NEURO NCLEX QUESTIONS with verified answers latest updated 2024/2025., Exams of Nursing

Download NEURO NCLEX QUESTIONS with verified answers latest updated 2024/2025. and more Exams Nursing in PDF only on Docsity! NEURO NCLEX QUESTIONS with verified answers latest updated 2024/2025. 1. All of the following may be associated with Guillain-Barré Syndrome except: a. Weakening or tingling sensation in the legs b. Weakness in the arms and upper body c. Nearly complete paralysis d. First symptom is altered mental status - Correct answer d. First symptom is altered mental status 2. All of the following statements about amyotrophic lateral sclerosis are true except: a. It causes degeneration and death of upper and lower motor neurons b. Patients lose strength and control of voluntary muscles c. It impairs cognition and senses d. It progresses rapidly and is fatal - Correct answer c. It impairs cognition and senses 3. 19. Symptoms of Parkinson's disease include all of the following except: a. Tremors of the hands, arms, legs, jaw, and face b. Stiff limbs c. Bradykinesia and impaired balance d. Impaired cognition - Correct answer d. Impaired cognition 4. Huntington's disease is a heritable disorder that involves: a. Sudden paralysis b. Chorea, loss of cognitive abilities, and emotional disturbance c. Uncontrollable swearing and repetitive actions d. Inability to recognize faces - Correct answer b. Chorea, loss of cognitive abilities, and emotional disturbance 5. What are the two main forms of onset for Amyotrophic lateral sclerosis (ALS)? 6. Answers: A. Anterior and posterior onset B. Nerve and muscle onset C. Reflexive and tensive onset D. Limb and bulbar onset 7. What are the two main forms of onset for Amyotrophic lateral sclerosis (ALS)? 8. Answers: A. Anterior and posterior onset B. Nerve and muscle onset C. Reflexive and tensive onset D. Limb and bulbar onset - Correct answer D. Limb and bulbar onset 9. Female client is admitted to the hospital with a diagnosis of Guillain-Barre syndrome. The nurse inquires during the nursing admission interview if the client has history of: A. Seizures or trauma to the brain B. Meningitis during the last 5 years C. Back injury or trauma to the spinal cord D. Respiratory or gastrointestinal infection during the previous month - Correct answer D. Respiratory or gastrointestinal infection during the previous month 10.A male client with a spinal cord injury is prone to experiencing automatic dysreflexia. The nurse would avoid which of the following measures to minimize the risk of recurrence? A. Strict adherence to a bowel retraining program B. Keeping the linen wrinkle-free under the client C. Preventing unnecessary pressure on the lower limbs D. Limiting bladder catheterization to once every 12 hours - Correct answer D. Limiting bladder catheterization to once every 12 hours 11.A female client with Guillain-Barré syndrome has paralysis affecting the respiratory muscles and requires mechanical ventilation. When the client asks the nurse about the paralysis, how should the nurse respond? A. "You may have difficulty believing this, but the paralysis caused by this disease is temporary." 12.B."You'll have to accept the fact that you're permanently paralyzed. However, you won't have any sensory loss." 13.C. "It must be hard to accept the permanency of your paralysis." 14.D. "You'll first regain use of your legs and then your arms." - Correct answer A. "You may have difficulty believing this, but the paralysis caused by this disease is temporary." 15.The nurse is teaching a female client with multiple sclerosis. When teaching the client how to reduce fatigue, the nurse should tell the client to: A. take a hot bath. B. rest in an air-conditioned room C. increase the dose of muscle relaxants D. avoid naps during the day - Correct answer B. rest in an air- conditioned room C. neurotrasmitter imbalance leads to decreased nerve impulses - Correct answer A. attacks myelin sheath of nerve fibers leaving neuritic plaques 27.Which of the following is not a stage of Multiple Sclerosis? A. Acute Attack B. Remission-Exacerbation C. Chronic progressive D. Chronic Attack - Correct answer D. Chronic Attack 28. IN SOME CLIENTS WITH MULTIPLE SCLEROSIS, PLASMAPHERESIS DIMINISHES SYMPTOMS, THIS EFFECT IS ACHIEVED BY REMOVING? A. CATHECHOLAMINES B. ANTIBODIES C. PLASMA PROTEINS D. LYMPHOCYTES - Correct answer B. ANTIBODIES 29.WHEN EVALUATING THE EXTENT OF PARKINSONS DISEASE THE NURSE WOULD ASSESS FOR? A. BULGING EYEBALLS B. DIMINISHED DISTAL SENSATION C. INCREASED DOPAMINE LEVELS D. MUSCLE RIGIDITY - Correct answer D. MUSCLE RIGIDITY 30.WHICH CLIENT WOULD BE MOST AT RISK FOR SECONDARY PARKINSONS CAUSE BY PHARMACOLOGICAL MANAGEMENT? A. 30 YR OLD WITH SCHIZOPHRENIA TAKING CHLORPROMAZINE(THORAZINE) B. 50 YEAR OLD TAKING NITRO FOR ANGINA C. A 60 YEAR OLD TAKING PREDNISONE FOR COPD D. A 75 YEAR OLD TAKING NAPROXEN FOR RHEUMATOID ARTHRITIS - Correct answer A. 30 YR OLD WITH SCHIZOPHRENIA TAKING CHLORPROMAZINE(THORAZINE) 31.TO EVALUATE THE EFFECTIVENESS OF LEVODOPACARBIDOPA (SINEMET) THE NURSE SHOULD WHAT FOR WHAT RESULT? - Correct answer FOR MORE SMOOTH PURPOSFUL MOVEMENTS 32.WHICH ANTIPARKINSON DRUG CAN CAUSE DRUG TOLERANCE OR TOXICITY IF TAKEN FOR TOO LONG AT ONE TIME? - Correct answer LEVODOPACARBIDOPA 33.A PT WITH MULTIPLE SCLEROSIS IS STARTED ON 20 MG OF GLATIRAMER(COPAXONE) SUBCUTANEOUS DAILY. IMMEDIATELY AFTER INJECTION THE CLIENT EXPERIENCES CHEST PAIN AND FLUSHING. WHAT WOULD BE THE MOST APPROPRIATE NURSING INTERVENTION? - Correct answer MONITOR SYMPTOMS(TEMPORARY) 34.WHICH SYMPTOM OCCURS EARLY IN MULTIPLE SCLEROSIS? - Correct answer DIPLOPIA 35.A CLIENT WITH SUSPECTED MULTIPLE SCLEROSIS UNDERGOES A LUMBAR PUCNTURE. WHICH ABNORMALITY IS TYPICALLY FOUND IN THE CSF OF CLIENTS WITH MS? - Correct answer ELEVATED GAMMA GLOBULIN FRACTION 36.A PT IS UNDERGOING TESTING TO CONFIRM MYASENTHIA GRAVIS, THE NURSE EXPLAINS MUSCLE FUNCTION IMPROVES AFTER GIVING IV ADMINISTRATION OF WHICH MEDICATION, THIS TEST IS AKA TENSILON TEST? - Correct answer EDROPHONIUM(ENLON) 37.USED FOR ACUTE RELAPSES OF MYASENTHIA GRAVIS? - Correct answer IMMUNOGLOBULIN G 38.THE NURSE IS GIVING NEOSTIGMINE TO A PT. WHAT INTERVENTION SHOULD THE NURSE IMPLEMENT? - Correct answer GIVE 45 MINS BEFORE MEALS 39.GIVE WITH CRACKERS TO REDUCE GI DISTRESS 40.GIVE AT CONSISTENT TIMES TO ENSURE BLOOD LEVELS 41.3 HOURS AFTER A PT RECEIVED A SPINAL CORD INJURY AT C6, THE MD PRESCRIBES METHYLPRENDISOLONE TO SUPPRESS BREAKDOWN OF TISSUE AT INJURY SITE. WHAT OTHER MED SHOULD THE NURSE SUSPECT WILL ALSO BE PRESCRIBED WITH METHYLPRENDISOLONE? - Correct answer FAMOTIDINE(PEPCID) 42.CORTICOSTEROIDS CAUSE GI DISTRESS/BLEED 43.A PT IS DIAGNOSED WITH MYASENTHIA GRAVIS, A ORDER IS PLACED FOR PYRIDOSTIGMINE(MESTINON), WHAT PREEXISTING CONDITION WOULD BE CONTRAINDICATED WITH THIS MED? - Correct answer INTESTINAL OBSTRUCTION 44.PERITONITIS 45.A PT WITH AN EXHASTERBATION OF MS IS PRESCRIBED DANTRIUM, HOW SOON SHOULD THE NURSE ANTICIPATE A SIGNIFICANT REDUCTION IN MUSCLE SPASTICITY? - Correct answer 1-2 WEEKS 46. A PT WITH QUADRAPLEGIA IS IN SPINAL SHOCK, WHAT SHOULD THE NURSE EXPECT? - Correct answer ABSENCE OF REFLEXES ALONG WITH FLACCID EXTREMITIES