Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+, Exams of Nursing

Download Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ and more Exams Nursing in PDF only on Docsity! Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ The nurse is planning to institute seizure precautions for a client who is being admitted from the emergency department. Which measure should the nurse avoid in planning for the client's safety? • Putting a padded tongue blade at the head of the bed The nurse is caring for a client with a head injury and is monitoring the client for signs of increased intracranial pressure (ICP). Which sign if noted in the client should the nurse report immediately? • The client vomits. A nursing student is collecting data on a client Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ recently diagnosed with meningitis. The student expects to note which signs and symptoms? Select all that apply. • Tachycardia • Photophobia • Red, macular rash • Positive Kernig's sign Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ confirm this diagnosis? • Lumbar puncture A halo vest is applied to a client following a cervical spine fracture. The nurse reinforces instructions to the client regarding safety measures related to the vest. Which statement by the Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ client indicates a need for further teaching? • "I will bend at the waist, keeping the halo vest straight to pick up items." When the nurse taps at the level of the client's facial nerve, the following response is noted. How should the nurse document this finding on the client record? Refer to figure. • Positive Chvostek's sign A client with spinal cord injury has experienced more than one episode of autonomic dysreflexia. The nurse should avoid which action that could trigger an episode of this complication? • Allowing the client's bladder to become distended The nurse notices that a client with trigeminal neuralgia has been withdrawn, is having frequent episodes of crying, and is sleeping excessively. Which method is the best way for Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ the nurse to explore issues with the client regarding these behaviors? • Have the client express the feelings in writing. A client with Bell's palsy exhibits facial asymmetry and cannot close the eye completely on one side. The client is also drooling and has loss of tearing in one eye. The nurse documents that the client displays symptoms of involvement of which cranial nerves (CNs)? • CN VII The nurse is collecting data on a client with myasthenia gravis. The nurse determines that the client may be developing myasthenic crisis if the client makes which statement? • "I can't swallow very well today." The nurse is assisting in admitting a client who experienced seizure activity in the emergency department. The nurse avoids which action when Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ • Semi-Fowler's position The nurse is planning care for a client in spinal shock. Which action would be least helpful in minimizing the effects of vasodilation below the level of the injury? • Moving the client quickly as one unit The nurse determines that motor function of which cranial nerve is intact if the client can perform this action? Refer to figure. • Facial The nurse is caring for a client diagnosed with Bell's palsy 1 week ago. Which data would indicate a potential complication associated with Bell's palsy? • Excessive tearing The client has clear fluid leaking from the nose after a basilar skull fracture. The nurse determines that this is cerebrospinal fluid Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ (CSF) if the fluid meets which criteria? • Separates into concentric rings and tests positive for glucose The nurse is caring for the client who has suffered spinal cord injury. The nurse further monitors the client for signs of autonomic dysreflexia and suspects this complication if which sign/symptom is noted? • Severe, throbbing headache The nurse overhears the term sundowning used to describe the behavior of a client newly admitted to the nursing unit during the previous evening shift. Of which diagnosis is sundowning a symptom? • Alzheimer's disease Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ The nurse is preparing a plan of care to monitor for complications in a client who will be returning from the operating room following transsphenoidal resection of a pituitary adenoma. Which intervention does the nurse document in the plan as the priority nursing intervention for this client? • Monitor urine output. The nurse reinforces home care instructions to the postcraniotomy client. Which statement by the client indicates the need for further teaching? • "I will not hear sounds clearly unless they are loud." The nurse has obtained a personal and family history from a client with a neurological disorder. Which finding in the client's history is least likely associated with a risk for Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ • An increase in muscle strength within 1 to 3 minutes A client with Parkinson's disease "freezes" while ambulating, increasing the risk for falls. Which suggestion should the nurse include in the client's plan of care to alleviate this problem? • Consciously think about walking over imaginary lines on the floor. A client has a halo vest that was applied following a C6 spinal cord injury. The nurse performs which action to determine whether the client is ready to begin sitting up? • Compares the client's pulse and blood pressure when both flat and sitting The nurse is caring for a client who sustained a spinal cord injury. While administering morning care, the client developed signs and symptoms of autonomic dysreflexia. Which is Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ the initial nursing action? • Elevate the head of the bed. The nurse is assigned to care for an adult client who had a stroke and is aphasic. Which interventions should the nurse use for communicating with the client? Select all that apply. • Face the client when talking. • Speak slowly and maintain eye contact. • Use gestures when talking to enhance words. • Give the client directions using short phrases and simple terms. A client is recovering at home after suffering a brain attack (stroke) 2 weeks ago. A home caregiver tells the home health nurse that the client has some difficulty swallowing food and fluids. Which nursing action would be appropriate? Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ • Observe the client feeding himself or herself. A client has a cerebellar lesion. The nurse determines that the client is adapting successfully to this problem if the client demonstrates proper use of which item? • Walker The nurse is preparing for the admission of a client with a suspected diagnosis of herpes simplex encephalitis. Which Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ control and should be encouraged as much as is nutritionally reasonable. The nurse is ambulating a client with a known seizure disorder. The client says, "I'm seeing those flashing lights again," then loses consciousness and develops a clonic-tonic seizure. Which would be the nurse's initial action? • Assist the client to the floor. Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ The nurse observes the unlicensed assistive personnel (UAP) positioning the client with increased intracranial pressure (ICP). Which position would require intervention by the nurse? • Head turned to the side The nurse reviews the health care provider's treatment plan for a client with Guillain-Barré syndrome. Which prescription noted in the client's record should the nurse question? • Clear liquid diet Acetazolamide is prescribed for a client with a diagnosis of a supratentorial lesion. The nurse monitors the client for effectiveness of this medication, knowing which is its primary action? • Decrease cerebrospinal fluid production The client with spinal cord injury is prone to Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ experiencing autonomic dysreflexia. The least appropriate measure to minimize the risk of autonomic dysreflexia is which action? • Limiting bladder catheterization to once every 12 hours Which data collection finding supports the possible diagnosis of Bell's palsy? • Speech or chewing difficulties accompanied by facial droop A client has just undergone lumbar puncture (LP). The nurse assists the client into which optimal position? • Prone, with a pillow under the abdomen The nurse is assisting in caring for a client who sustained a traumatic head injury following a motor vehicle crash. The nurse documents that the client is exhibiting decerebrate posturing. The nurse bases this documentation on which observation? Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ • Encouraging multiple visitors at one time The nurse is planning to put aneurysm precautions in place for the client with a cerebral aneurysm. Which item should be included as part of the precautions • Maintaining the head of the bed at 15 degrees An adult client had a cerebrospinal fluid (CSF) analysis after lumbar puncture. The nurse interprets that a negative value of which is consistent with normal findings? • Red blood cells The nurse is suctioning an unconscious client who has a tracheostomy. The nurse should avoid which action during this procedure? • Making sure not to suction for longer than 30 seconds Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ The nurse is monitoring a client with a blunt head injury sustained from a motor vehicle crash. Which would indicate a basal skull fracture as a result of the injury? • Bloody or clear drainage from the auditory canal Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ The nurse is providing care to a client with increased intracranial pressure (ICP). Which approaches would be beneficial in controlling the client's ICP from an environmental viewpoint? Select all that apply. • Reducing environmental noise • Maintaining a calm atmosphere • Allowing the client uninterrupted time for sleep The nurse is reinforcing instructions to the family of a stroke client who has homonymous hemianopsia about measures to help the client overcome the deficit. The nurse determines that the family understands the measures to use if they state that they will do which? • Remind the client to turn the head to scan the lost visual field. The nurse has given instructions to the client with Parkinson's disease about maintaining Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ discouraged about her condition. It is important for the nurse to include which information in discussions with the client? • Generally, a vast number of people recover from this condition The nurse is caring for the client with a head injury secondary to a motor vehicle crash. The nurse observes the client's status regularly, monitoring closely for which change in vital signs that could indicate increased intracranial pressure? • Decreasing pulse, decreasing respirations, increasing BP The nurse is collecting data on a client suspected of having Alzheimer's disease. The priority data should focus on which characteristic of this disease? Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ • Recent memory loss The nurse is planning care for a client with Bell's palsy. Which measure should be included in the plan? • Instill artificial tears and wear a patch over the affected eye at night. The nursing instructor asks a nursing student about the points to document if the client has had a seizure. The instructor determines that the student needs to research seizures and related documentation points if the student states which assessment is important? • Client's diet in the 2 hours preceding seizure activity A client who sustained a closed head injury has a new onset of copious urinary output. Urine output for the previous 8-hour shift was 3300 mL, and 2800 mL for the shift before that. The Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ findings have been reported to the health care provider, and the nurse anticipates a prescription for which medication? • Desmopressin (DDAVP) A client recovering from a craniotomy complains of a "runny nose." Based on the interpretation of the client's complaint, which action should the nurse take? • Notify the registered nurse. A thymectomy via a median sternotomy approach is performed on a client with a diagnosis of myasthenia gravis. The nurse has assisted in developing a plan of care for the client and includes which nursing action in the plan? • Monitor the chest tube drainage The nurse is reinforcing discharge instructions to a client who has undergone transsphenoidal surgery for a pituitary adenoma. Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ The nurse is caring for a client with a diagnosis of brain attack (stroke) with anosognosia. To meet the needs of the client with this deficit, which action does the nurse plan? • Increase the client's awareness of the affected side. The nurse suspects neurogenic shock in a client with complete transection of the spinal cord at the T3 (thoracic 3) level if which clinical symptoms are observed? • Hypotension and bradycardia The nurse is reinforcing instructions to the client who has just been fitted for a halo vest. Which statement by the client indicates the need for further teaching? • "I will avoid driving at night because the vest limits the ability to turn the head." Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ The nurse is caring for a client who has undergone craniotomy with a supratentorial incision. The nurse should plan to place the client in which position postoperatively? • Head of bed elevated 30 to 45 degrees, head and neck midline Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ A client complains of pain in the lower back and pain and spasms in the hamstrings when the nurse attempts to extend the client's leg. How should the nurse record this finding on the client's medical record? Refer to figure. • Positive Kernig's sign A client experiences an episode of Bell's palsy and complains about increasing clumsiness. The nurse should prepare the client for which diagnostic study (studies) to determine the cause of the complaints? Select all that apply. • Cerebral angiography • Lumbar puncture (LP) • Computed tomography The nurse is assisting in the care of a client who is being evaluated for possible myasthenia gravis. The health care provider gives a test dose of edrophonium (Enlon). The nurse recalls that the client should have which reaction if the Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ client indicates a need for further teaching? • "I will bend at the waist, keeping the halo vest straight to pick up items." When the nurse taps at the level of the client's facial nerve, the following response is noted. How should the nurse document this finding on the client record? Refer to figure. • Positive Chvostek's sign A client with spinal cord injury has experienced more than one episode of autonomic dysreflexia. The nurse should avoid which action that could trigger an episode of this complication? • Allowing the client's bladder to become distended A client who is paraplegic after spinal cord injury has been taught muscle-strengthening exercises for the upper body. The nurse determines that the client will derive the least muscle- strengthening benefit from which Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ activity? • Doing active range of motion to finger joints A client who suffered a cervical spine injury had Crutchfield tongs applied in the emergency department. The nurse should avoid which action in the care of the client? • Removing the weights when repositioning the client The nurse is monitoring a client who sustained a head injury and suspects that the client has a skull fracture. This conclusion is based on which findings? Select all that apply. • Drainage from ear • Bruising around the eyes • Pink-tinged drainage from the nose A client with Guillain-Barré syndrome has been asking many questions about the condition, and the nursing staff feels that the client is very Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ discouraged about her condition. It is important for the nurse to include which information in discussions with the client? • Generally, a vast number of people recover from this condition The nurse is caring for the client with a head injury secondary to a motor vehicle crash. The nurse observes the client's status regularly, monitoring closely for which change in vital signs that could indicate increased intracranial pressure? • Decreasing pulse, decreasing respirations, increasing BP The nurse is collecting data on a client suspected of having Alzheimer's disease. The priority data should focus on which characteristic of this disease? Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Which statement by the client indicates the client understands the discharge instructions? • "I need to call the doctor if I develop frequent swallowing or postnasal drip." A client in the emergency department is diagnosed with Bell's palsy. The nurse collecting data on this client expects to note which observation? • A lag in closing the bottom eyelid Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ A client with suspected Guillain-Barré syndrome has a lumbar puncture performed. The cerebrospinal fluid (CSF) protein is 750 mg/dL. The nurse analyzes these results as which? • Higher than normal, supporting the diagnosis of Guillain- Barré The nurse is caring for a client with a spinal cord injury. High-top sneakers on the client's feet will prevent the occurrence of which? • Foot drop The nurse is collecting neurological data on an unconscious client. On application of a central noxious stimulus, the nurse observes this response. How should the nurse document this response on the client's record? Refer to figure. • Client demonstrated decerebrate posturing. Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ The nurse is caring for a client with a diagnosis of brain attack (stroke) with anosognosia. To meet the needs of the client with this deficit, which action does the nurse plan? • Increase the client's awareness of the affected side. The nurse suspects neurogenic shock in a client with complete transection of the spinal cord at the T3 (thoracic 3) level if which clinical symptoms are observed? • Hypotension and bradycardia The nurse is reinforcing instructions to the client who has just been fitted for a halo vest. Which statement by the client indicates the need for further teaching? • "I will avoid driving at night because the vest limits the ability to turn the head." Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ • Positive Trousseau's sign The nurse notices that a client with trigeminal neuralgia has been withdrawn, is having frequent episodes of crying, and is sleeping excessively. Which method is the best way for the nurse to explore issues with the client regarding these behaviors? • Have the client express the feelings in writing. A client with Bell's palsy exhibits facial asymmetry and cannot close the eye completely on one side. The client is also drooling and has loss of tearing in one eye. The nurse documents that the client displays symptoms of involvement of which cranial nerves (CNs)? • CN VII The nurse is collecting data on a client with myasthenia gravis. The nurse determines that the client may be developing myasthenic crisis if Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ the client makes which statement? • "I can't swallow very well today." The nurse is assisting in admitting a client who experienced seizure activity in the emergency department. The nurse avoids which action when managing this client's environment? • ? The nurse is collecting admission data on a client with Parkinson's disease. The nurse asks the client to stand with the feet together and the arms at the side and then to close the eyes. The nurse notes that the client begins to fall when the eyes are closed. Based on this finding, the nurse documents which in the client's record? Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+ • Positive Romberg's test A client with spinal cord injury becomes angry and belligerent whenever the nurse tries to administer care. Which is the best response by the nurse? • Acknowledge the client's anger and continue to encourage participation in care. Which symptoms would validate the diagnosis of a cluster headache? Select all that apply. • A runny nose • Burning sensation in the eye • Tearing on the affected eye A client is about to undergo a lumbar puncture (LP). The nurse tells the client that which position will be used during the procedure? • Side-lying with the legs pulled up and the head bent down onto the chest Nursing 442 Neuro Nclex Q&A Best Exam Solution Latest Updates 2022\2023 Rated A+