Neurology A Review
with correct answers
2025
The client diagnosed with damage to the 5 and 6th vertebrae is one a Stryker frame and has
crutchfield tongs in place. After the morning baseline assessment, which is the nurse's FIRST
priority for care? - correct answersPerform necessary measures to clear bronchial and
pharyngeal secretions.
The nurse cares for a client admitted to the med/surg unit diagnosed with a stroke. The nurse
plans care to prevent the client from experiencing sensory overload. The nurse determines that
which plan is MOST effective? - correct answersThe nurse obtains vital signs and assists the
patient with am care in one visit. -> combine activities in one visit to prevent client from
becoming overly fatigued; schedule time for rest and quiet.
A client has a diagnosis of meningitis. A nurse assesses the client. The nurse notes that when
the client flexes the heard, the client also flexes the hip and knee. Which action(s) by the nurse
is Best? - correct answersImmediately report this finding to the health care provider. ->
Brudzinski sign is an indication of meningeal involvment; this is the only correct answer in that
we do not know if the HCP is aware; other signs or symptoms of meningitis include headache,
fever, photophobia, and nuchal rigidity; Kernig's sign (when hip is fleed to 90 degrees, complete
extension of knee is restricted and painful), and changes in LOC.
,The nurse in the outpatient clinic cares for a client diagnosed with Bell's palsy. Which action
should the nurse take first? - correct answersAssess the client's pain experience. -> assessment
is always important to providing accurate, effective care.
The nurse plans care for an elderly patient recently admitted for acute pulmonary edema. The
nurse understands which of the following nursing assessments is MOST important to prevent
the patient from experiencing sensory deprivation? - correct answersAssess support system for
the family. -> assessing the family support system is critical in identifying appropriate support
persons for a patient who is isolated while hospitalized; part of the nurse's role would be to
schedule consistent staff contact and encourage visitors to decrease isolation and enhance
sensory stimulation.
The nurse in the emergency department admits patients from a multicar accident. Which of the
following patients should the nurse attend to first? - correct answersclear fluid from the ears
could be a sign of a basilar skull fracture; the fluid should be analyzed for glucose, which is
elevated if there is cerebrospinal fluid leakage.
During the nursing history, the admitting nurse attends to identify the aura of a client diagnosed
with grand mal seizures. Which of the following statements accurately describes an aura? -
correct answersUnusual sensations prior to the seizure-> an aura can be described as a series of
unusual sensations that occur as a prodrome to the seizure attack; prodromal symptoms occur
in about 50% of all seizure patients and usually include a change in sensation or in affect; the
exact character of the aura varies from person to person, but may include numbness, flashing
lights, dizziness, smells, and spots before the eyes.
The nurse cares for a patient diagnosed with Menere's disease. The nurse expects the patient to
exhibit which of the following? - correct answersVertigo, hearing loss, tinnitus. -> Menere's
disease is an inner ear disorder characterized by this triad of symptoms.
The nurse cares for a patient diagnosed with a spinal cord injury at the level of T3. the patient
complains of a pounding headache and nasal congestion. the nurse notes that the patient has
profuse sweating from the forehead and piloerection. Which of the following actions should the
nurse take first? - correct answerscheck the foley catheter and tubing for kinks. -> if no foley is
present, check for bladder distention and catheterize immediately.
, Which of the following nursing goals is MOST realistic and appropriate in planning care for a
patient with Parkinson's disease? - correct answersMaintain optimal function within the
patient's limitations. -> Parkinson's is an irreversible disease that leads to permanent physical
limitations; it is most appropriate and realistic to get the patient to maintain optimal functioning
within the limitations of his disease process.
The nurse cares for a patient diagnosed with a closed head injury and increased intracranial
pressure. Which of the following actions by the nurse is BEST? - correct answersInstruct patient
to exhale when turning or moving in bed. -> prevents Valsalva maneuver; which raises
intracranial pressure, avoid straining, administer stool softeners.
The nurse identifies which of the following manifestations is MOST characteristic of mysathenia
gravis? - correct answersTiredness with slight exertion. -> because of acetylcholine deficiency,
transmission of nerve impulse is limited; makes it difficult to stimulate or initiate musclar
movement; final result is tiredness with the slightest amount of exertion.
The nurse cares for a client with a Glascow coma scale of 7. the nurse identifies it is important
to give eye care to this patient for which reason? - correct answersto prevent corneal irritation. -
>score of 7 or less on Glascow come scale indicates patient is comatose and the eyes may stay
partially open causing the corneas to dry out and become irritated; treatment or preventive
care involves keeping the corneas moist by using methylcellulose eyedrops or artificial tears; if
corneal reflexes is absent, a protective shield should be put over the eyes to prevent scratches
to the corneas.
The nurse is caring for a patient with a diagnosis of possible stroke. The client's daughter reports
that the client has a history of hypertension that is not managed well. the client is taking
antihypertensive medication and hormone replacement therapy. the client's only activity is
managing the home, and the client appears overwight. the nurse identifies which is the MOST
important risk factor for this client to develop a stroke? - correct answersHypertension. ->
hypertension is a major risk factor to developing a CVA.
Which clinical manifestations should the nurse anticipate when caring for a client with a history
of multiple sclerosis? - correct answers1. urinary retention.-> because of the progressive
demyelination of the spinal cord, gradual weakness leading to paralysis is expected; alterd
innervation of the bladder and urinary tract is expected, leading to urinary retention.
with correct answers
2025
The client diagnosed with damage to the 5 and 6th vertebrae is one a Stryker frame and has
crutchfield tongs in place. After the morning baseline assessment, which is the nurse's FIRST
priority for care? - correct answersPerform necessary measures to clear bronchial and
pharyngeal secretions.
The nurse cares for a client admitted to the med/surg unit diagnosed with a stroke. The nurse
plans care to prevent the client from experiencing sensory overload. The nurse determines that
which plan is MOST effective? - correct answersThe nurse obtains vital signs and assists the
patient with am care in one visit. -> combine activities in one visit to prevent client from
becoming overly fatigued; schedule time for rest and quiet.
A client has a diagnosis of meningitis. A nurse assesses the client. The nurse notes that when
the client flexes the heard, the client also flexes the hip and knee. Which action(s) by the nurse
is Best? - correct answersImmediately report this finding to the health care provider. ->
Brudzinski sign is an indication of meningeal involvment; this is the only correct answer in that
we do not know if the HCP is aware; other signs or symptoms of meningitis include headache,
fever, photophobia, and nuchal rigidity; Kernig's sign (when hip is fleed to 90 degrees, complete
extension of knee is restricted and painful), and changes in LOC.
,The nurse in the outpatient clinic cares for a client diagnosed with Bell's palsy. Which action
should the nurse take first? - correct answersAssess the client's pain experience. -> assessment
is always important to providing accurate, effective care.
The nurse plans care for an elderly patient recently admitted for acute pulmonary edema. The
nurse understands which of the following nursing assessments is MOST important to prevent
the patient from experiencing sensory deprivation? - correct answersAssess support system for
the family. -> assessing the family support system is critical in identifying appropriate support
persons for a patient who is isolated while hospitalized; part of the nurse's role would be to
schedule consistent staff contact and encourage visitors to decrease isolation and enhance
sensory stimulation.
The nurse in the emergency department admits patients from a multicar accident. Which of the
following patients should the nurse attend to first? - correct answersclear fluid from the ears
could be a sign of a basilar skull fracture; the fluid should be analyzed for glucose, which is
elevated if there is cerebrospinal fluid leakage.
During the nursing history, the admitting nurse attends to identify the aura of a client diagnosed
with grand mal seizures. Which of the following statements accurately describes an aura? -
correct answersUnusual sensations prior to the seizure-> an aura can be described as a series of
unusual sensations that occur as a prodrome to the seizure attack; prodromal symptoms occur
in about 50% of all seizure patients and usually include a change in sensation or in affect; the
exact character of the aura varies from person to person, but may include numbness, flashing
lights, dizziness, smells, and spots before the eyes.
The nurse cares for a patient diagnosed with Menere's disease. The nurse expects the patient to
exhibit which of the following? - correct answersVertigo, hearing loss, tinnitus. -> Menere's
disease is an inner ear disorder characterized by this triad of symptoms.
The nurse cares for a patient diagnosed with a spinal cord injury at the level of T3. the patient
complains of a pounding headache and nasal congestion. the nurse notes that the patient has
profuse sweating from the forehead and piloerection. Which of the following actions should the
nurse take first? - correct answerscheck the foley catheter and tubing for kinks. -> if no foley is
present, check for bladder distention and catheterize immediately.
, Which of the following nursing goals is MOST realistic and appropriate in planning care for a
patient with Parkinson's disease? - correct answersMaintain optimal function within the
patient's limitations. -> Parkinson's is an irreversible disease that leads to permanent physical
limitations; it is most appropriate and realistic to get the patient to maintain optimal functioning
within the limitations of his disease process.
The nurse cares for a patient diagnosed with a closed head injury and increased intracranial
pressure. Which of the following actions by the nurse is BEST? - correct answersInstruct patient
to exhale when turning or moving in bed. -> prevents Valsalva maneuver; which raises
intracranial pressure, avoid straining, administer stool softeners.
The nurse identifies which of the following manifestations is MOST characteristic of mysathenia
gravis? - correct answersTiredness with slight exertion. -> because of acetylcholine deficiency,
transmission of nerve impulse is limited; makes it difficult to stimulate or initiate musclar
movement; final result is tiredness with the slightest amount of exertion.
The nurse cares for a client with a Glascow coma scale of 7. the nurse identifies it is important
to give eye care to this patient for which reason? - correct answersto prevent corneal irritation. -
>score of 7 or less on Glascow come scale indicates patient is comatose and the eyes may stay
partially open causing the corneas to dry out and become irritated; treatment or preventive
care involves keeping the corneas moist by using methylcellulose eyedrops or artificial tears; if
corneal reflexes is absent, a protective shield should be put over the eyes to prevent scratches
to the corneas.
The nurse is caring for a patient with a diagnosis of possible stroke. The client's daughter reports
that the client has a history of hypertension that is not managed well. the client is taking
antihypertensive medication and hormone replacement therapy. the client's only activity is
managing the home, and the client appears overwight. the nurse identifies which is the MOST
important risk factor for this client to develop a stroke? - correct answersHypertension. ->
hypertension is a major risk factor to developing a CVA.
Which clinical manifestations should the nurse anticipate when caring for a client with a history
of multiple sclerosis? - correct answers1. urinary retention.-> because of the progressive
demyelination of the spinal cord, gradual weakness leading to paralysis is expected; alterd
innervation of the bladder and urinary tract is expected, leading to urinary retention.
