Neuro NCLEX Questions

Neuro NCLEX Questions Leave the first rating Students also studied Terms in this set (30) Save State Exam Nursing New Zealand 484 terms sarah_batchelor9 Preview Diabetes Mellitus NCLEX Style Ques...Teacher 36 terms ssandholmPreview Safety and Infection Control NCLEX ...19 terms e_abdullah1Preview ATI Cha 120 term Kay The nurse asks the male patient with epilepsy if he has auras with his seizures. The patient says, "I don't know what you mean. What are auras?" Which statement by the nurse would be the best response?

• "An aura is a sensory warning that a seizure is about to

start."

• "Auras usually cause you to be sleepy after you have a

seizure."

• "You're concerned that you do not have auras before

your seizures?"

• "Auras occur when you are physically and

psychologically exhausted."

• "An aura is a sensory warning that a seizure is about to start."

A nurse is caring for a patient who just experienced a seizure. While doing follow-up documentation, the nurse plans to include which of the following items in the progress note?

SELECT ALL THAT APPLY.

• How long the seizure lasted.
• The patient's admitting diagnosis.
• What the patient had for breakfast.
• The body part where the seizure started.
• Reports of unusual sounds or smells prior to the

seizure

• How long the seizure lasted.
• The body part where the seizure started.
• Reports of unusual sounds or smells prior to the seizure

A patient has been taking phenytoin (Dilantin) for 2 years.Which action will the nurse take when evaluating for adverse effects of the medication?

• Listen to lung sounds.
• Inspect the oral cavity.
• Check pupil reaction to light.
• Auscultate the bowel sounds.
• Inspect the oral cavity.

The nurse is teaching a patient diagnosed with seizures about long-term management of the disease. Which statement, if made by the patient, indicates a need for further teaching?

• "I should avoid alcohol while on this medication."
• "I should take this medication at the same time each

day."

• "If I become ill, I should immediately stop taking this

medication."

• "I should avoid activities which require alertness and

coordination until the effects of the drug are known to me."

• "If I become ill, I should immediately stop taking this medication."

While walking in the hall a hospitalized patient has a tonic-clonic seizure. During the seizure which would be the nurse's priority action?

• Protect the patient's head from injury.
• Move the patient immediately to a soft surface.
• Attempt to insert an airway between the patient's teeth.
• Hold the patient's arms and legs firmly to prevent

injury.

• Protect the patient's head from injury.

The nurse is providing teaching to a patient about the management of migraine headaches.What instruction should be provided to the patient to assist with relief of a migraine headache?

• Drink a calming red wine beverage.
• Recline in a quiet, dimly lit environment.
• Participate in aggressive physical activity.
• Take topiramate (Topamax) at the first sign of a

headache.

• Recline in a quiet, dimly lit environment.

The health care provider is considering the use of sumatriptan (Imitrex), a tripton, for a patient with migraine headaches. Which information obtained by the nurse is most important to report to the health care provider?

• The patient drinks 1 to 2 cups of coffee daily.
• The patient has had migraine headaches for 30 years.
• The patient has a history of peripheral vascular disease.
• The patient has taken topiramate (Topamax) for 2

months.

• The patient has a history of peripheral vascular disease.

A patient with restless legs syndrome has not responded to non-pharmacologic interventions, and drug therapy is considered. The nurse recognizes which is a primary drug for treatment of the disorder?

• Diazepam (Valium).
• Carbamazepine (Tegretol).
• Carbidopa/levodopa (Sinemet).
• Ropinirole (Requip).
• Carbidopa/levodopa (Sinemet).

A patient who is seen in the outpatient clinic reports symptoms of restless legs syndrome.Which of the following over-the-counter medications, routinely taken by the patient, should the nurse discuss with the patient?

• Multivitamin (Stresstabs).
• Acetaminophen (Tylenol).
• Ibuprofen (Motrin, Advil).
• Diphenhydramine (Benadryl).
• Diphenhydramine (Benadryl).

The nurse is completing an admission interview on a patient with a diagnosis of Parkinson's disease. Which of the following would the nurse expect the patient to report related to how the onset of symptoms occurred?

• Gradually.
• Suddenly.
• Overnight.
• Irregularly.
• Gradually.

A patient has a new prescription for bromocriptime (Parlodel), a dopamine receptor agonist, to control symptoms of Parkinson's disease. Which assessment data obtained by the nurse may indicate a need for an adjustment in the dose?

• The patient has a chronic dry cough.
• The patient has four loose stools in a day.
• The patient's blood pressure is 90/46 mm Hg.
• The patient develops a deep venous thrombosis.
• The patient's blood pressure is 90/46 mm Hg

A patient with Parkinson's disease has a nursing diagnosis of impaired physical mobility related to bradykinesia. Which action will the nurse include in the plan of care?

• Suggest the patient rock from side to side to initiate

leg movement.

• Instruct the patient in activities that can be done while

lying or standing.

• Have the patient take small steps in a straight line

directly in front of the feet.

• Teach the patient to keep the feet in contact with the

floor and slide them forward.

• Suggest the patient rock from side to side to initiate leg movement.

A patient is being treated with carbidopa/levodopa (Sinemet) for Parkinson's disease. Which information is most important for the nurse to report to the health care provider?

• Shuffling gait.
• Tremor at rest.
• Cogwheel rigidity of limbs.
• Uncontrolled head movement.
• Uncontrolled head movement.

The nurse caring for a patient diagnosed with amyotrophic lateral sclerosis knows which manifestations are typical of the disease?

• Tremors and hallucinations.
• Muscle flaccidity and mental depression.
• Rigidity, uncoordinated movements and confusion.
• Progressive limb weakness with intact cognitive

abilities.

• Progressive limb weakness with intact cognitive abilities.