Medical-Surgical II (MSII) Neuro 1 Practice Test

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• In orientation assessment, which data is used?
• Nurse is reinforcing teaching with a client who takes benztropine to treat Parkinson's Disease. The nurse should instruct client which is an adverse effect of the medication?
• Which statement accurately describes thymectomy considerations in myasthenia gravis?
• A client presents with an acute exacerbation of multiple sclerosis. Which prescribed medication should the nurse administer to control the symptoms by reducing the edema and inflammation at the site of demyelination?
• According to Monro-Kellie doctrine, what is the primary compensatory change when intracranial volume increases?
• A client has a Glasgow Coma Scale score of 8. Which statement best describes the level of care required?
• Which imaging study is most appropriate first imaging study for suspected head injury?
• Why is performing a lumbar puncture unsafe when elevated intracranial pressure is suspected?
• Which strategy best helps manage fatigue in multiple sclerosis?
• Which topic should the nurse include in a teaching session for caregivers of older adults with dementia?
• A client with multiple sclerosis who has a new baclofen prescription asks what information to include in teaching. Which statement is correct?
• A patient recovering from head injury. Which activity demonstrates understanding measures to prevent elevation of intracranial pressure?
• A nurse is planning mealtime support for a patient with Parkinson's. Which approach is inappropriate?
• Which client requires the nurse's attention first?
• How is cerebral perfusion pressure (CPP) calculated?
• A client has ingested poison and is now having seizures. Which of the following requires priority action by the nurse?
• Which autoimmune mechanism characterizes myasthenia gravis?
• Which is a key eligibility criterion for IV thrombolysis in acute ischemic stroke?
• In assessing chewing difficulties, which cranial nerve is most likely implicated?
• Which statement about cytotoxic edema is true?
• CSF findings differentiating bacterial from viral meningitis: which option best describes bacterial meningitis?
• AIDS-associated dementia and confusion: which action should the nurse take?
• Which adverse effect should the caregiver monitor with ginkgo biloba?
• What is the standard initial approach to immobilizing a suspected spinal injury?
• A client recently sustained a closed head injury. Which finding should the nurse report as a priority?
• Which cranial nerve innervates the sternocleidomastoid and trapezius muscles?
• A nurse is discharging a client with a minor head injury. Which discharge instruction demonstrates appropriate orientation monitoring?
• Which description best characterizes Broca (expressive) aphasia?
• What is a common urinary issue after spinal cord injury and its standard management?
• A client presents with a history of migraine headache. Which of the subjective data is likely to be obtained either from the health history or during the physical examination to support the diagnosis?
• Which diagnostic test is most helpful for confirming multiple sclerosis?
• For a patient with Parkinson's disease during meals, which practice supports safety and accuracy of swallowing?
• After a concussion, which is the earliest sign of increased intracranial pressure?
• What CPP level is generally considered adequate to maintain cerebral blood flow?
• Which Glasgow Coma Scale motor score corresponds to localizing to pain?
• In head injury evaluation, which test should not be performed if there is an indication of increased intracranial pressure?
• Preparing a client for MRI: which statement should the nurse include?
• Why is a narcotic not typically given for a tension-type headache?
• Which mental status examination data item is most representative of orientation?
• Who should sign the client's informed consent for a procedure when the client lacks capacity and there is a durable power of attorney?
• In home instructions for a client with epilepsy, which safety tip should be included?
• Which strategy supports safety while preserving independence in dementia care?
• In suspected viral encephalitis, which antiviral is used if HSV suspected?
• Client with Huntington's disease: Which assessment findings should the nurse expect to find?
• How does viral encephalitis typically present and how is it treated?
• A client is taking ginkgo biloba, ginger, and garlic. The nurse should inform the client these herbal preparations can cause which medication interaction?
• Which cranial nerve is primarily responsible for eye movements and pupil constriction?
• A client is 6 days post craniotomy for removal of an intracerebral aneurysm. Which sign would most indicate increasing intracranial pressure?
• A nurse is contributing to the plan of care for a client experiencing headaches following administration of spinal anesthesia for spinal surgery. Which action is appropriate?
• Demyelination of the myelin sheath throughout the brain stem, spinal cord, optic nerves and cerebrum causing destruction of the myelin sheath. What disease is this?
• Which findings constitute the Cushing triad indicating late-stage intracranial hypertension?
• An external ventricular drain (EVD) is best described as:
• Which cognitive change is associated with Huntington's disease?
• What characterizes neurogenic shock after spinal cord injury?
• Which electrolyte abnormality is most likely with chronic loop diuretic (Lasix) use?
• Which item is included in the plan for a patient with seizure disorder?
• In Parkinson's disease, which gait pattern is most characteristic?
• In dealing with a patient with Parkinson\'s disease, bradykinesia is commonly accompanied by which symptom?
• Early manifestations of increased intracranial pressure can include which of the following?
• What is the initial empiric antibiotic regimen for suspected bacterial meningitis in adults?
• A client who has Parkinson's Disease is experiencing bradykinesia. Which finding should the nurse expect?
• Which statement best differentiates delirium from dementia in neuro patients?
• Which of the following are the clinical criteria for determining brain death?
• A client who is beginning Lasix therapy: which laboratory value is priority to monitor?
• Which statement about dementia prognosis should the nurse include in teaching?
• Which component of the nervous system must be preserved to ensure safe mealtime in Parkinson's disease?
• Which medication is used to increase the level of dopamine in patients with Parkinson's disease?
• Which action should be included in the plan of care for a client with dementia?
• What is autonomic dysreflexia and when does it occur?
• For a client at risk of increased ICP, which finding indicates rising pressure and the need to assess cranial nerves?
• Taste sensation from the anterior two-thirds of the tongue is carried by which cranial nerve?
• During a tonic-clonic seizure, what is the first action a nurse should take to ensure safety?
• In myasthenia gravis, which finding is the highest priority for the nurse to monitor?
• Which finding indicates Diabetes Insipidus in a head injury patient?
• Why is early rehabilitation important after stroke or brain injury?
• What is the general BP management approach in acute intracerebral hemorrhage?
• Which statement best reflects post-procedure nursing care for lumbar puncture?
• What is the typical first-line pharmacologic therapy for Parkinson disease and its mechanism?
• Which of the following describes key seizure precautions and first-line rescue medications in the hospital?
• Headache due to brain tumors is often described as which feature?
• CT head with contrast: which statement indicates understanding of the teaching?
• After a head injury, which finding would be most urgent to report?
• The nurse finds the client in a seizure. After lowering the client to the floor, which action should the nurse take first?
• Diabetes insipidus laboratory finding most consistent with the condition?
• Which prophylaxis is typically used to prevent venous thromboembolism in neuro patients, and when is it contraindicated?
• The nurse is dealing with a dementia patient. What should the nurse include in teaching?
• A nurse is caring for 4 clients in a neurologic ICU. After receiving the handoff report, which of the clients should the nurse see first?
• In mealtime care for a patient with Parkinson's disease, which action best reduces aspiration risk?
• In myasthenia gravis, which statement describes the pattern of weakness with activity?
• During an acute relapse of multiple sclerosis, which symptom is most likely?
• What are the hallmark motor symptoms of Parkinson disease?
• Which cranial nerve controls tongue movement?
• Name common contraindications to lumbar puncture.
• Which symptom after lumbar puncture would require immediate medical evaluation?
• Cytotoxic edema is primarily associated with which condition?
• Newly diagnosed myasthenia gravis patient starting neostigmine. Which instruction should the nurse include regarding dosing?
• In neuro patients with brain injuries, hospice/end-of-life care focuses on what?
• Which statement about dementia progression is most accurate?
• Before a myelogram, which instruction demonstrates understanding of pre-procedure preparation?
• Which of the following is a standard seizure precaution?
• A nurse is providing morning hygiene care for a client with Alzheimer's disease. The client becomes agitated. Which action should the nurse take?
• What is the pathophysiology and common treatment for myasthenia gravis?
• After a seizure, which position is recommended to prevent aspiration?
• Which are essential elements of post-craniotomy nursing care?
• A client with Alzheimer's disease who is confused: which action should the nurse take?
• Taste sensation from the posterior third of the tongue is carried by which cranial nerve?
• What are typical features of amyotrophic lateral sclerosis and prognosis?
• A nurse caring for a client with myasthenia gravis knows that the medical and nursing care for this client includes all the following interventions. Which is a primary treatment to improve neuromuscular transmission?
• Caring for a client who takes Lasix: which adverse effect should the nurse monitor for?
• Which are classes of disease-modifying therapies used in multiple sclerosis?
• For a Parkinson's patient during meals, which practice is appropriate to reduce choking risk?
• In acute intracerebral hemorrhage, lowering BP is to minimize hematoma expansion while maintaining cerebral perfusion.
• A patient has difficulty discerning the position of his body without looking at it. Which term describes the inability to assess the spatial position of the body?
• Which adjunct is given with antibiotics in suspected bacterial meningitis to reduce inflammation?
• A 45-year-old patient with myasthenia gravis is brought to the emergency room. Which statement would you assess first in the initial assessment?
• What parameter is routinely monitored to guide CSF drainage and assess brain status when an EVD is in place?
• Which of the following is included in a mental status examination?
• How is status epilepticus defined?
• What pupillary change is commonly seen with transtentorial (uncal) herniation?
• Which finding indicates diabetes insipidus in a craniotomy patient?
• Which swallowing technique is recommended to help prevent aspiration for a patient with myasthenia gravis during swallowing?
• Which cranial nerve controls tongue movement essential for swallowing?
• Which statement correctly describes the first-line treatment for tension headaches?
• Which statement best describes the doll's eye reflex in coma assessment?
• A patient with myasthenia gravis should have which assessment focused on respiratory status?
• What is the NIH Stroke Scale used for?
• On the Glasgow Coma Scale, a verbal response score of 5 indicates the patient is...
• Which cranial nerve function should be checked to monitor for signs of increasing ICP?
• A client is admitted to the emergency with Parkinson's disease. Which statement by the daughter would support the diagnosis?
• During an initial assessment in a long-term care facility for a client with dementia, which observation should the nurse include in the mental status evaluation?
• A 49-year-old with myasthenia gravis indicates poor understanding of myasthenic crisis. Which statement indicates poor understanding?
• Which scenario would contraindicate IV thrombolysis?
• What is the preferred class of medication for management of myasthenia gravis?
• Which statement best ensures accurate brain death determination?
• Which aspect would you document as part of affect in a dementia patient?
• Restless following a traumatic brain injury with increased intracranial pressure: which action is appropriate?
• Describe Guillain-Barré syndrome and its critical management.
• How does EEG contribute to evaluating coma or altered mental status?
• Which statement best describes the Monroe-Kellie doctrine in relation to intracranial pressure?
• Which intervention can assist a patient with Parkinson's during meals?
• Perfusion imaging in late-window thrombectomy identifies salvageable tissue.
• A client has a Glasgow Coma Scale with eye opening 3, verbal 5, motor 5. Which conclusion is most appropriate based on eye opening score?
• Which action is appropriate when caring for a client with Alzheimer's disease who becomes agitated during morning hygiene?
• A client has a lumbar puncture procedure. Which position should the client be placed in?
• Which symptom best suggests hydrocephalus?
• A client has had a lumbar puncture. Which action by the nurse is appropriate?
• For a client with multiple sclerosis who is starting baclofen, which instruction should the nurse include?
• What is the purpose of dexamethasone in brain tumor-related edema?
• In a client with myasthenia gravis, which finding would indicate a myasthenic crisis requiring urgent action?
• A client on lamotrigine presents with which finding that warrants withholding and notifying provider?
• Which finding should prompt withholding lamotrigine due to a serious reaction?
• In acute ischemic stroke with large vessel occlusion, mechanical thrombectomy is recommended within up to 24 hours in select patients per perfusion imaging; sooner is better.
• Which components are included in the Glasgow Coma Scale?
• For which finding should the nurse withhold lamotrigine and notify the provider? (Side effect)
• A patient with early stage of dementia is oriented to name and place and usually cooperative. What is the appropriate nursing action if they refuse their medications?
• Which cranial nerve is responsible for hearing and balance?
• MRI safety: which statement reflects accurate safety considerations?
• Which manifestation is a physical sign of acute pain in a client with severe dementia and a fractured femur?
• Which observation would most clearly indicate confusion in a hospitalized older adult with dementia?
• When an external ventricular drain is in place, which description accurately reflects the recommended level and monitoring?
• Post-concussion syndrome typically lasts for
• Vasogenic edema is extracellular fluid accumulation due to disruption of the blood-brain barrier; which conditions are typical?
• For a client with epilepsy who drives, which safety guideline is recommended?
• In plan of care for craniotomy, which intervention should nurse include?
• In planning care after a lumbar puncture, which intervention helps prevent post-procedure complications?
• Which cranial nerve has a motor component that innervates the muscles used for chewing?
• Progression of Alzheimer's disease is commonly divided into four stages. By the time the person reaches the third stage, which characteristics are most likely to be exhibited?
• Which symptom of Parkinson's disease is most likely to respond to carbidopa-levodopa therapy?
• A toddler is to have a lumbar puncture. Which positioning is appropriate?
• Compare mannitol and hypertonic saline in managing cerebral edema.
• Which of the following is a major risk factor for intracerebral hemorrhage?
• Which description best characterizes Wernicke (receptive) aphasia?
• A nurse is assessing a client who is recovering from a cerebral angiography via the right femoral artery. Which assessment should the nurse complete?
• A patient has Parkinson's Disease and gets nauseated. Which food to take?
• Distinguish decorticate vs decerebrate posturing and what each implies.
• In early-stage dementia, the patient is oriented to name and place and usually cooperative. Which statement best describes this stage?
• A patient is receiving an osmotic diuretic. Which nursing intervention should the nurse implement for a client receiving this type of medication?
• Which response demonstrates therapeutic communication when a dementia patient refuses medication?
• Which are common first-line anticonvulsants used in acute seizures?
• Which of the following represents early clinical signs of increasing intracranial pressure?
• Which of the following is a hallmark motor manifestation of Parkinson's disease?
• In brain death testing, the apnea test is performed to determine:
• Lumbar puncture: which nursing observation would be of most concern?
• Which tool is used to assess level of consciousness in a patient with brain injury?
• What is the Glasgow Coma Scale used for in neuro assessment?
• During assessment of motor response to painful stimuli, which response is within normal limits?
• A nurse is caring for a patient taking sumatriptan for migraines who reports that she is positive for pregnancy. What is the appropriate nursing action?
• For brain death determination, why must confounding factors be ruled out?
• A nurse is contributing to the plan of care of a patient with dementia. Which of the following is appropriate to include in the plan of care?
• A nurse delegates care for a UAP. Which statement is appropriate when delegating care for a client with CN II (optic nerve) impairment?
• The corneal blink reflex is mediated by which cranial nerves for afferent and efferent respectively?
• How is traumatic brain injury severity categorized by GCS?
• How does multiple sclerosis typically present and what is a key diagnostic feature?
• Which cranial nerve provides sensory information to the face and controls chewing muscles?
• What is the primary goal of disease-modifying therapies in multiple sclerosis?
• A nurse is reinforcing discharge teaching for a client with multiple sclerosis. Which instruction should the nurse include?
• A client with increased intracranial pressure demonstrates decorticate posturing. Which finding would the nurse expect?
• A nurse assesses a client with a neurological condition who reports difficulty chewing. Which cranial nerve is most likely affected?
• Which CSF profile is typical of acute bacterial meningitis?
• A nurse is caring for patient with dementia whose family says they wander at night. Nursing action?
• Gross incoordination when walking is documented as which neurologic finding?
• Which food is appropriate for a nauseated patient with Parkinson\'s disease?
• A nurse assesses a client with Parkinson's disease during mealtime. Which action is inappropriate?
• During a lumbar puncture, what is the recommended patient position?
• Which set of symptoms is commonly seen with a brain tumor?
• Which cranial nerve is involved in swallowing and taste?
• How should fever after craniotomy be evaluated to distinguish infection from other etiologies?
• Which intervention is most appropriate to reduce intracranial pressure in a client after a closed head injury?
• Post-craniotomy care: which nursing action is a priority to monitor for potential complications?
• Which of the following is a common cause of intracerebral hemorrhage?