100 NEURO NCLEX QUESTIONS WITH CORRECT SOLUTIONS GRADED A+ AND 2024 LATEST UPDATED, Exams of Nursing

Download 100 NEURO NCLEX QUESTIONS WITH CORRECT SOLUTIONS GRADED A+ AND 2024 LATEST UPDATED and more Exams Nursing in PDF only on Docsity! NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ 100 NEURO NCLEX QUESTIONS WITH CORRECT SOLUTIONS GRADED A+ AND 2024 LATEST UPDATED 1. 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?  Reposition the client to avoid neck flexion  Administer 1 g Mannitol IV as ordered  Increase the ventilator’s respiratory rate to 20 breaths/minute  Administer 100 mg of pentobarbital IV as ordered. 2. 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? NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ 1. Therapeutic drug levels should be maintained between 20 to 30 mg/ml. 2. Rapid Dilantin administration can cause cardiac arrhythmias.  Dilantin should be mixed in dextrose in water before administration. • Dilantin should be administered through an IV catheter in the client’s hand. 3 While in the ER, a client with C8 tetraplegia develops a blood pressure of 80/40, pulse 48, and RR of 18. The nurse suspects which of the following conditions? 1.Autonomic dysreflexia 2.Hemorrhagic shock 3. Neurogenic shock 4. Pulmonary embolism  When evaluating an ABG from a client with a subdural hematoma, the nurse notes the PaCO2 is 30 mm Hg. Which of the following responses best describes this result?  Appropriate; lowering carbon dioxide (CO2) reduces intracranial NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+  Neurogenic shock  Sepsis 10. The client is having a lumbar puncture performed. The nurse would plan to place the client in which position for the procedure?  Side-lying, with legs pulled up and head bent down onto the chest  Side-lying, with a pillow under the hip  Prone , in a slight Trendelenburg’s position  Prone, with a pillow under the abdomen. 11. A nurse is assisting with caloric testing of the oculovestibular reflex of an unconscious client. Cold water is injected into the left auditory canal. The client exhibits eye conjugate movements toward the left followed by a rapid nystagmus toward the right. The nurse understands that this indicates the client has:  A cerebral lesion  A temporal lesion  An intact brainstem  Brain death 12. The nurse is caring for the client with increased intracranial NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ pressure. The nurse would note which of the following trends in vital signs if the ICP is rising?  Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure.  Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure.  Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure.  Decreasing temperature, increasing pulse, decreasing respirations, increasing blood pressure. 13. The nurse is evaluating the status of a client who had a craniotomy 3 days ago. The nurse would suspect the client is developing meningitis as a complication of surgery if the client exhibits:  A positive Brudzinski’s sign  A negative Kernig’s sign  Absence of nuchal rigidity  A Glascow Coma Scale score of 15 14. A client is arousing from a coma and keeps saying, “Just stop the pain.” The nurse responds based on the knowledge that the human body typically and automatically responds to pain first with attempts NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ to: NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ 18. The nurse is assessing a child diagnosed with a brain tumor . Which of the following signs and symptoms would the nurse expect the child to demonstrate? Select all that apply. 1.Head tilt 2.Vomiting 3.Polydipsia 4.Lethargy 5. Increased appetite 6. Increased pulse 1,2,4 19. A lumbar puncture is performed on a child suspected of having bacterial meningitis . CSF is obtained for analysis. A nurse reviews the results of the CSF analysis and determines that which of the following results would verify the diagnosis? 1. Cloudy CSF, decreased protein, and decreased glucose 2. Cloudy CSF, elevated protein, and decreased glucose 3.Clear CSF, elevated protein, and decreased glucose 4.Clear CSF, decreased pressure, and elevated protein NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ 20. A nurse is planning care for a child with acute bacterial meningitis. Based on the mode of transmission of this infection, which of the following would be included in the plan of care? 1.No precautions are required as long as antibiotics have been started 2.Maintain enteric precautions 3.Maintain respiratory isolation precautions for at least 24 hours after the NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ initiation of antibiotics 4.Maintain neutropenic precautions 21. During an episode of autonomic dysreflexia in which the client becomes hypertensive, the nurse should perform which of the following interventions?  Elevate the client’s legs  Put the client flat in bed Put the client in the Trendelenburg’s position  Put the client in the high-Fowler’s position 22 A 30-year-old was admitted to the progressive care unit with a C5 fracture from a motorcycle accident. Which of the following assessments would take priority?  Bladder distension  Neurological deficit  Pulse ox readings  The client’s feelings about the injury NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+  Histamine  Norepinephrine 28. 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 of the following conditions?  Extent of intracranial bleeding  Sites of brain injury  .Activity of the brain  Percent of functional brain tissue 29. 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?  Subdural hematoma  Subarachnoid hemorrhage NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+  Epidural hematoma  Contusion 30. After falling 20’, a 36-year-old man sustains a C6 fracture with spinal cord transaction. Which other findings should the nurse expect?  Quadriplegia with gross arm movement and diaphragmatic breathing  Quadriplegia and loss of respiratory function  Paraplegia with intercostal muscle loss  Loss of bowel and bladder control 31. A 20-year-old client who fell approximately 30’ is unresponsive and breathless. A cervical spine injury is suspected. How should the first- responder open the client’s airway for rescue breathing?  By inserting a nasopharyngeal airway  By inserting a oropharyngeal airway  By performing a jaw-thrust maneuver  By performing the head-tilt, chin-lift maneuver NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ 32. The nurse is caring for a client with a T5 complete spinal cord injury. Upon assessment, the nurse notes flushed skin, diaphoresis above the T5, and a blood pressure of 162/96. The client reports a severe, pounding headache. Which of the following nursing interventions would be appropriate for this client? Select all that apply. 1.Elevate the HOB to 90 degrees 2.Loosen constrictive clothing 3.Use a fan to reduce diaphoresis 4.Assess for bladder distention and bowel impaction 5.Administer antihypertensive medication 6.Place the client in a supine position with legs elevated 1,2,4,5 33. The client with a head injury has been urinating copious amounts of dilute urine through the Foley catheter. The client’s urine output for the previous shift was 3000 ml. The nurse implements a new physician order to administer:  Desmopressin (DDAVP, Stimate)  Dexamethasone (Decadron)  Ethacrynic acid (Edecrin) NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ frame 39. 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?  Positive reflexes  Hyperreflexia  Inability to elicit a Babinski’s reflex  Reflex emptying of the bladder 40. A client with a spinal cord injury suddenly experiences an episode of autonomic dysreflexia. After checking the client’s vital signs, list in order of priority, the nurse’s actions (Number 1 being the first priority and number 5 being the last priority).  Check for bladder distention  Raise the head of the bed  Contact the physician  Loosen tight clothing on the client  Administer an antihypertensive medication 2,4,1,3,5 41. A client is at risk for increased ICP. Which of the following would NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ be a priority for the nurse to monitor?  Unequal pupil size  Decreasing systolic blood pressure  Tachycardia  Decreasing body temperature 42. Which of the following respiratory patterns indicate increasing ICP in the brain stem?  Slow, irregular respirations  Rapid, shallow respirations  Asymmetric chest expansion  Nasal flaring 43. Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?  Give the client a warming blanket  Administer low-dose barbiturate  Encourage the client to hyperventilate  Restrict fluids 44. A client has signs of increased ICP. Which of the following is an early indicator of deterioration in the client’s condition? NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+  Widening pulse pressure  Decrease in the pulse rate  Dilated, fixed pupil  Decrease in LOC 45. 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?  Place her in a jacket restraint  Wrap her hands in soft “mitten” restraints  Tuck her arms and hands under the draw sheet  Apply a wrist restraint to each arm 46. Which of the following describes decerebrate posturing?  Internal rotation and adduction of arms with flexion of elbows, wrists, and fingers  Back hunched over, rigid flexion of all four extremities with supination of arms and plantar flexion of the feet  Supination of arms, dorsiflexion of feet  Back arched; rigid extension of all four extremities. NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ has problems with: A. Body temperature control. B. Balance and equilibrium. C.Visual acuity. D. Thinking and reasoning. 52. 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. Lidocain e (Xylocaine) D. Furosemide (Lasix) 53. 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? NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ A. Give him a barbiturate. B. Place him on mechanical ventilation. C.Perform a lumbar puncture . D. Elevate the head of his bed. 54. 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. 55. 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 56. To encourage adequate nutritional intake for a female client with Alzheimer’s disease, the nurse should: NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ A. Stay with the client and encourage him to eat. B. Help the client fill out his menu. C.Give the client privacy during meals. D. Fill out the menu for the client. 57. The nurse is performing a mental status examination on a male client diagnosed with a subdural hematoma. This test assesses which of the following? A. Cerebellar function B. Intellectual function C. Cerebral function D. Sensory function 58. Shortly after admission to an acute care facility, a male client with a seizure disorder develops status epilepticus. The physician orders diazepam (Valium) 10 mg I.V. stat. How soon can the nurse administer the second dose of diazepam, if needed and prescribed? A. In 30 to 45 seconds B. In 10 to 15 minutes C. In 30 to 45 minutes D. In 1 to 2 hours NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ should the nurse consider abnormal? A. More back pain than the first postoperative day B. Paresthesia in the dermatomes near the wounds C. Urin e retention or incontinence D. Temperature of 99.2° F (37.3° C) 63. After an eye examination, a male client is diagnosed with open- angle glaucoma. The physician prescribes Pilocarpine ophthalmic solution (Pilocar), 0.25% gtt i, OU q.i.D. Based on this prescription, the nurse should teach the client or a family member to administer the drug by: A. Instilling one drop of pilocarpine 0.25% into both eyes daily. B. Instilling one drop of pilocarpine 0.25% into both eyes four times daily. C. Instilling one drop of pilocarpine 0.25% into the right eye daily. D. Instilling one drop of pilocarpine 0.25% into the left eye four times daily. 64. A female client who’s paralyzed on the left side has been receiving physical therapy and attending teaching sessions about safety. Which behavior indicates that the client accurately understands safety measures related to paralysis? A. The client leaves the side rails down. NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ B. The client uses a mirror to inspect the skin. C.The client repositions only after being reminded to do so. D. The client hangs the left arm over the side of the wheelchair. 65. A male client in the emergency department has a suspected neurologic disorder. To assess gait, the nurse asks the client to take a few steps; with each step, the client’s feet make a half circle. To document the client’s gait, the nurse should use which term? A. Ataxic B. Dystroph ic C. Helicopod D. Steppage 66. A client, age 22, is admitted with bacterial meningitis. Which hospital room would be the best choice for this client? A. A private room down the hall from the nurses’ station B. An isolation room three doors from the nurses’ station C. A semi private room with a 32-year-old client who has viral meningitis D. A two-bed room with a client who previously had bacterial meningitis NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ 67. A physician diagnoses a client with myasthenia gravis, prescribing pyridostigmine (Mestinon), 60 mg P.O. every 3 hours. Before administering this anticholinesterase agent, the nurse reviews the client’s history. Which preexisting condition would contraindicate the use of pyridostigmine? A. Ulcerative colitis B. Blood dyscrasia C. Intestinal obstruction D. Spinal cord injury 68. A female client is admitted to the facility for investigation of balance and coordination problems, including possible Ménière’s disease. When assessing this client, the nurse expects to note: A. Vertigo, tinnitus, and hearing loss. B. Vertigo, vomiting, and nystagmus C.Vertigo, pain, and hearing impairment. D. Vertigo, blurred vision, and fever. 69. 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. NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ C.postoperative pain management of diskectomy clients D. treatment of spasticity associated with spinal cord lesions. 74. A female client who was found unconscious at home is brought to the hospital by a rescue squaD. In the intensive care unit, the nurse checks the client’s oculocephalic (doll’s eye) response by: A. Introducing ice water into the external auditory canal. B. Touching the cornea with a wisp of cotton. C.Turning the client’s head suddenly while holding the eyelids open. D. Shining a bright light into the pupil. 75. While reviewing a client’s chart, the nurse notices that the female client has myasthenia gravis. Which of the following statements about neuromuscular blocking agents is true for a client with this condition? A. The client may be less sensitive to the effects of a neuromuscular blocking agent. B. Succinylcholine shouldn’t be used; pancuronium may be used in a lower dosage. C.Pancuronium shouldn’t be used; succinylcholine may be used in a lower dosage. D. Pancuronium and succinylcholine both require cautious administration. 76. A male client is color blind. The nurse understands that this NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ client has a problem with: A. Rods. B. Cones . C. Lens. D. Aqueous humor. 77. 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. During the neurologic examination, the client responds to painful stimuli with decerebrate posturing. This finding indicates damage to which part of the brain? A. Diencephalon B. Medulla C. Midbrain D. Cortex 78. The nurse is assessing a 37-year-old client diagnosed with multiple sclerosis. Which of the following symptoms would the nurse expect to find? A. Vision changes B. Absent deep tendon reflexes NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ C.Tremors at rest D. Flaccid muscles 79. The nurse is caring for a male client diagnosed with a cerebral aneurysm who reports a severe headache. Which action should the nurse perform? A. Sit with the client for a few minutes. B. Administer an analgesic. C. Inform the nurse manager . D. Call the physician immediately. 80. During recovery from a cerebrovascular accident (CVA), a female client is given nothing by mouth, to help prevent aspiration. To determine when the client is ready for a liquid diet, the nurse assesses the client’s swallowing ability once each shift. This assessment evaluates: A. Cranial nerves I and II. B. Cranial nerves III and V. C.Cranial nerves VI and VIII. D. Cranial nerves IX and X. NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ urine 3. Restlessness and confusion 4. Widened pulse pressure 87. Problems with memory and learning would relate to which of the following lobes? 1.Frontal 2.Occipital 3.Parietal 4. Temporal 88. While cooking, your client couldn’t feel the temperature of a hot oven. Which lobe could be dysfunctional? 1.Frontal 2.Occipit al 3. Parietal 4. Temporal 89. The nurse is assessing the motor function of an unconscious client. The nurse would plan to use which of the following to test the client’s peripheral response to pain? NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+  Sternal rub  Pressure on the orbital rim  Squeezing the sternocleidomastoid muscle  Nai l bed pressure 90. . 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?  Evaluate urine specific gravity  Anticipate treatment for renal failure  Provide emollients to the skin to prevent breakdown  Slow down the IV fluids and notify the physician 91. A client is admitted with a spinal cord injury at the level of T12. He has limited movement of his upper extremities. Which of the following medications would be used to control edema of the spinal cord?  Acetazolamide (Diamox)  Furosemide (Lasix)  Methylprednisolone (Solu-Medrol)  Sodium bicarbonate 92. A 22-year-old client with quadriplegia is apprehensive and NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+ 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?  Place the client flat in bed  Assess patency of the indwelling urinary catheter  Give one SL nitroglycerin tablet  Raise the head of the bed immediately to 90 degrees 93. A client with a cervical spine injury has Gardner-Wells tongs inserted for which of the following reasons?  To hasten wound healing  To immobilize the cervical spine  To prevent autonomic dysreflexia  To hold bony fragments of the skull together 94. Which of the following interventions describes an appropriate bladder program for a client in rehabilitation for spinal cord injury? 1. Insert an indwelling urinary catheter to straight drainage 2. Schedule intermittent catheterization every 2 to 4 hours  Perform a straight catheterization every 8 hours while awake  Perform Crede’s maneuver to the lower abdomen before the client NSG403 100 NEURO NCLEX LATEST EXAM QUESTIONS & ANSWERS GUARANTEED 2024 RATED A+