MedSurg Neurological Disorders NCLEX Questions and Answers Updated 2026

MedSurg Neurological
Disorders NCLEX
Questions and Answers
Updated 2026
RegularBoralBhygieneBisBanBessentialBinterventionBforBaBclientBwhoBhasBhadBaBstroke.
BWhichBofBtheBfollowingBnursingBmeasuresBisBinappropriateBwhenBprovidingBoralBhygi
ene?



A.BPlacingBtheBclientBonBtheBbackBwithBaBsmallBpillowBunderBtheBhead.

B.BKeepingBportableBsuctioningBequipmentBatBtheBbedside.

C.BOpeningBtheBclient'sBmouthBwithBaBpaddedBtongueBblade.

D.BCleaningBtheBclient'sBmouthBandBteethBwithBaBtoothbrush.B-BAnswerBA.B

clientBshouldBbeBpositionedBonBtheBside,BnotBonBtheBback.BThisBlateralBpositionBhelp
sBsecretionsBescapeBfromBtheBthroatBandBmouth,BminimizingBtheBriskBofBaspiration.



AB78-year-
oldBclientBisBadmittedBtoBtheBemergencyBdepartmentBwithBnumbnessBandBweaknessB
ofBtheBleftBarmBandBslurredBspeech.BWhichBnursingBinterventionBisBaBpriority?



A.BPrepareBtoBadministerBrecombinantBtissueBplasminogenBactivatorB(rt-PA).

B.BDiscussBtheBprecipitatingBfactorsBthatBcausedBtheBsymptoms.

C.BScheduleBforBABSTATBcomputerBtomographyB(CT)BscanBofBtheBhead.

D.BNotifyBtheBspeechBpathologistBforBanBemergencyBconsultation.B-BAnswerBC.B

ABCTBscanBwillBdetermineBifBtheBclientBisBhavingBaBstrokeBorBhasBaBbrainBtumourBor
BanotherBneurologicalBdisorder.BThisBwouldBalsoBdetermineBifBitBisBaBhemorrhagicBor
BischemicBaccidentBandBguideBtheBtreatmentBbecauseBonlyBanBischemicBstrokeBcanBu
seBtPA.

,ABclientBarrivesBinBtheBemergencyBdepartmentBwithBanBischemicBstrokeBandBreceives
BtissueBplasminogenBactivatorB(t-
PA)Badministration.BWhichBisBtheBpriorityBnursingBassessment?



A.BTimeBofBonsetBofBcurrentBstroke

B.BCompleteBphysicalBandBhistory

C.BCurrentBmedications

D.BUpcomingBsurgicalBproceduresB-BAnswerBA.

TheBtimeBofBonsetBofBaBstrokeBtoBt-
PABadministrationBisBcritical.BAdministrationBwithinB3BhoursBhasBbetterBoutcomes.BTiss
ueBplasminogenBactivatorB(tPA)BisBclassifiedBasBaBserineBproteaseB(enzymesBthatBcleav
eBpeptideBbondsBinBproteins).BItBisBthusBoneBofBtheBessentialBcomponentsBofBtheBdis
solutionBofBbloodBclots.BItsBprimaryBfunctionBincludesBcatalyzingBtheBconversionBofBpl
asminogenBtoBplasmin,BtheBprimaryBenzymeBinvolvedBinBdissolvingBbloodBclots.



DuringBtheBfirstB24BhoursBafterBthrombolyticBtherapyBforBischemicBstroke,BtheBprimar
yBgoalBisBtoBcontrolBtheBclient's:



A.BPulse

B.BRespirations

C.BBloodBpressure

D.BTemperatureB-BAnswerBC.B

ControllingBtheBbloodBpressureBisBcriticalBbecauseBanBintracerebralBhemorrhageBisBthe
BmajorBadverseBeffectBofBthrombolyticBtherapy.BBloodBpressureBshouldBbeBmaintained
BaccordingBtoBtheBphysicianBandBisBspecificBtoBtheBclient'sBischemicBtissueBneedsBand
BrisksBofBbleedingBfromBtreatment.



WhatBisBaBpriorityBnursingBassessmentBinBtheBfirstB24BhoursBafterBadmissionBofBtheB
clientBwithBaBthromboticBstroke?



A.BCholesterolBlevel

B.BPupilBsizeBandBpupillaryBresponse

,C.BBowelBsounds

D.BEchocardiogramB-BAnswerBB.

ItBisBcrucialBtoBmonitorBtheBpupilBsizeBandBpupillaryBresponseBtoBindicateBchangesBar
oundBtheBcranialBnerves.BPupilBreactionsBareBregulatedBbyBtheBoculomotorB(III)Bcrania
lBnerveBandBareBusefulBinBdeterminingBwhetherBtheBbrainBstemBisBintact.BPupilBsizeB
andBequalityBisBdeterminedBbyBaBbalanceBbetweenBparasympatheticBandBsympatheticB
innervation.BResponseBtoBlightBreflectsBtheBcombinedBfunctionBofBtheBopticB(II)BandB
oculomotorB(III)BcranialBnerves.



WhatBisBtheBexpectedBoutcomeBofBthrombolyticBdrugBtherapy?



A.BIncreasedBvascularBpermeability

B.BVasoconstriction

C.BDissolvedBemboli

D.BPreventionBofBhemorrhageB-BAnswerBC.

ThrombolyticBtherapyBisBusedBtoBdissolveBemboliBandBreestablishBcerebralBperfusion.B
ThrombolyticBtreatmentBisBalsoBknownBasBfibrinolyticBorBthrombolysis,BtoBdissolveBda
ngerousBintravascularBclotsBtoBpreventBischemicBdamageBbyBimprovingBbloodBflow.BTh
rombosisBisBaBsignificantBphysiologicalBresponseBthatBlimitsBhemorrhageBcausedBbyBlar
geBorBtinyBvascularBinjury.



TheBclientBdiagnosedBwithBatrialBfibrillationBhasBexperiencedBaBtransientBischemicBatta
ckB(TIA).BWhichBmedicationBwouldBtheBnurseBanticipateBbeingBorderedBforBtheBclient
BonBdischarge?



A.BABthrombolyticBmedication

B.BABbeta-blockerBmedication

C.BAnBanti-hyperuricemicBmedication

D.BAnBoralBanticoagulantBmedicationB-BAnswerBD.B

ThrombiBformBsecondaryBtoBatrialBfibrillation.BTherefore,BanBanticoagulantBwouldBbeB
anticipatedBtoBpreventBthrombusBformation;BandBoralB(warfarinB[Coumadin])BatBdischa

, rgeBversusBintravenous.BOralBanticoagulationBisBindicatedBforBpatientsBwithBatrialBfibril
lationBorBotherBsourcesBofBcardioembolicBsourcesBofBTIA.



WhichBclientBwouldBtheBnurseBidentifyBasBbeingBmostBatBriskBforBexperiencingBaBCVA
?



A.BAB39-year-oldBpregnantBfemale.

B.BAB67-year-oldBCaucasianBmale.

C.BAnB84-year-oldBJapaneseBfemale.

D.BAB55-year-oldBAfricanBAmericanBmale.B-BAnswerBD.

AfricanBAmericansBhaveBtwiceBtheBrateBofBCVAsBasBCaucasians;BmalesBareBmoreBlikel
yBtoBhaveBstrokesBthanBfemalesBexceptBinBadvancedByears.BOfBallBtheBriskBfactors,Bh
ypertensionBisBtheBmostBcommonBmodifiableBriskBfactorBforBstroke.BHypertensionBisB
mostBprevalentBinBAfrican-AmericansBandBalsoBoccursBearlierBinBlife.



WhichBassessmentBdataBwouldBindicateBtoBtheBnurseBthatBtheBclientBwouldBbeBatBris
kBforBaBhemorrhagicBstroke?



A.BABbloodBglucoseBlevelBofB480Bmg/dl.

B.BABright-sidedBcarotidBbruit.

C.BABbloodBpressureBofB220/120BmmHg.

D.BTheBpresenceBofBbronchogenicBcarcinoma.B-BAnswerBC.

UncontrolledBhypertensionBisBaBriskBfactorBforBhemorrhagicBstroke,BwhichBisBaBruptur
edBbloodBvesselBinBtheBcranium.BHypertensionBisBtheBmostBcommonBcauseBofBhemor
rhagicBstroke.BLongBstandingBhypertensionBproducesBdegenerationBofBmedia,Bbreakage
BofBtheBelasticBlamina,BandBfragmentationBofBsmoothBmusclesBofBarteries.



TheBnurseBandBunlicensedBassistiveBpersonnelB(UAP)BareBcaringBforBaBclientBwithBrigh
t-sidedBparalysis.BWhichBactionBbyBtheBUAPBrequiresBtheBnurseBtoBintervene?



A.BTheBassistantBplacesBaBgaitBbeltBaroundBtheBclient'sBwaistBpriorBtoBambulating.