MSN Exam for Neurological Problems
Exam () Questions and Verified
Answers, 100% Guarantee Pass
1. What is the priority nursing diagnosis for a patient experiencing a migraine headache?
a. Acute pain related to biologic and chemical factors
b. Anxiety related to change in or threat to health status
c. Hopelessness related to deteriorating physiological condition
d. Risk for Side effects related to medical therapy - CORRECT ANSWER -ANSWER A - The priority
for interdisciplinary care for the patient experiencing a migraine headache is pain management.
All of the other nursing diagnoses are accurate, but none of them is as urgent as the issue of
pain, which is often incapacitating. Focus: Prioritization
2. You are creating a teaching plan for a patient with newly diagnosed migraine headaches.
Which key items should be included in the teaching plan? (Choose all that apply)
A. Avoid foods that contain tyramine, such as alcohol and aged cheese.
B. Avoid drugs such as Tagamet, nitroglycerin, and Nifedipine.
C. Abortive therapy is aimed at eliminating the pain during the aura.
D. A potential side effect of medications is rebound headache.
E. Complementary therapies such as relaxation may be helpful.
F. Continue taking estrogen as prescribed by your physician. - CORRECT ANSWER -ANSWERS A,
B, C, D & E - Medications such as estrogen supplements may actually trigger a migraine
headache attack. All of the other statements are accurate. Focus: Prioritization
3. The patient with migraine headaches has a seizure. After the seizure, which action can you
delegate to the nursing assistant?
A. Document the seizure.
B. Perform neurologic checks.
, C. Take the patient's vital signs.
D. Restrain the patient for protection. - CORRECT ANSWER -ANSWER C - Taking vital signs is
within the education and scope of practice for a nursing assistant. The nurse should perform
neurologic checks and document the seizure. Patients with seizures should not be restrained;
however, the nurse may guide the patient's movements as necessary. Focus:
Delegation/supervision
4. You are preparing to admit a patient with a seizure disorder. Which of the following actions
can you delegate to LPN/LVN?
A. Complete admission assessment.
B. Set up oxygen and suction equipment.
C. Place a padded tongue blade at bedside.
D. Pad the side rails before patient arrives. - CORRECT ANSWER -ANSWER B - The LPN/LVN can
set up the equipment for oxygen and suctioning. The RN should perform the complete initial
assessment. Padded side rails are controversial in terms of whether they actually provide safety
and ay embarrass the patient and family. Tongue blades should not be at the bedside and
should never be inserted into the patient's mouth after a seizure begins. Focus:
Delegation/supervision.
5. A nursing student is teaching a patient and family about epilepsy prior to the patient's
discharge. For which statement should you intervene?
A. "You should avoid consumption of all forms of alcohol."
B. "Wear your medical alert bracelet at all times."
C. "Protect your loved one's airway during a seizure."
D. "It's OK to take over-the-counter medications." - CORRECT ANSWER -ANSWER D - A patient
with a seizure disorder should not take over-the-counter medications without consulting with
the physician first. The other three statements are appropriate teaching points for patients with
seizures disorders and their families. Focus: Delegation/supervision
Exam () Questions and Verified
Answers, 100% Guarantee Pass
1. What is the priority nursing diagnosis for a patient experiencing a migraine headache?
a. Acute pain related to biologic and chemical factors
b. Anxiety related to change in or threat to health status
c. Hopelessness related to deteriorating physiological condition
d. Risk for Side effects related to medical therapy - CORRECT ANSWER -ANSWER A - The priority
for interdisciplinary care for the patient experiencing a migraine headache is pain management.
All of the other nursing diagnoses are accurate, but none of them is as urgent as the issue of
pain, which is often incapacitating. Focus: Prioritization
2. You are creating a teaching plan for a patient with newly diagnosed migraine headaches.
Which key items should be included in the teaching plan? (Choose all that apply)
A. Avoid foods that contain tyramine, such as alcohol and aged cheese.
B. Avoid drugs such as Tagamet, nitroglycerin, and Nifedipine.
C. Abortive therapy is aimed at eliminating the pain during the aura.
D. A potential side effect of medications is rebound headache.
E. Complementary therapies such as relaxation may be helpful.
F. Continue taking estrogen as prescribed by your physician. - CORRECT ANSWER -ANSWERS A,
B, C, D & E - Medications such as estrogen supplements may actually trigger a migraine
headache attack. All of the other statements are accurate. Focus: Prioritization
3. The patient with migraine headaches has a seizure. After the seizure, which action can you
delegate to the nursing assistant?
A. Document the seizure.
B. Perform neurologic checks.
, C. Take the patient's vital signs.
D. Restrain the patient for protection. - CORRECT ANSWER -ANSWER C - Taking vital signs is
within the education and scope of practice for a nursing assistant. The nurse should perform
neurologic checks and document the seizure. Patients with seizures should not be restrained;
however, the nurse may guide the patient's movements as necessary. Focus:
Delegation/supervision
4. You are preparing to admit a patient with a seizure disorder. Which of the following actions
can you delegate to LPN/LVN?
A. Complete admission assessment.
B. Set up oxygen and suction equipment.
C. Place a padded tongue blade at bedside.
D. Pad the side rails before patient arrives. - CORRECT ANSWER -ANSWER B - The LPN/LVN can
set up the equipment for oxygen and suctioning. The RN should perform the complete initial
assessment. Padded side rails are controversial in terms of whether they actually provide safety
and ay embarrass the patient and family. Tongue blades should not be at the bedside and
should never be inserted into the patient's mouth after a seizure begins. Focus:
Delegation/supervision.
5. A nursing student is teaching a patient and family about epilepsy prior to the patient's
discharge. For which statement should you intervene?
A. "You should avoid consumption of all forms of alcohol."
B. "Wear your medical alert bracelet at all times."
C. "Protect your loved one's airway during a seizure."
D. "It's OK to take over-the-counter medications." - CORRECT ANSWER -ANSWER D - A patient
with a seizure disorder should not take over-the-counter medications without consulting with
the physician first. The other three statements are appropriate teaching points for patients with
seizures disorders and their families. Focus: Delegation/supervision
