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Neurological NCLEX Questions with 100% Correct Answers
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Neurological NCLEX Questions with 100% Correct Answers
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Neurological NCLEX Questions with 100%Correct Answers
B. CN II and CN III - -The nurse is caring for a patient who suffered massive
head trauma, and suspected increased intracranial pressure (ICP) from an
automobile accident. Which cranial nerves are most appropriate to check at
this time?
A. CN I and CN II
B. CN II and CN III
C. CN III and CN IV
D .CN IV and CN V
-D. Pupil changes can be caused by pressure on the ocular nerve. - -When
increased ICP is suspected, the nurse performs a complete neurologic
assessment. What does the pupillary response indicate?
A. High pressure can cause blurred vision.
B. Hemorrhage can cause visual impairment.
C. Pupil dilation is the first sign of increased ICP.
D. Pupil changes can be caused by pressure on the ocular nerve.
-D. Touch his nose with his left index finger. - -When rating a patient using
the Glasgow Coma Scale, what would be appropriate for the LPN/LVN to ask
the patient to do in order to test the patient's motor response?
A. Roll his eyes in a circle.
B. Take a deep breath and exhale.
C. Describe the view from his window.
D. Touch his nose with his left index finger.
-A. Decreasing level of consciousness (LOC) - -The nurse is assessing a
patient who has a brain tumor. What assessment finding is most indicative of
increased ICP in this patient?
A. Decreasing level of consciousness (LOC)
B. Elevated temperature
C. Agitation and hostility
D. Increasing blood pressure (BP)
-C. "Checking this reflex assesses involuntary muscular contractions." - -The
nurse is assessing the patient's patellar reflex. The patient asks what the
purpose of this exam is. Which response by the nurse is correct?
A. "I am checking the conscious nerve response in your leg."
B. "This assessment determines your hand-eye coordination."
C. "Checking this reflex assesses involuntary muscular contractions."
D. "The patellar reflex demonstrates large voluntary muscle coordination."
, -D. Determine whether the patient is able to move his legs and arms - -The
nurse is performing a "neuro check" on a patient who has demonstrated a
decreased LOC. What is the best way to assess the patient's neuromuscular
status?
A. Measure the patient's vital signs.
B. Test the reaction of the patient's pupils to light.
C. Check the patient's response to the stimulus of pinching.
D. Determine whether the patient is able to move his legs and arms
-B. "The procedure is safe and painless; you will hear a clicking noise as the
CT machine rotates." - -A patient who is to have computed tomography (CT
scan) of the brain voices concern about the procedure. The LPN/LVN can best
allay the patient's fears by making which statement?
A. "CT scans use only a small amount of radioactive material injected into
your brain."
B. "The procedure is safe and painless; you will hear a clicking noise as the
CT machine rotates."
C. "You will probably be given something to make you drowsy and deaden
the pain during the CT scan."
C. "CT scanning is a new procedure, and since it involves the brain, I think
the doctor can answer your questions better than I can."
-C. White blood cells (WBCs) 100/mm3 - -The nurse is caring for a patient
who has undergone a lumbar puncture in order to run tests on the
cerebrospinal fluid (CSF). The nurse knows which laboratory value is
abnormal?
A. Glucose 60 mg/100 mL
B. Clear, colorless appearance
C. White blood cells (WBCs) 100/mm3
D. Total protein 40 mg/100 mL
-A. CSF circulates within the subarachnoid space.
B. CSF cushions and protects the brain and spinal cord.
D. CSF is reabsorbed by the arachnoid villi at the same rate at which it is
formed.
E. CSF is formed continuously within the ventricles of the brain as a filtrate
from the blood. - -The nurse is measuring the pressure of the CSF. Which
statement accurately describes CSF? (Select all that apply.)
A. CSF circulates within the subarachnoid space.
B. CSF cushions and protects the brain and spinal cord.
C. CSF normal pressure is 90 to 150 cm water pressure (cm H2O).
D. CSF is reabsorbed by the arachnoid villi at the same rate at which it is
formed.
E. CSF is formed continuously within the ventricles of the brain as a filtrate
from the blood.
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