NEURO NCLEX QUESTIONS

NEURO NCLEX QUESTIONS

ScienceMedicineNeurology kidniki77 Save Neurological NCLEX Questions 55 terms marissaxxcarol Preview Med Surg Gastrointestinal NCLEX Q...86 terms Jasmine_Lawson4 Preview

Nursing Assessment Chapter 23: Ne...

67 terms tonkagroundhog Preview Psychia 50 terms sch 2. All of the following may be associated with Guillain-Barré Syndrome except:

• Weakening or tingling sensation in the legs
• Weakness in the arms and upper body
• Nearly complete paralysis
• First symptom is altered mental status
• First symptom is altered mental status
• All of the following statements about amyotrophic lateral sclerosis are true except:
• It causes degeneration and death of upper and lower motor neurons
• Patients lose strength and control of voluntary muscles
• It impairs cognition and senses
• It progresses rapidly and is fatal
• It impairs cognition and senses

19. Symptoms of Parkinson's disease include all of the following except:

• Tremors of the hands, arms, legs, jaw, and face
• Stiff limbs
• Bradykinesia and impaired balance
• Impaired cognition
• Impaired cognition

5. Huntington's disease is a heritable disorder that involves:

• Sudden paralysis
• Chorea, loss of cognitive abilities, and emotional disturbance
• Uncontrollable swearing and repetitive actions
• Inability to recognize faces
• Chorea, loss of cognitive abilities, and emotional disturbance

What are the two main forms of onset for Amyotrophic lateral sclerosis (ALS)?

Answers:

• Anterior and posterior onset
• Nerve and muscle onset
• Reflexive and tensive onset
• Limb and bulbar onset

What are the two main forms of onset for Amyotrophic lateral sclerosis (ALS)?

Answers:

• Anterior and posterior onset
• Nerve and muscle onset
• Reflexive and tensive onset
• Limb and bulbar onset
• Limb and bulbar onset

Female client is admitted to the hospital with a diagnosis of Guillain-Barre syndrome. The nurse inquires during the nursing admission interview if

the client has history of:

• Seizures or trauma to the brain
• Meningitis during the last 5 years
• Back injury or trauma to the spinal cord
• Respiratory or gastrointestinal infection during the previous month
• Respiratory or gastrointestinal infection during the previous month

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?

• Strict adherence to a bowel retraining program
• Keeping the linen wrinkle-free under the client
• Preventing unnecessary pressure on the lower limbs
• Limiting bladder catheterization to once every 12 hours
• Limiting bladder catheterization to once every 12 hours

A female client with Guillain-Barré syndrome has paralysis affecting the respiratory muscles and requires mechanical ventilation. When the client asks the nurse about the paralysis, how should the nurse respond?

• "You may have difficulty believing this, but the paralysis caused by this disease is temporary."

B."You'll have to accept the fact that you're permanently paralyzed. However, you won't have any sensory loss."

• "It must be hard to accept the permanency of your paralysis."
• "You'll first regain use of your legs and then your arms."
• "You may have difficulty believing this, but the paralysis caused by this disease is temporary."

The nurse is teaching a female client with multiple sclerosis. When teaching the client how to reduce fatigue, the nurse should tell the client to:

• take a hot bath.
• rest in an air-conditioned room
• increase the dose of muscle relaxants
• avoid naps during the day
• rest in an air-conditioned room

A female client with amyotrophic lateral sclerosis (ALS) tells the nurse, "Sometimes I feel so frustrated. I can't do anything without help!" This comment best supports which nursing diagnosis?

• Anxiety
• Powerlessness
• Ineffective denial
• Risk for disuse syndrome
• Powerlessness

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:

• Eating large, well-balanced meals
• Doing muscle-strengthening exercises
• Doing all chores early in the day while less fatigued
• Taking medications on time to maintain therapeutic blood levels
• Taking medications on time to maintain therapeutic blood levels

A female client is admitted in a disoriented and restless state after sustaining a concussion during a car accident. Which nursing diagnosis takes highest priority in this client's plan of care?

• Disturbed sensory perception (visual)

B. Self-care deficient: Dressing/grooming

• Impaired verbal communication
• Risk for injury
• Risk for injury

A female client with Guillian-Barre syndrome has ascending paralysis and is intubated and receiving mechanical ventilation. Which of the following strategies would the nurse incorporate in the plan of care to help the client cope with this illness?

• Giving client full control over care decisions and restricting visitors
• Providing positive feedback and encouraging active range of motion
• Providing information, giving positive feedback, and encouraging relaxation
• Providing intravaneously administered sedatives, reducing distractions and limiting visitors
• Providing information, giving positive feedback, and encouraging relaxation

A female client has experienced an episode of myasthenic crisis. The nurse would assess whether the client has precipitating factors such as:

• Getting too little exercise
• Taking excess medication
• Omitting doses of medication
• Increasing intake of fatty foods
• Omitting doses of medication

Which of the following is not one of the characteristic three symptoms of Parkinson's Disease?

• bradykinesia
• diplopia
• tremors
• rigidity
• diplopia

Which two neurotransmitters play a role in the etiology of Parkison's Disease?

• Dopamine, Serotonin
• Dopamine, Acetylcholine
• Dopamine, Norepinephrine
• Dopamine, Acetylcholine

Which of the following is an autoimmune disease caused by lack of acetylcholine receptor sites?

• Myasthenia Gravis
• Multiple Sclerosis
• Schizophrenia
• Myasthenia Gravis

What is the primary characteristic of Myasthenia Gravis?

• dysphagia
• weak respiratory muscles
• weak skeletal muscles
• weak skeletal muscles