Neuro Quiz

A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?

Implement a schedule to include periods of rest.

A nurse is performing a neurological assessment for a client has head trauma. Which of the following assessments will give the nurse information about the function of cranial nerve III?

Instruct the client to look up and down without moving his head

A nurse is planning care for a client following a stroke. Which of the following interventions should the nurse identify as the priority in the client's plan of care?

Monitor the client for increased intracranial pressure (ICP).

The nurse is concerned that a patient is experiencing a transient ischemic attack. What did the nurse most likely assess in this patient? (SATA)

Visual disturbance of one or both eyes Numbness and tingling in the corner of the mouth

.A nurse is assessing a client who has Guillain-Barré syndrome. Which of the following findings should the nurse expect?

Weakness of the lower extremities.

....A nurse is assessing a client who sustained a recent head injury. Which of the following findings should the nurse recognize as a manifestation of increased intracranial pressure?

Widened pulse pressure.

Transient Ischemic Attack (TIA)

brief episode of loss of blood flow to the brain, usually caused by a partial occlusion that results in temporary neurologic deficit (impairment); often precedes a CVA

A nurse is caring for a client who has global aphasia. Which of the following actions should the nurse take?

Speak to the client about one idea at a time.

A nurse is assessing a client who has a new diagnosis of mastoiditis. Which of the following manifestations should the nurse expect?

Swelling behind the affected ear.

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

"I'll be glad when I can stop taking this medicine."

A nurse is teaching the family of a client who is receiving treatment for a spinal cord injury with a halo fixation device. Which of the following statements should the nurse make?

"The purpose of this device is to immobilize the cervical spine." Used 8-12 weeks

.A nurse is caring for a client who reports a throbbing headache after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?

. Increase fluid intake.

A client is admitted to the hospital complaining of increasing neurological changes. The nurse learns this client had fallen off of a ladder 2 weeks prior and sustained a mild concussion. Which of the following conditions might be occurring with this client?

Subdural hematoma, chronic

A nurse is caring for a client who is experiencing autonomic dysreflexia due to a C5 spinal cord injury. After checking the client's vital signs, which of the following actions should the nurse perform next?

: Place the client in a high-Fowler's position.

Thrombotic stroke.

A thrombotic stroke develops gradually, over minutes to hours, and is the result of a clot (thrombus) which interrupts cerebral blood flow. Thrombotic strokes are commonly associated with atherosclerosis and manifests as numbness or loss of function of the face, arm, or leg usually on one side. The client does not lose consciousness or have seizures.

A nurse is developing a plan of care for a client who has a spinal fracture and complete spinal cord transection at the level of C5. Which of the following rehabilitation goals should the nurse add to the client's plan of care?

Ability to self-feed with the use of adaptive equipment.

A nurse is preparing a client for an electroencephalogram (EEG). When the client asks the nurse what this test does, which of the following responses should the nurse provide?

An EEG records the electrical activity of your brain cells."

The nurse is documenting that a patient is demonstrating decorticate posturing. What does the statement indicate about the patient's physical posture?

Arms close to sides, elbows and wrists flexed

A nurse in the emergency room is assessing a client who was brought in following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate next?

Assess the cranial nerves

A nurse is assessing a client who has Parkinson's disease. Which of the following manifestations should the nurse expect?

Bradykinesia

.A nurse is modifying the diet of a client who has Parkinson's disease and is prescribed selegiline, an MAOI. Which of the following foods should the nurse eliminate?

Cheddar cheese

A nurse is preparing a client who has a brain tumor for computed tomography (CT). Which of the following factors affects the manner in which the nurse will prepare the client for the scan?

Development of hives when eating shrimp.

A nurse is instructing a client's family members about feeding safety for a client who has dysphagia following a stroke. Which of the following instructions should the nurse include?

Encourage the client to take small bites.

A nurse is caring for a client who has right-sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?

Place suction equipment at the client's bedside

The occipital lobe is responsible

For vision.

A nurse is caring for a client who has expressive aphasia following a stroke. The nurse should identify that the stroke affected which of the following lobes of the client's brain?

Frontal.

A nurse in an emergency department is caring for a client who had a seizure and became unresponsive after stating she had a sudden, severe headache and vomiting. The client's vital signs are as follows: blood pressure of 198/110 mm Hg, pulse of 82/min, respirations of 24/min, and a temperature of 38.2° C (100.8° F). Which of the following neurologic disorders should the nurse suspect?

Hemorrhagic stroke.

A nurse is providing teaching to a client who has a new diagnosis of myasthenia gravis (MG). Which of the following pieces of information should the nurse include?

Set an alarm to ensure medication dosages are taken on time.

A nurse is caring for a client who had a stroke involving the left cerebral hemisphere. The nurse should monitor for which of the following findings?

Impaired sense of humor.

A nurse is caring for a client who who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?

Inability to recognize his family members.

A client in the neuro ICU with a closed-head injury is exhibiting signs of a secondary injury. Which of the following should be included in this client's plan of care? (SATA)

Keep HOB elevated 30 degrees Preoxygenate prior to suctioning

A nurse is caring for an older adult client who has dementia and handles anxiety by confabulating. The nurse should recognize confabulation when the client.

Makes up stories when he is unable to remember actual events.

The client experiences shock following a spinal cord injury. This type of shock is classified as:

Neurogenic

A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?

Place the client in a high-Fowler's position.

A nurse is creating a plan of care for a client who has a history of tonic-clonic seizure disorder. Which of the following interventions should the nurse include? Select all that apply.

Provide a suction setup at the bedside. Elevate the side rails near the head when the client is in bed Place the bed in the lowest position Keep an oxygen setup at the bedside.

During a neurological assessment, a nurse asks how the client arrived at the appointment and with whom. Which of the following types of memory is the nurse testing?

Recall

.A nurse is providing discharge teaching to a client who has had a transient ischemic attack (TIA). Which of the following instructions should the nurse include?

Reduce dietary sodium.

A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?

Remind the client to look for food on the left side of the tray.

A nurse is caring for a client who has a brainstem injury. Which of the following physiological functions should the nurse monitor?

Respiratory effort.

A 78 year old client is admitted to the emergency department with numbness and weakness of the left arm and slurred speech. Which nursing intervention is priority?

Schedule for a STAT computer tomography (CT) scan of the head.

A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?

The client opens his eyes when spoken to

A nurse is caring for a client who is recovering from a recent stroke. Which of the following assessments is the nurse's priority?

The client's ability to clear oral secretions.

A nurse is providing teaching to a client who has a history of tonic-clonic seizures and is scheduled for a standard electroencephalogram (EEG). Which of the following instructions should the nurse include in the teaching?

Thoroughly shampoo her hair prior to the EEG.

A client arrives in the emergency department with an ischemic stroke and is scheduled to receive tissue plasminogen activator (t-PA) administration. Which is the priority nursing assessment?

Time of onset of current stroke.

A nurse is caring for a client who begins to have a generalized tonic-clonic seizure while lying in bed. Which of the following actions should the nurse take?

Turn the client onto a side.

The limbic lobe is responsible for

memory and learning.

The temporal lobe is responsible for

understanding speech, hearing