NCLEX Questions: Neuro & Seizure

A female client with Gullain-Barre syndrome has paralysis affecting that requires mechanical ventilation. When the client asks the nurse about the paralysis, how should the nurse respond?

"You may have difficulty believing this, but the paralysis caused by this disease is temporary"

A female client has a neurological deficit involving the lambic system. Specific to this type of deficit, the nurse would document which of the following information related to the client's behavior?

Affect is flat, with period of emotional lability.

Nurse Kristine is trying to communicate with a client with brain attack (stroke) and aphasia. Which of the following actions by the nurse would be least helpful to the client?

Completing the sentences that the client cannot finish

The nurse is assessing the adaption of the female client to changes in functional status after a brain attack (Stroke). The nurses assesses that the client is adapting most successfully if the client:

Consistently uses adaptive equipment in dressing self

A female client with a suspected brain tumor is scheduled for computed tomography (CT). What should the nurse do when preparing the client for this test?

Determine whether the client is allergic to iodine, contrast dyes, or shellfish

The nurse has given the male client with Bell's palsy instructions on preserving muscle the in the face and preventing denervation. the nurse determines that the client needed additional information if the client state that he or she will:

Exposure to cold and drafts

A client with a brain attack (stroke) has residual dysphagia. When a diet prescription is initiated, the nurse avoids doing which of the following?

Giving the client thin fluids

The nurse is positioning the female client with increased intracranial pressure. Which of the following positions would the nurse avoid?

Head turned to the side

Nurse Mary witnesses a neighbor's husband sustain a fall from the roof of his house. The nurse rushes to the victim and determines the need to opens the airway in this victim by using which method?

Jaw-thrust maneuver

Then nurse is working on the surgical floor. The nurse must lord a male client following a:

Lameniectomy

A male client with a spinal cord injury is prone to experiencing automatic dysreflexia. The nurse would avoid which of the following measures to minimize the risk of recurrence?

Limiting bladder catheterization to once every 12 hours

The nurse is assessing the motor function of an unconscious male client. The nurse would plan to use which plan of the following to test the client's peripheral response to pain?

Nail bed pressure

A white female client is admitted to an acute care facility with a diagnosis of cerebrovascular accident (CVA). Her history reveals bronchial asthma, exogenous obesity, and iron deficiency anemia. Which history finding is a risk factor for stroke?

Obesity

A female client has experienced an episode of myasthenia crisis. The nurse would asses whether the client has precipitating factors such as:

Omitting doses of medication

A female client with amyotrophic lateral sclerosis (ALS) tells the nurse, "Sometimes I feel so frustrated. I can't do anything without help". This comment best supports which nursing diagnosis?

Powerlessness

A female client is admitted to the hospital with a neurological problem asks the nurse whether magnetic resonance imaging may be done. The nurse interprets that the client may be ineligible for this diagnostic procedure based on the client's history of:

Prosthetic valve replacement

A male client has an impairment of cranial nerve II. Specific to this impairment, the nurse would plan to do which of the following to ensure client saftey?

Providing a clear path for ambulation without obstacles.

A female clint with Guillian-Barre sun from has ascending paralysis and is intubated and receiving mechanical ventilation. Which of the following strategies would the nurse incorporate in the plan of care to help the client cope with this illness?

Providing information, giving positive feedback and encouraging relaxation

Female client id admitted to the hospital with a diagnosis of Guillain-Barre syndrome. The nurse inquires during the nursing admission interview if the client has history of:

Respiratory or GI infection during the previous month.

The nurse is teaching a female client with multiple sclerosis. When teaching the client how to reduce fatigue, the nurse should tell the client to:

Rest in an air conditioned room

The nurse is caring for the male client who begins to experience seizure activity while in bed. Which of the following actions by the nurse would be contradicted?

Restricting the client's limbs.

A female client is admitted in a disoriented and restless state after sustaining a concussion during a care accident. Which nursing diagnosis takes highest priority intros client's plan of care?

Risk for injury

A female client has clear leaking fluid from the nose following a basilar skull fracture. The nurse assess that this is cerebrospinal fluid if the fluid:

Separates into concentric rings and test positive for glucose

A male client is having a lumbar performed. The nurse would place the client in which position?

Side-lying, with legs pulled up and head bent down to chest

During a routine physical examination to assess a male client's deep tendon reflexes, the nurse should make sure to :

Support the joint where the tendon is being tested

A male client is having a tonic-colonic seizures. What should the nurse do first?

Take measures to prevent injury.

The nurse is teaching the female client with myasthenia graves about prevention of myasthenia and cholinergic crisis. The nurse tells the client that this is most effectively done by:

Taking medications on time to maintain therapeutic blood levels.

The nurse is assigned to care for a female client with complete right-sided hemiparesis. The nurse plans care knowing that this condition:

The client has weakness on the right side of the body, including the face and tongue.

A male client with Bell's palsy asks the nurse what has caused this problem. The nurse's response is based on an understanding that the cause is:

Unknown, but possibly includes ischemia, viral infection, or autoimmune problem.

For a male client with suspected increased intracranial pressure (ICP), a most appropriate respiratory goal is to:

promote carbon dioxide elimination.