Adult Neuro NCLEX QUESTIONS WITH COMPLETE
SOLUTIONS| ( 437 QUESTIONS) 27 PAGES
_______is common after anesthesia Correct Answer: Diminished gag reflex
Altered in moods (anxiety, agitation) will resolve as it wears off
Drowsiness and somnolence during purposeful interaction- following commands
cause of botulism Correct Answer: Improperly canned foods
Block acetylcholine cause muscle paralysis; descending flaccid paralysis (face
downward), dysphasia, constipation
Occur if small infant (<1) eat honey, raw wild honey
Cause of Giardia Correct Answer: Contaminated water
Cause of E-coil Correct Answer: Water and food ingestion that is contaminated by
feces- HAND WASHING
Multiple Sclerosis (MS) Correct Answer: Chronic, autoimmune disease,
progressive
Demyelination of cranial nerve and spinal cord (CNS) system
Period of remission and exacerbation
S/s: spasticity and incoordination, muscle weakness, and fatigue
Care: No cure, reduce symptoms. Steroid. Immunosuppressant like interferon
Assistive device, walking with feet apart, ROM, strengthening exercise, and
stretching, balance rest with exercise, avoid increase duration; dehydration and
extreme temp-stressor cause exacerbation; self-catch as spastic bladder
Guillian-Barre syndrome Correct Answer: Acute, autoimmune attack in the PNS
cause ascending muscle weakness and absent DTR, ARDS-life threatening
complication (inability to cough, shallow breath, difficulty breathing, hypoxia),
inability to lift head or eye brows
MONITOR RESPIRATORY STATUS IS MOST IMPORTANT
FVC golden standard for assessing ventilation- decline mean respiratory arrest
require ET intubation
ALSO sth important is that they cause impaired mobility, increase risk for DVT,
paralytic illeus, and even severe ANS-causing that headache and flushing
TX: respiratory support, plasmaphresis, IVIG
Tonic Correct Answer: Body stiffening
,Clonic Correct Answer: Muscle jerking
Atomic Correct Answer: Loss of muscle tone
Supraglottic swallow Correct Answer: Technique that allows them to have
voluntary control over vocal cords to protect themselves from aspiration
CN IX
_______ decrease risk of Ad Correct Answer: Smoking cessation, avoid excessive
alcohol intake, exercise reg, and participate in mental activities
Frontal lobe Correct Answer: Related to knowledge thing
Broca aphasia or expressive aphasia: inability to express words- after TIA or stroke
Executive function and personality
Behavioral change
Temporal Correct Answer: Auditory and past experience
Wernickle aphasia- receptive aphasia
Report a _________________ is a priority for GCS even if it is only change by
___ Correct Answer: negative trends
1
Initial (means acute) phase of suspected stroke Correct Answer: CT scan, baseline
neuro assessment, and prepare tpA
Medulla oblongata Correct Answer: Rate and depth of respiration
Parietal lobe Correct Answer: Sensory problems-touch
Occipital lobe Correct Answer: Visual problems- coup-counter coup
Straining or Valsalva maneuver Correct Answer: Holding breathing when bearing
down
Contraindicated for pt with increased ICP, head injury, stroke, pt with anything can
increase abdominal and thoracic pressure- glaucoma, eye surgery, cirrhosis-portal
HTN, abdominal surgery, heart disease like MI
Spinal immobilization Correct Answer: NSAIDS
, Neurological examination
Significant traumatic mechanism of injury
Alertness-pt maybe disoriented
Intoxication
Distracting injury-sth else distract pt from spinal pain
Spinal examination: tenderness over spine or neck pain on movement may be
present
Transferring stroke pt from bed to chair Correct Answer: Wear non-skid shoes-first
step
Bed and wheelchair brakes are locked
Transfer belt
Transfer pt toward the stronger side. If pt is weak on the left, ask the pt to pivot on
the right
Never bending at the waist
Always keep the leg wide for stability
Pivot on the foot distal to the chair
What is the risk factors for stroke? WHAT is the most important one that you can
change? Correct Answer: DM, high cholesterol, HTN, smoking, obesity
And the biggest thing you can change is HTN-take med as precscribed
Cerebellum has two functions Correct Answer: coordination of voluntary
movement, and maintenance of balance and posture
Test for cerebellum function Correct Answer: gait testing-watching normal gait
then gait on heel-to-toe (tandem), on toes, and on heels
Finger taping Correct Answer: each finger to the hand's thumb
Rapid alternating movement Correct Answer: supination and pronation
Finger to nose Correct Answer: pt touch HCP's finger and then touch their own
nose
Heel-to-shin Correct Answer: run each heel down each shin while in supine
position
SOLUTIONS| ( 437 QUESTIONS) 27 PAGES
_______is common after anesthesia Correct Answer: Diminished gag reflex
Altered in moods (anxiety, agitation) will resolve as it wears off
Drowsiness and somnolence during purposeful interaction- following commands
cause of botulism Correct Answer: Improperly canned foods
Block acetylcholine cause muscle paralysis; descending flaccid paralysis (face
downward), dysphasia, constipation
Occur if small infant (<1) eat honey, raw wild honey
Cause of Giardia Correct Answer: Contaminated water
Cause of E-coil Correct Answer: Water and food ingestion that is contaminated by
feces- HAND WASHING
Multiple Sclerosis (MS) Correct Answer: Chronic, autoimmune disease,
progressive
Demyelination of cranial nerve and spinal cord (CNS) system
Period of remission and exacerbation
S/s: spasticity and incoordination, muscle weakness, and fatigue
Care: No cure, reduce symptoms. Steroid. Immunosuppressant like interferon
Assistive device, walking with feet apart, ROM, strengthening exercise, and
stretching, balance rest with exercise, avoid increase duration; dehydration and
extreme temp-stressor cause exacerbation; self-catch as spastic bladder
Guillian-Barre syndrome Correct Answer: Acute, autoimmune attack in the PNS
cause ascending muscle weakness and absent DTR, ARDS-life threatening
complication (inability to cough, shallow breath, difficulty breathing, hypoxia),
inability to lift head or eye brows
MONITOR RESPIRATORY STATUS IS MOST IMPORTANT
FVC golden standard for assessing ventilation- decline mean respiratory arrest
require ET intubation
ALSO sth important is that they cause impaired mobility, increase risk for DVT,
paralytic illeus, and even severe ANS-causing that headache and flushing
TX: respiratory support, plasmaphresis, IVIG
Tonic Correct Answer: Body stiffening
,Clonic Correct Answer: Muscle jerking
Atomic Correct Answer: Loss of muscle tone
Supraglottic swallow Correct Answer: Technique that allows them to have
voluntary control over vocal cords to protect themselves from aspiration
CN IX
_______ decrease risk of Ad Correct Answer: Smoking cessation, avoid excessive
alcohol intake, exercise reg, and participate in mental activities
Frontal lobe Correct Answer: Related to knowledge thing
Broca aphasia or expressive aphasia: inability to express words- after TIA or stroke
Executive function and personality
Behavioral change
Temporal Correct Answer: Auditory and past experience
Wernickle aphasia- receptive aphasia
Report a _________________ is a priority for GCS even if it is only change by
___ Correct Answer: negative trends
1
Initial (means acute) phase of suspected stroke Correct Answer: CT scan, baseline
neuro assessment, and prepare tpA
Medulla oblongata Correct Answer: Rate and depth of respiration
Parietal lobe Correct Answer: Sensory problems-touch
Occipital lobe Correct Answer: Visual problems- coup-counter coup
Straining or Valsalva maneuver Correct Answer: Holding breathing when bearing
down
Contraindicated for pt with increased ICP, head injury, stroke, pt with anything can
increase abdominal and thoracic pressure- glaucoma, eye surgery, cirrhosis-portal
HTN, abdominal surgery, heart disease like MI
Spinal immobilization Correct Answer: NSAIDS
, Neurological examination
Significant traumatic mechanism of injury
Alertness-pt maybe disoriented
Intoxication
Distracting injury-sth else distract pt from spinal pain
Spinal examination: tenderness over spine or neck pain on movement may be
present
Transferring stroke pt from bed to chair Correct Answer: Wear non-skid shoes-first
step
Bed and wheelchair brakes are locked
Transfer belt
Transfer pt toward the stronger side. If pt is weak on the left, ask the pt to pivot on
the right
Never bending at the waist
Always keep the leg wide for stability
Pivot on the foot distal to the chair
What is the risk factors for stroke? WHAT is the most important one that you can
change? Correct Answer: DM, high cholesterol, HTN, smoking, obesity
And the biggest thing you can change is HTN-take med as precscribed
Cerebellum has two functions Correct Answer: coordination of voluntary
movement, and maintenance of balance and posture
Test for cerebellum function Correct Answer: gait testing-watching normal gait
then gait on heel-to-toe (tandem), on toes, and on heels
Finger taping Correct Answer: each finger to the hand's thumb
Rapid alternating movement Correct Answer: supination and pronation
Finger to nose Correct Answer: pt touch HCP's finger and then touch their own
nose
Heel-to-shin Correct Answer: run each heel down each shin while in supine
position
