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NEURO TEST BANK EXAM (ACTUAL EXAM) WITH 350+ QUESTIONS WITH VERY ELABORATED ANSWERS CORRECTRY WELL ORGANIZED LATEST 2024 – 2025 ALREADY GRADED A+ $12.99
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NEURO TEST BANK EXAM (ACTUAL EXAM)
WITH 350+ QUESTIONS WITH VERY
ELABORATED ANSWERS CORRECTRY WELL
ORGANIZED LATEST 2024 – 2025 ALREADY
GRADED A+
A hospitalized 31-year-old patient with a history of cluster headache awakens
during the night with a severe stabbing headache. Which action should the nurse
take first?
a. Start the ordered PRN oxygen at 6 L/min.
b. Put a moist hot pack on the patients neck.
c. Give the ordered PRN acetaminophen (Tylenol).
d. Notify the patients health care provider immediately. - ANSWERS-a. Start the
ordered PRN oxygen at 6 L/min.
Acute treatment for cluster headache is administration of 100% oxygen at 6 to 8
L/min. If the patient obtains relief with the oxygen, there is no immediate need to
,notify the health care provider. Cluster headaches last only 60 to 90 minutes, so
oral pain medications have minimal effect. Hot packs are helpful for tension
headaches but are not as likely to reduce pain associated with a cluster headache.
Which intervention will the nurse include in the plan of care for a patient with
primary restless legs syndrome (RLS) who is having difficulty sleeping?
a. Teach about the use of antihistamines to improve sleep.
b. Suggest that the patient exercise regularly during the day.
c. Make a referral to a massage therapist for deep massage of the legs.
d. Assure the patient that the problem is transient and likely to resolve. -
ANSWERS-b. Suggest that the patient exercise regularly during the day.
Nondrug interventions such as getting regular exercise are initially suggested to
improve sleep quality in patients with RLS. Antihistamines may aggravate RLS.
Massage does not alleviate RLS symptoms and RLS is likely to progress in most
patients.
Propranolol (Inderal), a b-adrenergic blocker that inhibits sympathetic nervous
system activity, is prescribed for a patient who has extreme anxiety about public
speaking. The nurse monitors the patient for
a. dry mouth.
b. bradycardia.
c. constipation.
d. urinary retention. - ANSWERS-b. bradycardia
,Inhibition of the fight or flight response leads to a decreased heart rate. Dry
mouth, constipation, and urinary retention are associated with peripheral
nervous system blockade.
To assess the functioning of the trigeminal and facial nerves (CNs V and VII), the
nurse should
a. shine a light into the patients pupil.
b. check for unilateral eyelid drooping.
c. touch a cotton wisp strand to the cornea.
d. have the patient read a magazine or book. - ANSWERS-a. shine a light into the
patients pupil.
The trigeminal and facial nerves are responsible for the corneal reflex. The optic
nerve is tested by having the patient read a Snellen chart or a newspaper.
Assessment of pupil response to light and ptosis are used to check function of the
oculomotor nerve.
Which action will the nurse include in the plan of care for a patient with impaired
functioning of the left glossopharyngeal nerve (CN IX) and the vagus nerve (CN X)?
a. Withhold oral fluid or foods.
b. Provide highly seasoned foods.
c. Insert an oropharyngeal airway.
d. Apply artificial tears every hour. - ANSWERS-a. Withhold oral fluid or foods.
, The glossopharyngeal and vagus nerves innervate the pharynx and control the gag
reflex. A patient with impaired function of these nerves is at risk for aspiration. An
oral airway may be needed when a patient is unconscious and unable to maintain
the airway, but it will not decrease aspiration risk. Taste and eye blink are
controlled by the facial nerve.
An unconscious male patient has just arrived in the emergency department after
a head injury caused by a motorcycle crash. Which order should the nurse
question?
a. Obtain x-rays of the skull and spine.
b. Prepare the patient for lumbar puncture.
c. Send for computed tomography (CT) scan.
d. Perform neurologic checks every 15 minutes. - ANSWERS-b. Prepare the patient
for lumbar puncture.
When admitting an acutely confused 20-year-old patient with a head injury,
which action should the nurse take?
a. Ask family members about the patients health history.
b. Ask leading questions to assist in obtaining health data.
c. Wait until the patient is better oriented to ask questions.
d. Obtain only the physiologic neurologic assessment data. - ANSWERS-a. Ask
family members about the patients health history.
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