Nervous System | Neurological Disorders NCLEX Quiz 46

10 Questions | Total Attempts: 1500

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Nervous System Quizzes & Trivia

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
    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?
    • A. 

      Acetazolamide (Diamox)

    • B. 

      Furosemide (Lasix)

    • C. 

      Methylprednisolone (Solu-Medrol)

    • D. 

      Sodium bicarbonate

  • 2. 
    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?
    • A. 

      Place the client flat in bed

    • B. 

      Assess patency of the indwelling urinary catheter

    • C. 

      Give one SL nitroglycerin tablet

    • D. 

      Raise the head of the bed immediately to 90 degrees

  • 3. 
    A client with a cervical spine injury has Gardner-Wells tongs inserted for which of the following reasons?
    • A. 

      To hasten wound healing

    • B. 

      To immobilize the cervical spine

    • C. 

      To prevent autonomic dysreflexia

    • D. 

      To hold bony fragments of the skull together

  • 4. 
    Which of the following interventions describes an appropriate bladder program for a client in rehabilitation for spinal cord injury?
    • A. 

      Insert an indwelling urinary catheter to straight drainage

    • B. 

      Schedule intermittent catheterization every 2 to 4 hours

    • C. 

      Perform a straight catheterization every 8 hours while awake

    • D. 

      Perform Crede’s maneuver to the lower abdomen before the client voids.

  • 5. 
    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. 

      Laceration of the middle meningeal artery

    • B. 

      Rupture of the carotid artery

    • C. 

      Thromboembolism from a carotid artery

    • D. 

      Venous bleeding from the arachnoid space

  • 6. 
    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. 

      Position the client flat in bed

    • B. 

      Check the fluid for dextrose with a dipstick

    • C. 

      Suction the nose to maintain airway patency

    • D. 

      Insert nasal and ear packing with sterile gauze

  • 7. 
    When discharging a client from the ER after a head trauma. the nurse teaches the guardian to observe for a lucid interval. Which of the following statements best described a lucid interval?
    • A. 

      An interval when the client’s speech is garbled

    • B. 

      An interval when the client is alert but can’t recall recent events

    • C. 

      An interval when the client is oriented but then becomes somnolent

    • D. 

      An interval when the client has a “warning” symptom. such as an odor or visual disturbance.

  • 8. 
    Which of the following clients on the rehab unit is most likely to develop autonomic dysreflexia?
    • A. 

      A client with a brain injury

    • B. 

      A client with a herniated nucleus pulposus

    • C. 

      A client with a high cervical spine injury

    • D. 

      A client with a stroke

  • 9. 
    Which of the following conditions indicates that spinal shock is resolving in a client with C7 quadriplegia?
    • A. 

      Absence of pain sensation in chest

    • B. 

      Spasticity

    • C. 

      Spontaneous respirations

    • D. 

      Urinary continence

  • 10. 
    A nurse assesses a client who has episodes of autonomic dysreflexia. Which of the following conditions can cause autonomic dysreflexia?
    • A. 

      Headache

    • B. 

      Lumbar spinal cord injury

    • C. 

      Neurogenic shock

    • D. 

      Noxious stimuli

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