Neurology

The patient presents to the clinic for a check-up and is noted to have a temperature of 35.2°C. The patient denies being feeling cold or hot, recent illnesses, or prolonged exposure to the cold. The nurse suspects further testing will reveal a lesion in which area of the brain?

The patient is brought to the emergency department (ED) with sudden onset blindness and deafness. The patient is being guided in by his wife but is walking well. The nurse suspects the patient is experiencing which condition?

The patient is brought to the emergency department (ED) after hitting their head during a fall. The patient does not arouse when their name is called, but opens the eyes and attempts to remove the hand that is pinching him. Once aroused, the patient responds with, “Bubble,” when asked what year it is. The nurse records the patient’s mental status using the Glasgow Coma Scale as which number? Enter your response using a whole number.

Following a motor vehicle accident, the patient is brought via ambulance to the emergency department (ED). The patient is unconscious during the mental status exam. The nurse attempts to arouse the patient by calling her name, but the patient does not respond. Following a firm sternal rub, the patient’s flexes the arms into the chest and moans. The nurse documents the patient’s Glasgow Coma Scale score as which number? Enter your response using a whole number.

The patient’s father is observed pressing the patient’s patient-controlled analgesia (PCA) pump while the patient is asleep. The nurse attempts to arouse the patient, who only opens the eyes after being pinched. Once aroused, the patient is able to raise the hand upon request. When asked what the year is, the patient responds with the previous year. The nurse reports the patient’s condition to the provider with which number on the Glasgow Coma Scale? Enter your response using a whole number.

The nurse tests which cranial nerves to assess for increased intracranial pressure? Select all that apply.

During a comprehensive physical assessment, the nurse instructs the patient to stand still with the eyes closed. After a few seconds, the patient begins to sway and the nurse guides the patient into the chair. How does the nurse document this finding?

The nurse is preparing the patient for a computed tomography (CT) scan of the brain following a blow to the head. Which instruction does the nurse give the patient?

The patient with severe anxiety and claustrophobia is administered intravenous midazolam prior to an outpatient magnetic resonance imaging (MRI) scan of the brain. The nurse informs the patient’s companion that the patient can leave at which time following the procedure?

The patient with epilepsy is observed to be staring off into the distance and cannot be aroused from this state for roughly a minute. The nurse documents which type of seizure in the patient?

The patient currently undergoing emergency aspiration of an intracranial hematoma after a construction site accident has a nursing diagnosis of risk for contractures related to immobility. The nurse plans postoperative care to include which intervention to achieve the expected outcome associated with this nursing diagnosis?

The patient is recovering from a lower spinal cord injury that has resulted in paraplegia and lack of sensation below the umbilicus. Which instruction is most important to help the patient protect skin integrity?

The patient has right-sided hemiplegia following a cerebrovascular accident. Interventions to prevent which complication are the priority of care?

Which medication may be prescribed for the treatment of anorexia and cachexia related to cancer?

The 7-year-old child who has been diagnosed with which respiratory condition will have normal breath sounds?

While reviewing the patient’s chart in preparation for admission to the intensive care unit, the nurse learns the patient is exhibiting ataxic breathing. Which pattern does the nurse expect to observe in the patient?

The patient suddenly begins slurring. The nurse assesses the patient for additional symptoms of which condition?

The nurse is caring for the patient on methadone treatment as an outpatient. The provider has ordered a dose of methadone that is far higher than what the nurse has ever administered. Which action by the nurse is appropriate?

Which statement describes the mechanism of action of erenumab (Aimovig)?

About which expected side effect does the nurse educate the patient prescribed colchicine for treatment of gout?

The patient with seizures has been prescribed carbamazepine (Tegretol). Which medication, if found on the patient's current medication list, prompts the nurse to hold the medication and contact the provider for clarification?

The public health nurse is planning an informational session about recognizing the signs of Alzheimer’s disease in a loved one. Which initial signs of the disease does the nurse include in the presentation? Select all that apply.

The nurse is providing education to the patient’s spouse regarding the patient’s new diagnosis of Alzheimer’s disease. Which statement indicates the teaching was successful?

The nurse is planning care for the patient with moderate Alzheimer’s disease. Which expected outcomes does the nurse include? Select all that apply.

The home health nurse is evaluating the home life of a patient with mild Alzheimer’s disease. The nurse provides reeducation to the family if which action is observed?

The nurse receives report on the patient with amyotrophic lateral sclerosis (ALS) and anticipates to observe which symptoms in the patient? Select all that apply.

Which symptom does the nurse recognize as the first sign of amyotrophic lateral sclerosis?

The nurse is evaluating the patient with amyotrophic lateral sclerosis. Which symptom is most concerning?

The nurse is helping the patient with amyotrophic lateral sclerosis to select food for a meal. Which meal choice is appropriate?

The patient presents to the emergency department (ED) complaining of a severe headache that has not responded to nonsteroidal anti-inflammatory drugs, caffeine, hydration, or rest. The patient also reports transient syncope and weakness of the right side of the body. During the initial assessment, the patient becomes increasingly confused. The nurse prepares the patient for which test?

Which term is used to describe this visual field test result?

The patient has the following visual field test for the left eye in which the black spots represent where the patient cannot see. Which interpretation of the test result is correct?

The patient has been diagnosed with an arteriovenous malformation (AVM) and is scheduled to undergo surgery in the morning. Which nursing intervention is the most important to promote safety in the patient?

The patient with arteriovenous malformation who takes a monoamine oxidase inhibitor for depression develops an upper respiratory infection. The nurse requests a prescription for which medication?

The patient presents to the emergency department (ED) with unilateral facial paralysis. Comprehensive testing rules out cerebrovascular accident. The nurse prepares the patient for which test?

The nurse is providing education to the patient with Bell’s palsy. Which instruction does the nurse give the patient to promote safety?

Which statement by the patient indicates a need for further teaching about the new diagnosis of Bell’s palsy?

The patient with migraines undergoes an MRI and is found to have a cerebral aneurysm in the Circle of Willis. The nurse is vigilant for which symptoms that would indicate the patient is experiencing a life-threatening complication of the cerebral aneurysm? Select all that apply.

The triage nurse is assessing patients in the emergency department (ED). Which patient is seen first?

The nurse suspects Guillain-Barré syndrome in the patient with weakness that started in which location?

The patient with ascending weakness that began in the legs undergoes a lumbar puncture for evaluation of the cerebrospinal fluid (CSF). Which CSF results are consistent with a diagnosis of Guillain-Barré syndrome?

The nurse is caring for a patient with Guillain-Barré syndrome. The patient has an order for a pureed diet. Which assessment prompts the nurse to clarify the order with the provider?

The 5-year-old patient has been prescribed phenytoin for the treatment of seizures. Which statement by the patient’s mother prompts the nurse to contact the provider for an alternative prescription?

The patient presents to the emergency department (ED) with flu-like symptoms and mucocutaneous erythematous rash and bullae formation over 38% of the body. The nurse asks the patient if which medications had been taken in the last month? Select all that apply.

The nurse in the long-term care facility is assessing a new resident who has Parkinson's disease. The nurse usually explains which group activities are available during the intake interview. Which communication technique is most helpful for the nurse to utilize with this resident?

The nurse questions which drug prescribed to a patient also receiving carbamazepine for psychomotor seizures?

The patient is brought to the emergency department (ED) after being found on the floor in the garage by his wife. His right cheek balloons with each expiration and his right leg drags when he walks. While being assisted to the magnetic resonance imaging suite, the patient’s facial drooping resolves and he no longer walks with a limp. Which action does the nurse take first?

The patient is hospitalized following a cerebrovascular accident (CVA). The patient calls out to report a sudden, pounding headache. Which assessments are the priority? Select all that apply.

The nurse has received orders for the patient admitted following a hemorrhagic stroke and clarifies orders for which medications? Select all that apply.

The patient has been unconscious for 36 hours after a massive stroke. The nurse enters the room to see the unlicensed assistive personnel (UAP) cleaning the patient after an episode of fecal incontinence. The UAP states, “I can’t imagine not even being able to clean myself. What a sad existence.” Which response by the nurse is most appropriate?