Nervous System | Neurological Disorders NCLEX Quiz 50
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.
- 1.A client admitted to the hospital with a subarachnoid hemorrhage has complaints of severe headache. nuchal rigidity. and projectile vomiting. The nurse knows lumbar puncture (LP) would be contraindicated in this client in which of the following circumstances?
- A.
Vomiting continues
- B.
Intracranial pressure (ICP) is increased
- C.
The client needs mechanical ventilation
- D.
Blood is anticipated in the cerebrospinal fluid (CSF)
- 2.A client with a subdural hematoma becomes restless and confused. with dilation of the ipsilateral pupil. The physician orders mannitol for which of the following reasons?
- A.
To reduce intraocular pressure
- B.
To prevent acute tubular necrosis
- C.
To promote osmotic diuresis to decrease ICP
- D.
To draw water into the vascular system to increase blood pressure
- 3.A client with subdural hematoma was given mannitol to decrease intracranial pressure (ICP). Which of the following results would best show the mannitol was effective?
- A.
Urine output increases
- B.
Pupils are 8 mm and nonreactive
- C.
Systolic blood pressure remains at 150 mm Hg
- D.
BUN and creatinine levels return to normal
- 4.Which of the following values is considered normal for ICP?
- A.
0 to 15 mm Hg
- B.
25 mm Hg
- C.
35 to 45 mm Hg
- D.
120/80 mm Hg
- 5.Which of the following symptoms may occur with a phenytoin level of 32 mg/dl?
- A.
Ataxia and confusion
- B.
Sodium depletion
- C.
Tonic-clonic seizure
- D.
Urinary incontinence
- 6.Which of the following signs and symptoms of increased ICP after head trauma would appear first?
- A.
Bradycardia
- B.
Large amounts of very dilute urine
- C.
Restlessness and confusion
- D.
Widened pulse pressure
- 7.Problems with memory and learning would relate to which of the following lobes?
- A.
Frontal
- B.
Occipital
- C.
Parietal
- D.
Temporal
- 8.While cooking. your client couldn’t feel the temperature of a hot oven. Which lobe could be dysfunctional?
- A.
Frontal
- B.
Occipital
- C.
Parietal
- D.
Temporal
- 9.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?
- A.
Sternal rub
- B.
Pressure on the orbital rim
- C.
Squeezing the sternocleidomastoid muscle
- D.
Nail bed pressure
- 10.The client is having a lumbar puncture performed. The nurse would plan to place the client in which position for the procedure?
- A.
Side-lying. with legs pulled up and head bent down onto the chest
- B.
Side-lying. with a pillow under the hip
- C.
Prone. in a slight Trendelenburg’s position
- D.
Prone. with a pillow under the abdomen.
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