Nervous System: NCLEX Nursing Questions On Neurological Disorders
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- 1.A female client has clear fluid leaking from the nose following a basilar skull fracture. The nurse assesses that this is cerebrospinal fluid if the fluid:
- A.
Is clear and tests negative for glucose
- B.
Is grossly bloody in appearance and has a pH of 6
- C.
Clumps together on the dressing and has a pH of 7
- D.
Separates into concentric rings and test positive of glucose
- 2.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
- 3.The nurse is caring for the male client who begins to experience seizure activity while in beD. Which of the following actions by the nurse would be contraindicated?
- A.
Loosening restrictive clothing
- B.
Restraining the client’s limbs
- C.
Removing the pillow and raising padded side rails
- D.
Positioning the client to side. if possible. with the head flexed forward
- 4.The nurse is assigned to care for a female client with complete right-sided hemiparesis. The nurse plans care knowing that this condition:
- A.
The client has complete bilateral paralysis of the arms and legs.
- B.
The client has weakness on the right side of the body. including the face and tongue.
- C.
The client has lost the ability to move the right arm but can walk independently.
- D.
The client has lost the ability to move the right arm but can walk independently.
- 5.The client with a brain attack (stroke) has residual dysphagia. When a diet order is initiated. the nurse avoids doing which of the following?
- A.
Giving the client thin liquids
- B.
Thickening liquids to the consistency of oatmeal
- C.
Placing food on the unaffected side of the mouth
- D.
Allowing plenty of time for chewing and swallowing
- 6.The nurse is assessing the adaptation of the female client to changes in functional status after a brain attack (stroke). The nurse assesses that the client is adapting most successfully if the client:
- A.
Gets angry with family if they interrupt a task
- B.
Experiences bouts of depression and irritability
- C.
Has difficulty with using modified feeding utensils
- D.
Consistently uses adaptive equipment in dressing self
- 7.Nurse Kristine is trying to communicate with a client with brain attack (stroke) and aphasia. Which of the following actions by the nurse would be least helpful to the client?
- A.
Speaking to the client at a slower rate
- B.
Allowing plenty of time for the client to respond
- C.
Completing the sentences that the client cannot finish
- D.
Looking directly at the client during attempts at speech
- 8.A female client has experienced an episode of myasthenic crisis. The nurse would assess whether the client has precipitating factors such as:
- A.
Getting too little exercise
- B.
Taking excess medication
- C.
Omitting doses of medication
- D.
Increasing intake of fatty foods
- 9.The nurse is teaching the female client with myasthenia gravis about the prevention of myasthenic and cholinergic crises. The nurse tells the client that this is most effectively done by:
- A.
Eating large. well-balanced meals
- B.
Doing muscle-strengthening exercises
- C.
Doing all chores early in the day while less fatigued
- D.
Taking medications on time to maintain therapeutic blood levels
- 10.A male client with Bell’s Palsy asks the nurse what has caused this problem. The nurse’s response is based on an understanding that the cause is:
- A.
Unknown. but possibly includes ischemia. viral infection. or an autoimmune problem
- B.
Unknown. but possibly includes long-term tissue malnutrition and cellular hypoxia
- C.
Primary genetic in origin. triggered by exposure to meningitis
- D.
Primarily genetic in origin. triggered by exposure to neurotoxins
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