Medical-Surgical II (MSII) Neuro 1 Practice Test

These questions are part of the practice quiz. Start practicing

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