Nervous System | Neurological Disorders NCLEX Quiz 53
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.To encourage adequate nutritional intake for a female client with Alzheimer’s disease. the nurse should:
- 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.
- 2.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
- 3.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
- 4.A female client complains of periorbital aching. tearing. blurred vision. and photophobia in her right eye. Ophthalmologic examination reveals a small. irregular. nonreactive pupil — a condition resulting from acute iris inflammation (iritis). As part of the client’s therapeutic regimen. the physician prescribes atropine sulfate (Atropisol). two drops of 0.5% solution in the right eye twice daily. Atropine sulfate belongs to which drug classification?
- A.
Parasympathomimetic agent
- B.
Sympatholytic agent
- C.
Adrenergic blocker
- D.
Cholinergic blocker
- 5.Emergency medical technicians transport a 27-year-old iron worker to the emergency department. They tell the nurse. “He fell from a two-story building. He has a large contusion on his left chest and a hematoma in the left parietal area. He has a compound fracture of his left femur and he’s comatose. We intubated him and he’s maintaining an arterial oxygen saturation of 92% by pulse oximeter with a manual resuscitation bag.” Which intervention by the nurse has the highest priority?
- A.
Assessing the left leg
- B.
Assessing the pupils
- C.
Placing the client in Trendelenburg’s position
- D.
Assessing level of consciousness
- 6.An auto mechanic accidentally has battery acid splashed in his eyes. His coworkers irrigate his eyes with water for 20 minutes. and then take him to the emergency department of a nearby hospital. where he receives emergency care for the corneal injury. The physician prescribes dexamethasone (Maxidex Ophthalmic Suspension). two drops of 0.1% solution to be instilled initially into the conjunctival sacs of both eyes every hour; and polymyxin B sulfate (Neosporin Ophthalmic). 0.5% ointment to be placed in the conjunctival sacs of both eyes every 3 hours. Dexamethasone exerts its therapeutic effect by:
- A.
Increasing the exudative reaction of ocular tissue.
- B.
Decreasing leukocyte infiltration at the site of ocular inflammation.
- C.
Inhibiting the action of carbonic anhydrase.
- D.
Producing a miotic reaction by stimulating and contracting the sphincter muscles of the iris.
- 7.Nurse Amber is caring for a client who underwent a lumbar laminectomy two (2) days ago. Which of the following findings should the nurse consider abnormal?
- A.
More back pain than the first postoperative day
- B.
Paresthesia in the dermatomes near the wounds
- C.
Urine retention or incontinence
- D.
Temperature of 99.2° F (37.3° C)
- 8.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.
- 9.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.
- 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.
- 10.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.
Dystrophic
- C.
Helicopod
- D.
Steppage
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