Neuro NCLEX Practice Questions and

Neuro NCLEX Practice Questions and Answers Already Graded A+

A client is seen by a primary care provider because of difficulty walking. A neurological assessment is done. A nurse informs the client that which assessment procedure was done to test the functioning of the cerebellum?

• Ask the client to shut eyes and distinguish whether the touch is with sharp or dull object
• Ask the client to hold hands with palms up perpendicular to the body with eyes closed
• Ask the client to grasp and squeeze 2 fingers of each of the examiner's hands
• Ask the client to alternate placing hands up and then hands down on thighs as fast as possible

✔✔d. Ask the client to alternate placing hands up and then hands down on thighs as fast as possible

A nurse is admitting a client with a diagnosis of meningitis. Which of the nurse's assessment findings support this diagnosis? Select all that apply.

• Nuchal rigidity
• Severe headache
• Pill-rolling tremor
• Photophobia
• Fever

• Micrographia ✔✔a. Nuchal rigidity
• Severe headache
• Photophobia
• Fever

A client with a history of epilepsy has consecutive seizures lasting more than 5 minutes and is in status epilepticus. Which intervention should be included in this client's immediate treatment?Select all that apply.

• Administer dexamethasone IV
• Adminiter O2 and prepare for endotracheal intubation
• Prepare for immediate defibrillation
• Continue to protect the patient from injury
• Administer lorazepam IV
• Transfer to a facility with expertise in treating status epilepticus ✔✔b. Adminiter O2 and

prepare for endotracheal intubation

• Continue to protect the patient from injury
• Administer lorazepam IV

A nurse learns in report that a client admitted with a vertebral fracture has a halo external fixation device in place. Based on this information, for which intervention should the nurse plan?

• Ensure the weight with the traction is hanging
• Remove the vest at bedtime
• Perform pin site care
• Progressively loosen the pins in the skull each day ✔✔c. Perform pin site care

A client with a deteriorating mental status after suffering a stroke has a rectal temperature of 102.3F. For which reason should a nurse initiate interventions to bring the temperature to a normal level?

• A normal temp will strengthen the client's immune system against infection
• Hyperthermia lowers the incidence of mortality
• A normal temp will decrease the score on the GCS
• Hyperthermia increases the likelihood of a larger area of brain infarct ✔✔d. Hyperthermia

increases the likelihood of a larger area of brain infarct

A client seeks medical attention at an ED after experiencing left-sided weakness and slurred speech. The client receives a diagnosis with an ischemic stroke and is evaluated for treatment with thrombolytic therapy. Which finding would contraindicate this therapy?

• A normal CT scan of the brain
• A serious head injury 4 weeks prior
• A history of diabetes mallitus
• The onset of neurological deficits 2 hours earlier ✔✔b. A serious head injury 4 weeks prior

Following an industrial accident in which a client sustained a severe craniocerebral trauma, the client develops the complication of DI. A nurse suspects this complication is occurring when observing which symptom?

• Hyperglycemia
• Large amounts of urinary output
• Elevated urine specific gravity
• Decrease in level of consciousness ✔✔b. Large amounts of urinary output

A nurse is caring for a group of clients on a medical unit in a rural hospital. Which client would the nurse be least likely to monitor for the potential complication of a brain abscess?

• Client with endocarditis
• Client with idiopathic epilepsy
• Client who has had a liver transplant
• Client with meningitis ✔✔b. Client with idiopathic epilepsy