NEURO NCLEX QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS

NEURO NCLEX QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS 2. All of the following may be associated with Guillain-Barré Syndrome except: a. Weakening or tingling sensation in the legs b. Weakness in the arms and uppe ...

NEURO NCLEX QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS 2. All of the following may be associated with Guillain-Barré Syndrome except: a. Weakening or tingling sensation in the legs b. Weakness in the arms and upper body c. Nearly complete paralysis d. First symptom is altered mental status ✔✔d. First symptom is altered mental status 15. All of the following statements about amyotrophic lateral sclerosis are true except: a. It causes degeneration and death of upper and lower motor neurons b. Patients lose strength and control of voluntary muscles c. It impairs cognition and senses d. It progresses rapidly and is fatal ✔✔c. It impairs cognition and senses 19. Symptoms of Parkinson's disease include all of the following except: a. Tremors of the hands, arms, legs, jaw, and face b. Stiff limbs c. Bradykinesia and impaired balance d. Impaired cognition ✔✔d. Impaired cognition 5. Huntington's disease is a heritable disorder that involves: a. Sudden paralysis b. Chorea, loss of cognitive abilities, and emotional disturbance c. Uncontrollable swearing and repetitive actions d. Inability to recognize faces ✔✔b. Chorea, loss of cognitive abilities, and emotional disturbance What are the two main forms of onset for Amyotrophic lateral sclerosis (ALS)? Answers: A. Anterior and posterior onset B. Nerve and muscle onset C. Reflexive and tensive onset D. Limb and bulbar onset What are the two main forms of onset for Amyotrophic lateral sclerosis (ALS)? Answers: A. Anterior and posterior onset B. Nerve and muscle onset C. Reflexive and tensive onset D. Limb and bulbar onset ✔✔D. Limb and bulbar onset Female client is admitted to the hospital with a diagnosis of Guillain-Barre syndrome. The nurse inquires during the nursing admission interview if the client has history of: A. Seizures or trauma to the brain B. Meningitis during the last 5 years C. Back injury or trauma to the spinal cord D. Respiratory or gastrointestinal infection during the previous month ✔✔D. Respiratory or gastrointestinal infection during the previous month A male client with a spinal cord injury is prone to experiencing automatic dysreflexia. The nurse would avoid which of the following measures to minimize the risk of recurrence? A. Strict adherence to a bowel retraining program B. Keeping the linen wrinkle-free under the client C. Preventing unnecessary pressure on the lower limbs D. Limiting bladder catheterization to once every 12 hours ✔✔D. Limiting bladder catheterization to once every 12 hours A female client with Guillain-Barré syndrome has paralysis affecting the respiratory muscles and requires mechanical ventilation. When the client asks the nurse about the paralysis, how should the nurse respond? A. "You may have difficulty believing this, but the paralysis caused by this disease is temporary." B."You'll have to accept the fact that you're permanently paralyzed. However, you won't have any sensory loss." C. "It must be hard to accept the permanency of your paralysis." D. "You'll first regain use of your legs and then your arms." ✔✔A. "You may have difficulty believing this, but the paralysis caused by this disease is temporary." The nurse is teaching a female client with multiple sclerosis. When teaching the client how to reduce fatigue, the nurse should tell the client to: A. take a hot bath. B. rest in an air-conditioned room C. increase the dose of muscle relaxants D. avoid naps during the day ✔✔B. rest in an air-conditioned room A female client with amyotrophic lateral sclerosis (ALS) tells the nurse, "Sometimes I feel so frustrated. I can't do anything without help!" This comment best supports which nursing diagnosis? A. Anxiety B. Powerlessness C. Ineffective denial D. Risk for disuse syndrome ✔✔B. Powerlessness The nurse is teaching the female client with myasthenia gravis about the prevention of myasthenic and cholinergic crises. The nurse tells the client that this is most effectively done by: A. Eating large, well-balanced meals B. Doing muscle-strengthening exercises C. Doing all chores early in the day while less fatigued D. Taking medications on time to maintain therapeutic blood levels ✔✔D. Taking medications on time to maintain therapeutic blood levels A female client is admitted in a disoriented and restless state after sustaining a concussion during a car accident. Which nursing diagnosis takes highest priority in this client's plan of care? A. Disturbed sensory perception (visual) B. Self-care deficient: Dressing/grooming C. Impaired verbal communication D. Risk for injury ✔✔D. Risk for injury A female client with Guillian-Barre syndrome has ascending paralysis and is intubated and receiving mechanical ventilation. Which of the following strategies would the nurse incorporate in the plan of care to help the client cope with this illness? A. Giving client full control over care decisions and restricting visitors B. Providing positive feedback and encouraging active range of motion C. Providing information, giving positive feedback, and encouraging relaxation D. Providing intravaneously administered sedatives, reducing distractions and limiting visitors ✔✔C. Providing information, giving positive feedback, and encouraging relaxation A female client has experienced an episode of myasthenic crisis. The nurse would assess whether the client has precipitating factors such as: A. Getting too little exercise B. Taking excess medication C. Omitting doses of medication D. Increasing intake of fatty foods ✔✔C. Omitting doses of medication Which of the following is not one of the characteristic three symptoms of Parkinson's Disease? A. bradykinesia B. diplopia C. tremors D. rigidity ✔✔B. diplopia Which two neurotransmitters play a role in the etiology of Parkison's Disease? A. Dopamine, Serotonin B. Dopamine, Acetylcholine C. Dopamine, Norepinephrine ✔✔B. Dopamine, Acetylcholine Which of the following is an autoimmune disease caused by lack of acetylcholine receptor sites? A. Myasthenia Gravis B. Multiple Sclerosis C. Schizophrenia ✔✔A. Myasthenia Gravis What is the primary characteristic of Myasthenia Gravis? A. dysphagia B. weak respiratory muscles C. weak skeletal muscles ✔✔C. weak skeletal muscles What is a myasthenic crisis in patients with Myasthenia Gravis? A. generalized muscular weakness B. overdosing of acetylcholinesterase inhibitors C. involuntary muscle twitching ✔✔A. generalized muscular weakness What is the pathophysiology of Multiple Sclerosis? A. attacks myelin sheath of nerve fibers leaving neuritic plaques B. lack of nerve impulses at the myoneural junction C. neurotrasmitter imbalance leads to decreased nerve impulses ✔✔A. attacks myelin sheath of nerve fibers leaving neuritic plaques Which of the following is not a stage of Multiple Sclerosis? A. Acute Attack B. Remission-Exacerbation C. Chronic progressive D. Chronic Attack ✔✔D. Chronic Attack IN SOME CLIENTS WITH MULTIPLE SCLEROSIS, PLASMAPHERESIS DIMINISHES SYMPTOMS, THIS EFFECT IS ACHIEVED BY REMOVING? A. CATHECHOLAMINES B. ANTIBODIES C. PLASMA PROTEINS D. LYMPHOCYTES ✔✔B. ANTIBODIES WHEN EVALUATING THE EXTENT OF PARKINSONS DISEASE THE NURSE WOULD ASSESS FOR? A. BULGING EYEBALLS B. DIMINISHED DISTAL SENSATION C. INCREASED DOPAMINE LEVELS D. MUSCLE RIGIDITY ✔✔D. MUSCLE RIGIDITY WHICH CLIENT WOULD BE MOST AT RISK FOR SECONDARY PARKINSONS CAUSE BY PHARMACOLOGICAL MANAGEMENT? A. 30 YR OLD WITH SCHIZOPHRENIA TAKING CHLORPROMAZINE(THORAZINE) B. 50 YEAR OLD TAKING NITRO FOR ANGINA C. A 60 YEAR OLD TAKING PREDNISONE FOR COPD D. A 75 YEAR OLD TAKING NAPROXEN FOR RHEUMATOID ARTHRITIS ✔✔A. 30 YR OLD WITH SCHIZOPHRENIA TAKING CHLORPROMAZINE(THORAZINE) TO EVALUATE THE EFFECTIVENESS OF LEVODOPACARBIDOPA (SINEMET) THE NURSE SHOULD WHAT FOR WHAT RESULT? ✔✔FOR MORE SMOOTH PURPOSFUL MOVEMENTS WHICH ANTIPARKINSON DRUG CAN CAUSE DRUG TOLERANCE OR TOXICITY IF TAKEN FOR TOO LONG AT ONE TIME? ✔✔LEVODOPACARBIDOPA A PT WITH MULTIPLE SCLEROSIS IS STARTED ON 20 MG OF GLATIRAMER(COPAXONE) SUBCUTANEOUS DAILY. IMMEDIATELY AFTER INJECTION THE CLIENT EXPERIENCES CHEST PAIN AND FLUSHING. WHAT WOULD BE THE MOST APPROPRIATE NURSING INTERVENTION? ✔✔MONITOR SYMPTOMS(TEMPORARY) WHICH SYMPTOM OCCURS EARLY IN MULTIPLE SCLEROSIS? ✔✔DIPLOPIA A CLIENT WITH SUSPECTED MULTIPLE SCLEROSIS UNDERGOES A LUMBAR PUCNTURE. WHICH ABNORMALITY IS TYPICALLY FOUND IN THE CSF OF CLIENTS WITH MS? ✔✔ELEVATED GAMMA GLOBULIN FRACTION A PT IS UNDERGOING TESTING TO CONFIRM MYASENTHIA GRAVIS, THE NURSE EXPLAINS MUSCLE FUNCTION IMPROVES AFTER GIVING IV ADMINISTRATION OF WHICH MEDICATION, THIS TEST IS AKA TENSILON TEST? ✔✔EDROPHONIUM(ENLON) USED FOR ACUTE RELAPSES OF MYASENTHIA GRAVIS? ✔✔IMMUNOGLOBULIN G THE NURSE IS GIVING NEOSTIGMINE TO A PT. WHAT INTERVENTION SHOULD THE NURSE IMPLEMENT? ✔✔GIVE 45 MINS BEFORE MEALS GIVE WITH CRACKERS TO REDUCE GI DISTRESS GIVE AT CONSISTENT TIMES TO ENSURE BLOOD LEVELS 3 HOURS AFTER A PT RECEIVED A SPINAL CORD INJURY AT C6, THE MD PRESCRIBES METHYLPRENDISOLONE TO SUPPRESS BREAKDOWN OF TISSUE AT INJURY SITE. WHAT OTHER MED SHOULD THE NURSE SUSPECT WILL ALSO BE PRESCRIBED WITH METHYLPRENDISOLONE? ✔✔FAMOTIDINE(PEPCID) CORTICOSTEROIDS CAUSE GI DISTRESS/BLEED A PT IS DIAGNOSED WITH MYASENTHIA GRAVIS, A ORDER IS PLACED FOR PYRIDOSTIGMINE(MESTINON), WHAT PREEXISTING CONDITION WOULD BE CONTRAINDICATED WITH THIS MED? ✔✔INTESTINAL OBSTRUCTION PERITONITIS A PT WITH AN EXHASTERBATION OF MS IS PRESCRIBED DANTRIUM, HOW SOON SHOULD THE NURSE ANTICIPATE A SIGNIFICANT REDUCTION IN MUSCLE SPASTICITY? ✔✔1-2 WEEKS A PT WITH QUADRAPLEGIA IS IN SPINAL SHOCK, WHAT SHOULD THE NURSE EXPECT? ✔✔ABSENCE OF REFLEXES ALONG WITH FLACCID EXTREMITIES