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NCLEX & CGFNS Practice Questions

Below are recent practice questions under UNIT 1 -Medical-Surgical Nursing for Neurological Disorders. You can view your scores and the answers to all the questions by clicking on the SHOW RESULT red button at the end of the question.

1. The nurse correctly explains to a client’s family that the reason a stroke on the right side of the brain results in paralysis on the left side of the body is because the pyramidal pathways cross over at the end of which of the following?

 
 
 
 

2. The nurse is caring for a client who is experiencing a seizure. Which of the following is a PRIORITY nursing action?

 
 
 
 

3. The nurse enters the room as the client is beginning to have a tonic-clonic seizure. What action should the nurse implement first?

 
 
 
 

4. The nurse is teaching a class on the prevention of cerebrovascular accidents. Which of the following risk factors should the nurse identify as the most important factor contributing to a stroke?

 
 
 
 

5. A client is admitted with the diagnosis of meningitis. Which of the following assessments would the nurse expect to find in assessing this client?

 
 
 
 

6. The nurse is caring for a client with an unstable spinal cord injury at the T7 level. Which of the following interventions should take PRIORITY in planning care?

 
 
 
 

7. The nurse is caring for a client diagnosed with an epidural hematoma. Which nursing interventions should the nurse implement? Select all that apply.

 
 
 
 
 

8. A nurse is working with family members of a newly diagnosed client with Alzheimer’s disease. Which of the following interventions is MOST helpful?

 
 
 
 

9. A client is unconscious following a tonic-clonic seizure. What should the nurse do FIRST?

 
 
 
 

10. The client is admitted to the medical floor with a diagnosis of closed head injury. Which nursing intervention has priority?

 
 
 
 

11. The nurse should implement which of the following methods of assisting during a seizure? Select all that apply:

 
 
 
 
 
 

12. How should a nurse caring for an elderly client with receptive and expressive aphasia communicate with the client? Select all that apply.

 
 
 
 
 
 

13. A client with spinal cord injury is at risk for experiencing autonomic dysreflexia. The nurse would carefully monitor for which of the following manifestations?

 
 
 
 

14. Which of the following should be obtained from a client PRIOR to having electroconvulsive therapy?

 
 
 
 

15. Which findings should indicate to a nurse that a traumatic brain injury has resulted in brain death? Select all that apply.

 
 
 
 
 

16. The nurse is caring for a client following a motor vehicle accident. During the neurological assessment when eliciting the client’s response to pain, the client pulls his arms inward and upward. This position represents: (Select all that apply.)

 
 
 
 
 


 

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