Nervous System | Neurological Disorders NCLEX Quiz 51

10 Questions | Total Attempts: 941

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Nervous System | Neurological Disorders NCLEX Quiz 51

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 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. 

      A cerebral lesion

    • B. 

      A temporal lesion

    • C. 

      An intact brainstem

    • D. 

      Brain death

  • 2. 
    The nurse is caring for the client with increased intracranial pressure. The nurse would note which of the following trends in vital signs if the ICP is rising?
    • A. 

      Increasing temperature. increasing pulse. increasing respirations. decreasing blood pressure.

    • B. 

      Increasing temperature. decreasing pulse. decreasing respirations. increasing blood pressure.

    • C. 

      Decreasing temperature. decreasing pulse. increasing respirations. decreasing blood pressure.

    • D. 

      Decreasing temperature. increasing pulse. decreasing respirations. increasing blood pressure.

  • 3. 
    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. 

      A positive Brudzinski’s sign

    • B. 

      A negative Kernig’s sign

    • C. 

      Absence of nuchal rigidity

    • D. 

      A Glascow Coma Scale score of 15

  • 4. 
    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 to:
    • A. 

      Tolerate the pain

    • B. 

      Decrease the perception of pain

    • C. 

      Escape the source of pain

    • D. 

      Divert attention from the source of pain.

  • 5. 
    During the acute stage of meningitis. a 3-year-old child is restless and irritable. Which of the following would be most appropriate to institute?
    • A. 

      Limiting conversation with the child

    • B. 

      Keeping extraneous noise to a minimum

    • C. 

      Allowing the child to play in the bathtub

    • D. 

      Performing treatments quickly

  • 6. 
    Which of the following would lead the nurse to suspect that a child with meningitis has developed disseminated intravascular coagulation?
    • A. 

      Hemorrhagic skin rash

    • B. 

      Edema

    • C. 

      Cyanosis

    • D. 

      Dyspnea on exertion

  • 7. 
    When interviewing the parents of a 2-year-old child. a history of which of the following illnesses would lead the nurse to suspect pneumococcal meningitis?
    • A. 

      Bladder infection

    • B. 

      Middle ear infection

    • C. 

      Fractured clavicle

    • D. 

      Septic arthritis

  • 8. 
    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.
    • A. 

      Head tilt

    • B. 

      Vomiting

    • C. 

      Polydipsia

    • D. 

      Lethargy

    • E. 

      Increased appetite

    • F. 

      Increased pulse

  • 9. 
    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?
    • A. 

      Cloudy CSF. decreased protein. and decreased glucose

    • B. 

      Cloudy CSF. elevated protein. and decreased glucose

    • C. 

      Clear CSF. elevated protein. and decreased glucose

    • D. 

      Clear CSF. decreased pressure. and elevated protein

  • 10. 
    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?
    • A. 

      No precautions are required as long as antibiotics have been started

    • B. 

      Maintain enteric precautions

    • C. 

      Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics

    • D. 

      Maintain neutropenic precautions