lower dosage. treatment of spasticity associated with spinal cord lesions. Succinylcholine shouldn’t be used. This finding indicates damage to which part of the brain? a.

This assessment evaluates: a. c. During recovery from a cerebrovascular accident (CVA). Which of the following symptoms would the nurse expect to find? a. b. d. d. Absent deep tendon reflexes c. Which action should the nurse perform? a. cranial nerves I and II. c. Call the physician immediately. The nurse is caring for a male client diagnosed with a cerebral aneurysm who reports a severe headache. 30. cranial nerves III and V. The nurse is assessing a 37-year-old client diagnosed with multiple sclerosis. the nurse assesses the client’s swallowing ability once each shift. To determine when the client is ready for a liquid diet. a female client is given nothing by mouth. to help prevent aspiration. Administer an analgesic.28. cranial nerves IX and X . b. Sit with the client for a few minutes. cranial nerves VI and VIII. Vision changes b. Inform the nurse manager. Flaccid muscles 29. Tremors at rest d.

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