Nurselabs Neurological Practice Exam with Answers (169 Solved Questions)

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1. An 18-year-old client is admitted with a closed headinjury sustained in a MVA. His intracranial pressure(ICP)showsanupwardtrend.Whichinterventionshould the nurse perform first?A. Reposition the client to avoid neck flexion.B. Administer 1 g Mannitol IV as ordered.C. Increase the ventilator’s respiratory rate to 20breaths/minute.D. Administer 100 mg of pentobarbital IV as ordered.2.Aclientwithasubarachnoidhemorrhageisprescribed a 1,000-mg loading dose of Dilantin IV.Whichconsiderationismostimportantwhenadministering this dose?A.Therapeuticdruglevelsshouldbemaintainedbetween 20 to 30 mg/ml.B.RapidDilantinadministrationcancausecardiac arrhythmias.C. Dilantin should be mixed in dextrose in waterbefore administration.D. Dilantin should be administered through an IVcatheter in the client’s hand.3. A client with head trauma develops a urine output of300ml/hr,dryskin,anddrymucousmembranes.Which of the following nursing interventions is themost appropriate to perform initially?A. Evaluate urine specific gravity.B. Anticipate treatment for renal failure.C.Provideemollientstotheskintopreventbreakdown.D. Slow down the IV fluids and notify the physician.4.Whenevaluatingan ABGfromaclientwithasubdural hematoma, the nurse notes the PaCO2 is 30mmHg.Whichofthefollowingresponsesbestdescribes this result?A. Appropriate; lowering carbon dioxide (CO2)reduces intracranial pressure (ICP).B. Emergent; the client is poorly oxygenated.C. NormalD. Significant; the client has alveolar hypoventilation.5.Aclientwhohadatranssphenoidalhypophysectomyshouldbewatchedcarefullyforhemorrhage, which may be shown by which of thefollowing signs?A. Bloody drainage from the earsB. Frequent swallowingC. Guaiac-positive stoolsD. Hematuria6. After a hypophysectomy, vasopressin is given IMfor which of the following reasons?A. To treat growth failure.B. To prevent syndrome of inappropriate antidiuretichormone (SIADH).C. To reduce cerebral edema and lower intracranialpressure.D.Toreplaceantidiuretichormone(ADH)normally secreted by the pituitary.7. A client comes into the ER after hitting his head inanMVA.He’salertandoriented.Whichofthefollowing nursing interventions should be done first?A. Assess full ROM to determine extent of injuries.B. Call for an immediate chest x-ray.C. Immobilize the client’s head and neck.D.Opentheairwaywiththehead-tilt-chin-liftmaneuver.8. A client with a C6 spinal injury would most likelyhave which of the following symptoms?A. AphasiaB. HemiparesisC. ParaplegiaD. Tetraplegia9. A 30-year-old was admitted to the progressive careunit with a C5 fracture from a motorcycle accident.Whichofthefollowingassessmentswouldtakepriority?A. Bladder distensionB. Neurological deficitC. Pulse ox readingsD. The client’s feelings about the injury10.WhileintheER,aclientwithC8tetraplegiadevelops a blood pressure of 80/40, pulse 48, and RRof18.Thenursesuspectswhichofthefollowingconditions?A. Autonomic dysreflexiaB. Hemorrhagic shockC. Neurogenic shockD. Pulmonary embolism11. A client is admitted with a spinal cord injury at thelevel of T12. He has limited movement of his upperextremities. Which of the following medications wouldbe used to control edema of the spinal cord?A. acetazolamide (Diamox)B. furosemide (Lasix)C. methylprednisolone (Solu-Medrol)D. sodium bicarbonate12.A22-year-oldclientwithquadriplegiaisapprehensive and flushed, with a blood pressure of210/100 and a heart rate of 50 bpm. Which of thefollowing nursing interventions should be done first?A. Place the client flat in bed.B. Assess patency of the indwelling urinary catheter.C. Give one SL nitroglycerin tablet.D. Raise the head of the bed immediately to 90degrees.13. A client with a cervical spine injury has Gardner-Wellstongsinsertedforwhichofthefollowingreasons?A. To hasten wound healing.B. To immobilize the cervical spine.C. To prevent autonomic dysreflexia.D. To hold bony fragments of the skull together.14. Which of the following interventions describes anappropriatebladderprogramforaclientinrehabilitation for spinal cord injury?lOMoARcPSD|13778330

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