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LPN Nursing School · Med-Surg · 113 questions

Neurological Disorders practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Neurological Disorders, practise in the app.

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  1. 1Which of the following clinical findings would support the nurse's decision that tissue plasminogen activator (tPA) therapy is appropriate for a client with acute ischemic stroke symptoms? Select all that apply.Answer →
  2. 2A nurse is caring for a client who has dementia and observes that the client becomes stressed and requires assistance and monitoring when their family visits. When the family leaves the room, the client returns to baseline and the deficits are gone. Using the Functional Assessment Stage Tool, the nurse should identify that the client is in which of the following stages of Alzheimer's disease?Answer →
  3. 3A nurse is assisting in the care for a client who is exhibiting a depressed mood one week before the start of their menstrual cycle. When collecting data, the nurse should identify that the client is exhibiting manifestations consistent with which of the following disorders?Answer →
  4. 4A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?Answer →
  5. 5The nurse is assessing a client who reports severe abdominal pain. What is the priority action to accurately assess the client's pain?Answer →
  6. 6A nurse is educating a client who has HIV about the infection process. Which of the following features of the virus should the nurse explain can result in opportunistic infection?Answer →
  7. 7A client presents with ear pain, swelling of the external ear canal, and purulent drainage. The nurse suspects external otitis. Which finding supports this diagnosis?Answer →
  8. 8Which of the following should the nurse anticipate assessing in the client with an active migraine? Select all that apply.Answer →
  9. 9A nurse is contributing to planning care for a client who overdosed on oxycodone. Which of the following medications should the nurse recommend for the client?Answer →
  10. 10A nurse is caring for a client who had a stroke and is experiencing dysphagia. Which of the following actions should the nurse take when assisting the client to eat?Answer →
  11. 11The nurse is continuing to assist with the care of the client. Select the four actions the nurse should take.Answer →
  12. 12A nurse is providing care to a client who has spent several weeks in the intensive care unit because of complications related to shock. What adverse psychological outcomes should the nurse educate the client about prior to transfer to the medical unit?Answer →
  13. 13The nurse is caring for a client with myasthenia gravis. Which of the following are anticipated findings in this client? Select all that apply.Answer →
  14. 14A nurse is teaching a client who is newly diagnosed with Alzheimer's disease and their family about newly prescribed medications for Alzheimer's disease. Which statement by the client indicates the teaching was effective?Answer →
  15. 15A nurse is caring for a client who talks negatively about themselves and reports they do not know how to deal with their anxiety while they are at work. Which of the following actions should the nurse take?Answer →
  16. 16A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?Answer →
  17. 17A nurse is caring for a client who has Alzheimer's disease and is going to transition from home to a skilled nursing facility. Which of the following Interventions should the nurse incorporate into the plan of care to help the client with this transition and avoid relocation stress syndrome?Answer →
  18. 18A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?Answer →
  19. 19The client with left-sided weakness that started 60 minutes earlier is admitted to the emergency department and diagnostic tests are ordered. The nurse anticipates which diagnostic test to be done first to aid in diagnosis?Answer →
  20. 20The nurse is providing care for a client who was diagnosed with Parkinson's disease 12 years ago. Which manifestation of the disease presents the nurse with the most likely risk for safety in this client?Answer →
  21. 21A nurse is teaching a client how to properly administer prescribed ear drops at home. Which statement by the client indicates a need for further teaching?Answer →
  22. 22A nurse is caring for a client who has dysphagia following a stroke. The nurse should recommend a referral to which of the following members of the interdisciplinary team?Answer →
  23. 23The nurse is assisting with the care of a client diagnosed with post-polio syndrome. The client asks the nurse to explain the source of the disease Which answer by the nurse is correct?Answer →
  24. 24Which term best describes a normal biological adaptation to long-term use of a drug?Answer →
  25. 25A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed, which of the following statements should the nurse make to the client?Answer →
  26. 26A nurse is assisting in teaching a client at a prenatal clinic. The client shares that they have family members diagnosed with schizophrenia and wants to know how they can reduce their baby's risk of developing schizophrenia. Which of the following Information should the nurse include?Answer →
  27. 27A nurse is caring for a newly admitted adolescent client. When asked to describe their social support system, the client responds. "My mom died last year. and I have been in foster care ever since. I don't have many friends." Which of the following actions should the nurse take?Answer →
  28. 28A nurse in an assisted living facility is collecting data from an older adult client who fell in their room and hit their head on the dresser. Which of the following findings is the nurse's priority?Answer →
  29. 29A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?Answer →
  30. 30A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?Answer →
  31. 31A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select All that Apply.)Answer →
  32. 32A nurse is providing care to a client who is rocking back and forth on a gurney while repeating. "I'm not safe here." The client does not respond to their name and is holding their hands over their abdomen. The nurse would recognize that the client is most likely in which of the following stages of anxiety?Answer →
  33. 33A nurse is caring for a client who experienced severe head trauma. The client's partner asks the nurse why they are concerned about the mean arterial pressure (MAP). The nurse should explain that MAP determines which of the following?Answer →
  34. 34A client is admitted with a head injury after a collision while playing football. After observing that the client has developed clear nasal drainage, the nurse checks the drainage for glucose content. What is the rationale for this action?Answer →
  35. 35A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching?Answer →
  36. 36A nurse in a long-term care facility is assisting with the plan of care for a client who has late-stage Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?Answer →
  37. 37A nurse is collecting data from a client who has Alzheimer's disease, who arrived at the memory clinic with their caregiver. The nurse recognizes the caregiver of the client is at a greater risk for experiencing which of the following types of stress? (Select All that Apply.)Answer →
  38. 38The client with suspected meningitis is to undergo a lumbar puncture (LP). The nurse understands that the client will be placed in which position?Answer →
  39. 39The charge nurse is rounding on clients. Which finding should the nurse address first?Answer →
  40. 40The client arrives at the clinic for a routine follow-up appointment. Which finding represents the highest priority stroke risk factor for the nurse to address?Answer →
  41. 41The nurse is assessing clients on a neurologic unit. The nurse understands that which data is correlated with Parkinson's disease? Select all that apply.Answer →
  42. 42A nurse has successfully completed a drug treatment program and is returning to work 3 months later. Which of the following best describes a program designed for a nurse returning to work after treatment?Answer →
  43. 43identify that which of the following areas of the autonomic nervous system is stimulated when the client goes to work?Answer →
  44. 44A nurse is caring for a client who has dysphagia following a stroke. When assisting the client at mealtime, which of the following actions should the nurse plan to take?Answer →
  45. 45A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?Answer →
  46. 46A nurse is preparing a discharge plan for a 16-year-old client who has oppositional defiant disorder (ODD) and has been in a residential program for the past 3 months. The nurse should identify that which of the following outcomes should occur before the client is discharged? (Select All that Apply.)Answer →
  47. 47A nurse is reinforcing teaching about hospice care with a client who has terminal cancer. Which of the following statements should the nurse make?Answer →
  48. 48A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?Answer →
  49. 49A nurse is contributing to the plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?Answer →
  50. 50The nurse is preparing a client for a computed tomography (CT) scan without contrast following an unwitnessed fall with a suspected head injury. Which of the following assessment findings should be prioritized?Answer →
  51. 51A team of providers, nurses, social workers, and counselors work together to provide care for a client with a substance use disorder. Which of the following names describes this group of clinicians?Answer →
  52. 52The client with multiple sclerosis (MS) is experiencing an acute exacerbation. Which nursing approach to assisting with activities of daily living (ADLs) is most appropriate?Answer →
  53. 53A nurse is contributing to a plan of care for a client who has Alzheimer's disease who resides in a memory care unit. When considering activities for the client. Which factors should contribute to the nurse's selection?Answer →
  54. 54A charge nurse is teaching a group of newly licensed nurses about hemorrhage. Which of the following types of hemorrhage should the nurse include as having a headache as a manifestation?Answer →
  55. 55The client is hospitalized with the onset of Guillain-Barré syndrome. During the initial phase of the client's illness, the most essential assessment for the nurse to carry out is which action?Answer →
  56. 56Which interventions should be included in the nursing care of a client having an epileptic seizure? Select all that apply.Answer →
  57. 57The nurse is caring for a client who has been diagnosed with Bell's palsy. The client's family member asks the nurse what to expect and how they can help. Which of the following nursing responses is most appropriate?Answer →
  58. 58A nurse is reinforcing discharge teaching for the caregivers of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching?Answer →
  59. 59A nurse is assisting with an in-service about the prevalence of eating disorders. Which of the following information should the nurse include?Answer →
  60. 60A nurse is caring for a client who has substance use disorder and a serious mental illness (SMI). The client is anxious about the medications prescribed by the provider. The client states, "My doctor keeps changing my medicines, trying to completely eliminate my hallucinations." Which of the following responses should the nurse give?Answer →
  61. 61A nurse on a medical-surgical unit is collecting data from a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?Answer →
  62. 62The nurse is caring for a client in the emergency department who is being evaluated for treatment with tissue plasminogen activator (tPA). The nurse understands that the primary action of tPA is toAnswer →
  63. 63The nurse is reviewing a client's chart who presents with sudden unilateral facial paralysis. Which finding in the client's history most likely contributed to the development of Bell's palsy?Answer →
  64. 64What is the recommended time frame to institute treatment of a cerebrovascular accident (CVA) with tPA (tissue plasminogen activator)?Answer →
  65. 65A client reports: "I get sudden flashes of light even when it's dark in the room." What is the priority nursing consideration?Answer →
  66. 66The nurse is caring for a client with a spinal cord injury resulting in paraplegia. The nurse plans to incorporate interventions to prevent autonomic dysreflexia. Which is a frequent trigger for this condition?Answer →
  67. 67A nurse is planning care for a client who has advanced-stage Alzheimer's disease. Which of the following actions should the nurse include in planning meals for the client? (Select All that Apply.)Answer →
  68. 68A nurse is caring for a client who states. "I have no interest in sexual activity or finding a partner." The nurse should identify that this statement is consistent with which of the following personality disorders?Answer →
  69. 69The nurse is educating a client about routine visual assessments. Which technique or tool would be most appropriate for the nurse to use to assess visual acuity?Answer →
  70. 70A client reports episodic vertigo, tinnitus, and hearing loss in one ear. Which condition does this presentation most likely indicate?Answer →
  71. 71A nurse is contributing to the plan of care for a recently admitted client who has bulimia nervosa. Which of the following interventions should the nurse recommend including in the plan of care for the first week of hospitalization?Answer →
  72. 72Which interventions should the nurse include in a plan of care for a client experiencing chronic pain?Answer →
  73. 73A nurse is contributing to a plan of care for a client who has dementia living at home. Which of the following physiological changes should the nurse educate the client and family to monitor? (Select All that Apply.)Answer →
  74. 74A nurse is teaching a group of students about the prevalence of eating disorders in the U.S. Which of the following statements by a student indicates an understanding of the teaching?Answer →
  75. 75A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?Answer →
  76. 76Which neuromuscular illness reverses over time?Answer →
  77. 77A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.Answer →
  78. 78A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical spinal cord injury. Which of the following interventions should the nurse plan to implement first?Answer →
  79. 79A nurse is contributing to the plan of care for a client who was admitted to the neurological unit following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the priority?Answer →
  80. 80A nurse is caring for a client who was recently re-admitted for relapse of psychosis symptoms due to not taking their medications. Which of the follow should be a long-term goal for this client?Answer →
  81. 81A nurse is caring for a client who presents to an outpatient treatment center seeking help for gambling. After performing an intake assessment, the nurse should identify which of the following statements by the client as a sign of a gambling addiction?Answer →
  82. 82A nurse is teaching a client with external otitis about safe ear irrigation. Which client statement indicates correct understanding?Answer →
  83. 83Which autoimmune disease causes muscle weakness and fatigue by attacking the acetylcholine receptors at nerve-muscle connections?Answer →
  84. 84A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about manifestations of impending death. Which of the following manifestations should the nurse include?Answer →
  85. 85A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?Answer →
  86. 86A nurse is reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder?Answer →
  87. 87Complete the nurse's teaching by choosing the most appropriate answer from each drop-down menu. The nurse explains that prescribed antibiotic drops help prevent ▾, a serious complication of corneal ulcers. The client should be instructed not to ▾ the eyes. For pain relief, the provider may recommend ▾.Answer →
  88. 88The nurse is caring for a client with Bell's palsy who is unable to close the affected eye completely. Which nursing intervention is most appropriate?Answer →
  89. 89A nurse is assisting with planning care for a client who has been brought to the inpatient mental health unit by law enforcement officers after becoming aggressive in a local bar. The nurse should identify that this finding is consistent with which of the following disorders?Answer →
  90. 90A nurse is caring for a client who is experiencing suicidal thoughts. Which of the following actions should the nurse take?Answer →
  91. 91The nurse enters a client's room and observes that the client's spouse has been pressing the patient-controlled analgesia (PCA) button while the client appears drowsy. What is the nurse's priority action?Answer →
  92. 92The client reports, "There are parts of my vision that seem missing, like a shadow or curtain." What action should the nurse take?Answer →
  93. 93A young client presents with ear pain, fever, and irritability. The nurse suspects acute otitis media. Which finding is consistent with this diagnosis?Answer →
  94. 94A nurse is contributing to the plan of care to promote a restful night's sleep for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?Answer →
  95. 95A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following actions should the nurse take when communicating with the client?Answer →
  96. 96A nurse is assessing a patient who is experiencing increased heart rate, increased respirations, and decreased gastrointestinal motility. The nurse recognizes these are which kind of nervous system response?Answer →
  97. 97The client reports chronic pain, but no physiological cause has been identified. The healthcare provider prescribes a placebo for pain management. Which response by the nurse is most appropriate?Answer →
  98. 98The client with massive cerebral hemorrhage and loss of consciousness is scheduled for an electroencephalogram (EEG). A nurse is discussing the purpose of the test with the family. It would be most accurate for the nurse to tell family members that the test will measure which neurologic issue?Answer →
  99. 99A nurse is planning care for a client who has a subarachnoid hemorrhage. Which of the following interventions should the nurse plan to implement?Answer →
  100. 100A staff nurse completes orientation to a psychiatric unit. This nurse should expect to perform which of the following interventions? (Select All that Apply.)Answer →
  101. 101A nurse is providing care to a client who has Parkinson's disease and is having difficulty swallowing. Which of the following departments should the nurse plan to contact for a consultation?Answer →
  102. 102A client diagnosed with severe dementia experienced a recent fall. The nurse is concerned about this client's pain level. Which assessment tool should the nurse use to assess the client's pain?Answer →
  103. 103A nurse is assisting with the care of a client who has hearing loss. Which of the following actions should the nurse take?Answer →
  104. 104A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking dantrolene to manage muscle spasms. Which of the following interventions should the nurse include?Answer →
  105. 105The nurse understands that tissue plasminogen activator (tPA) therapy is contraindicated for which of the following clients?Answer →
  106. 106A client is newly diagnosed with epilepsy and started on anticonvulsant therapy. Which information should the nurse include in the teaching plan?Answer →
  107. 107A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?Answer →
  108. 108A nurse is collecting data from a client who is receiving sumatriptan. Which of the following is an expected outcome?Answer →
  109. 109A nurse is administering a vaccine to a client. Which of the following protective factors should the nurse expect the client's immune system to produce as a result of the vaccination?Answer →
  110. 110The nurse is caring for a client who had a cerebrovascular accident. The client is unable to understand what the nurse is saying and appears frustrated. What term should the nurse document to describe this finding?Answer →
  111. 111A nurse observes a client who is lying in bed and experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?Answer →
  112. 112A client is diagnosed with bacterial conjunctivitis. Which instruction should the nurse include?Answer →
  113. 113A nurse is reinforcing teaching to a group of nursing students about causes of traumatic brain injuries (TBIs). Which of the following should the nurse include in the teaching? (Select All that Apply,)Answer →