NUR 402 Neuro Practice Quiz Already Graded A
A client is scheduled for an electroencephalogram (EEG) in the morning. Which instruction does the
nurse give the client?
a. "You may bring some music to listen to for distraction."
b. "Please do not have anything to eat or drink after midnight."...
A client is scheduled for an electroencephalogram (EEG) in the morning. Which instruction does the
nurse give the client?
a. "You may bring some music to listen to for distraction."
b. "Please do not have anything to eat or drink after midnight."
c. "Do not take any sedatives 12-24 hours before the test."
d. "You will need to have someone to drive you home."
c. “Do not take any sedatives 12–24 hours before the test.”
Rationale:
Before an EEG, the client needs to be instructed not to use sedatives or stimulants for 12–24 hours prior
to the test.
The nurse has just received change-of-shift report about a group of clients on the neurosurgical unit.
Which client does the nurse attend to first?
a. Adult postoperative left craniotomy client whose hand grip is weaker on the right
b. Older adult client who had a carotid endarterectomy and is unable to state the day of the week
c. Middle-aged adult client who had a cerebral aneurysm clipping and is becoming increasingly confused
d. Young adult client involved in a motor vehicle crash (MVC) who is yelling obscenities at the nursing
staff
c. Middle-aged adult client who had a cerebral aneurysm clipping and is becoming increasingly confused
Rationale:
After a change-of-shift report, the neurosurgical nurse would first attend to the middle-aged client who
had a clipping of a cerebral aneurysm and is now becoming increasingly confused. A change in level of
consciousness is an early indication that central neurologic function has declined. The primary care
provider must be notified immediately.
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The nurse is assessing a client with a neurologic condition who is reporting difficulty chewing when
eating. The nurse suspects that which cranial nerve has been affected?
a. Trigeminal (CN V)
b. Trochlear (CN IV)
c. Facial (CN VII)
d. Abducens (CN VI)
a. Trigeminal (CN V)
Rationale:
The nurse suspects that the trigeminal cranial nerve is affected when a client complains of difficulty
chewing when eating. The trigeminal nerve affects the muscles of mastication.
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The nurse is performing a neurologic assessment on an 81-year-old client. Which physiologic change
does the nurse expect to find because of the client's age?
a. Increased sleeping during the night
b. Increased touch sensation
c. Decreased coordination
d. Nightly confusion
c. Decreased coordination
Rationale:
When performing a neurologic assessment on an elderly client, the nurse expects to find decreased
coordination. Older adults experience decreased coordination as a result of the aging process.
A client admitted with cerebral edema suddenly begins to have a seizure while the nurse is in the room.
What does the nurse do first?
a. Start an intravenous (IV) line.
b. Draw the client’s blood.
c. Administer phenytoin (Dilantin).
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