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NCLEX Neuro test exam Questions and Verified Answers | 100% Correct |2024 Grade A+
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NCLEX Neuro test exam Questions andVerified Answers | 100% Correct |2024 Grade
A+
The nurse is preparing for the admission of a client with with a suspected diagnosis
of Gillian-Barre syndrome. what s/s is considered a primary symptom of this
syndrome? - CORRECT ANSWERS development of muscle weakness
RATIONALE:A Hallmark symptom of GB syndrome is muscle weakness that develops
rapidly.
the nurse is caring for a client with the diagnosis of myasthenia gravis. which
primary health care providers prescription should the nurse question? - CORRECT
ANSWERS administer the prescribed anticholinesterase medication 30minutes
after meals
RATIONALE: corticosteroids are administered concurrently with the
anticholinesterase drug daily in the morning is an expected schedule. because a
large number of patients with MG have hyperplasia of the thymus gland,
Thymectomy is performed early after the initial diagnosis. Plasmepheresis is an
adjunctive therapy based on the autoimmune theory of MG anticholinesterase drugs
are ordered 30minutes before meals to improve muscle strength.
the nurse is caring for a client with a diagnosis of right (non dominant) hemispheric
brain attack (stroke) the nurse notes that the client is alert and oriented to time and
place.based on these findings,the nurse makes which determination? - CORRECT
ANSWERS the client may have perceptual and spatial disabilities
RATIONALE:the client with a nondominant hemispheric stroke may be alert to time
and place. these signs of apparent wellness often result in interpretation that the
client is less disabled than in this case. however, impulsive actions and confusion in
carrying out activities may be very much a problem for these clients as a result of
perceptual and spatial disabilities. The right hemisphere is considered specialized in
sensory perceptual and visuospatial processing and awareness of body space. the
left hemisphere is dominant for language abilities
,NCLEX Neuro test exam Questions and
Verified Answers | 100% Correct |2024 Grade
A+
the nurse is preparing to care for a client with a diagnosis of brain attack stroke. the
nurse notes in the client record that the client has anosognosia. the nurse plans
care, knowing which is a characteristic of anosognosia? - CORRECT ANSWERS
the client neglects the affected side
RATIONALE:In anosognosia the client neglects the affected side of the body. the
client may neglect the affected side often created a safety hazard as a result of
potential injuries. or state that the involved arm or leg belongs to someone else.
the nurse is preparing a plan of care for a client with a stroke who has global
aphasia. the nurse incorporates communication strategies in the plan of care,
knowing that the client speech should fit what characterization? - CORRECT
ANSWERS associated with poor comprehension
RATIONALE:global aphasia is a condition in which a person has few language skills
as a result of extensive damage to the left hemisphere. The speech is nonfluent and
is associated with poor comprehension and limited ability to name objects or repeat
words. The client with conduction aphasia has difficulty repeating words by another,
and the speech is characterized by literal paraphasia with intact comprehension. the
client with wernicks aphasia may exhibit a rambling type of speech.
the nurse is caring for a client with a diagnosis of stroke with anosognosia. To meet
the needs of the client with this deficit, what action does the nurse plan? -
CORRECT ANSWERS increase the clients awareness of the affected side
RATIONALE:in anosognosia the client neglects the affected side of the body. The
nurse should plan care activities that encourage the client to look at the affected
arm or leg and that will increase the client awareness of the affected side.
the nurse is caring for a client who sustained a spinal cord injury. while
administering morning care, the client developed s/s of autonomic dysreflexia. what
is the initial nursing action? - CORRECT ANSWERS elevate the head of the bed
, NCLEX Neuro test exam Questions and
Verified Answers | 100% Correct |2024 Grade
A+
RATIONALE: autonomic dysreflexia is a serious complication that can occur in the
spinal cord of the injured client. once the syndrome is identified, the nurse elevated
the head of the bed and then examines the client for the source of noxious stimuli.
The nurse also assesses the client blood pressure, but the initial action is to elevate
the HOB the client should NOT be placed in probe position.
a female client with MG comes into the PHCP office for a visit. the client is very
concerned and tells the nurse that her husband seems to be avoiding her because
she is very unattractive. what is the appropriate nursing response? - CORRECT
ANSWERS have you thought about sharing your feelings with your husband?
RATIONALE: Encouraging the client to share feelings with her husband directly
addresses the subject of the question.
A client is recovering at home after suffering a stroke 2weeks ago. A home caregiver
tells the home health nurse that the client has some difficulty swallowing food and
fluids. what nursing action would be appropriate? - CORRECT ANSWERS observe
the client feeding him/herself.
RATIONALE:it is not uncommon for a client to have difficulty swallowing after having
a stroke. often the client has hemiplegia. The client arm may be paralyzed and the
client has to learn to use an opposite arm to feed himself using a different arm may
require rehab and retraining. also a client may have partial paralysis of the mouth
tongue or esophagus. To best assist the client the nurse should first assess the
situation vby watching the client feed himself. perhaps the problem lies in the
feeding technique the type of feeding tool used the types of food being served, or a
combination of problems. having someone else feed the client maybe necessary if
the client is determined to be unable to feed himself but this action does not
promote independence in the client. A feeding syringe is not recommended for
feeding most clients.
the nurse is collecting neurological data on a poststroke adult client. What
technique should the nurse perform to adequately check proprioception? -
CORRECT ANSWERS hold the sides of the client great toe and while moving it
ask what position it is in.
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