Welcome to your NCLEX reviewer and practice questions quiz for neurological disorders. This nursing test bank will test your competence in the nursing care of patients with neurological disorders such as cerebrovascular accident (stroke), seizures, spinal cord injuries, and more! This quiz aims to help students and registered nurses alike grasp and master the concepts of neurological disorders.
Neurological Disorders Nursing Test Banks
This section is the practice questions for neurological disorders. This nursing test bank set includes 150 NCLEX-style practice questions divided into three parts. Question content of these nursing test banks includes nursing care management of patients with neurological disorders such as stroke, multiple sclerosis, seizures, traumatic brain injury, spinal cord injuries, and more. Get a deep dive understanding of each question by reading our comprehensive rationale. Use these questions as an alternative to Quizlet or ATI.
Quizzes included in this guide are:
- Neurological Disorders NCLEX Practice | Quiz #1: 50 Questions
- Neurological Disorders NCLEX Practice | Quiz #2: 50 Questions
- Neurological Disorders NCLEX Practice | Quiz #3: 50 Questions
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Neurological Disorders NCLEX Practice | Quiz #3: 50 Questions
This is the last set of NCLEX practice questions for neurological disorders! Good job if you have made it this far!
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Question 1 of 50
An 18-year-old client is admitted with a closed head injury sustained in a MVA. His intracranial pressure (ICP) shows an upward trend. Which intervention should the nurse perform first?CorrectIncorrect
Question 2 of 50
A client with a subarachnoid hemorrhage is prescribed a 1,000-mg loading dose of Dilantin IV. Which consideration is most important when administering this dose?CorrectIncorrect
Question 3 of 50
A client with head trauma develops a urine output of 300 ml/hr, dry skin, and dry mucous membranes. Which of the following nursing interventions is the most appropriate to perform initially?CorrectIncorrect
Question 4 of 50
When evaluating an ABG from a client with a subdural hematoma, the nurse notes the PaCO2 is 30 mm Hg. Which of the following responses best describes this result?CorrectIncorrect
Question 5 of 50
A client who had a transsphenoidal hypophysectomy should be watched carefully for hemorrhage, which may be shown by which of the following signs?CorrectIncorrect
Question 6 of 50
After a hypophysectomy, vasopressin is given IM for which of the following reasons?CorrectIncorrect
Question 7 of 50
A client comes into the ER after hitting his head in an MVA. He’s alert and oriented. Which of the following nursing interventions should be done first?CorrectIncorrect
Question 8 of 50
A client with a C6 spinal injury would most likely have which of the following symptoms?CorrectIncorrect
Question 9 of 50
A 30-year-old was admitted to the progressive care unit with a C5 fracture from a motorcycle accident. Which of the following assessments would take priority?CorrectIncorrect
Question 10 of 50
While in the ER, a client with C8 tetraplegia develops a blood pressure of 80/40, pulse 48, and RR of 18. The nurse suspects which of the following conditions?CorrectIncorrect
Question 11 of 50
A client is admitted with a spinal cord injury at the level of T12. He has limited movement of his upper extremities. Which of the following medications would be used to control edema of the spinal cord?CorrectIncorrect
Question 12 of 50
A 22-year-old client with quadriplegia is apprehensive and flushed, with a blood pressure of 210/100 and a heart rate of 50 bpm. Which of the following nursing interventions should be done first?CorrectIncorrect
Question 13 of 50
A client with a cervical spine injury has Gardner-Wells tongs inserted for which of the following reasons?CorrectIncorrect
Question 14 of 50
Which of the following interventions describes an appropriate bladder program for a client in rehabilitation for spinal cord injury?CorrectIncorrect
Question 15 of 50
A client who is admitted to the ER for head trauma is diagnosed with an epidural hematoma. The underlying cause of epidural hematoma is usually related to which of the following conditions?CorrectIncorrect
Question 16 of 50
A 23-year-old client has been hit on the head with a baseball bat. The nurse notes clear fluid draining from his ears and nose. Which of the following nursing interventions should be done first?CorrectIncorrect
Question 17 of 50
When discharging a client from the ER after
- An interval when the client’s speech is garbled.
head trauma, the nurse teaches the guardian to observe for a lucid interval. Which of the following statements best describes a lucid interval?CorrectIncorrect
Question 18 of 50
Which of the following clients on the rehab unit is most likely to develop autonomic dysreflexia?CorrectIncorrect
Question 19 of 50
Which of the following conditions indicates that spinal shock is resolving in a client with C7 quadriplegia?CorrectIncorrect
Question 20 of 50
A nurse assesses a client who has episodes of autonomic dysreflexia. Which of the following conditions can cause autonomic dysreflexia?CorrectIncorrect
Question 21 of 50
During an episode of autonomic dysreflexia in which the client becomes hypertensive, the nurse should perform which of the following interventions?CorrectIncorrect
Question 22 of 50
A client with a T1 spinal cord injury arrives at the emergency department with a BP of 82/40, pulse 34, dry skin, and flaccid paralysis of the lower extremities. Which of the following conditions would most likely be suspected?CorrectIncorrect
Question 23 of 50
A client has a cervical spine injury at the level of C5. Which of the following conditions would the nurse anticipate during the acute phase?A. Absent corneal reflex.CorrectIncorrect
Question 24 of 50
A client with C7 quadriplegia is flushed and anxious and complains of a pounding headache. Which of the following symptoms would also be anticipated?CorrectIncorrect
Question 25 of 50
A 40-year-old paraplegic must perform intermittent catheterization of the bladder. Which of the following instructions should be given?CorrectIncorrect
Question 26 of 50
An 18-year-old client was hit in the head with a baseball during practice. When discharging him to the care of his mother, the nurse gives which of the following instructions?CorrectIncorrect
Question 27 of 50
Which neurotransmitter is responsible for many of the functions of the frontal lobe?CorrectIncorrect
Question 28 of 50
The nurse is discussing the purpose of an electroencephalogram (EEG) with the family of a client with massive cerebral hemorrhage and loss of consciousness. It would be most accurate for the nurse to tell family members that the test measures which of the following conditions?CorrectIncorrect
Question 29 of 50
A client arrives at the ER after slipping on a patch of ice and hitting her head. A CT scan of the head shows a collection of blood between the skull and dura mater. Which type of head injury does this finding suggest?CorrectIncorrect
Question 30 of 50
After falling 20’, a 36-year-old man sustains a C6 fracture with spinal cord transaction. Which other findings should the nurse expect?CorrectIncorrect
Question 31 of 50
A 20-year-old client who fell approximately 30’ is unresponsive and breathless. A cervical spine injury is suspected. How should the first-responder open the client’s airway for rescue breathing?CorrectIncorrect
Question 32 of 50
The nurse is caring for a client with a T5 complete spinal cord injury. Upon assessment, the nurse notes flushed skin, diaphoresis above the T5, and a blood pressure of 162/96. The client reports a severe, pounding headache. Which of the following nursing interventions would be appropriate for this client? Select all that apply.CorrectIncorrect
Question 33 of 50
The client with a head injury has been urinating copious amounts of dilute urine through the Foley catheter. The client’s urine output for the previous shift was 3000 ml. The nurse implements a new physician order to administer:CorrectIncorrect
Question 34 of 50
The nurse is caring for the client in the ER following a head injury. The client momentarily lost consciousness at the time of the injury and then regained it. The client now has lost consciousness again. The nurse takes quick action, knowing this is compatible with:CorrectIncorrect
Question 35 of 50
The nurse is caring for a client who suffered a spinal cord injury 48 hours ago. The nurse monitors for GI complications by assessing for:CorrectIncorrect
Question 36 of 50
A client with a spinal cord injury is prone to experiencing autonomic dysreflexia. The nurse would avoid which of the following measures to minimize the risk of recurrence?CorrectIncorrect
Question 37 of 50
The nurse is planning care for the client in spinal shock. Which of the following actions would be least helpful in minimizing the effects of vasodilation below the level of the injury?CorrectIncorrect
Question 38 of 50
The nurse is caring for a client admitted with spinal cord injury. The nurse minimizes the risk of compounding the injury most effectively by:CorrectIncorrect
Question 39 of 50
The nurse is evaluating neurological signs of the male client in spinal shock following spinal cord injury. Which of the following observations by the nurse indicates that spinal shock persists?CorrectIncorrect
Question 40 of 50
A client with a spinal cord injury suddenly experiences an episode of autonomic dysreflexia. After checking the client’s vital signs, list in order of priority, the nurse’s actions (Number 1 being the first priority and number 5 being the last priority).
Contact the physician.
Administer an antihypertensive medication.
Raise the head of the bed.
Loosen tight clothing on the client.
Check for bladder distention.
Question 41 of 50
A client is at risk for increased ICP. Which of the following would be a priority for the nurse to monitor?CorrectIncorrect
Question 42 of 50
Which of the following respiratory patterns indicate increasing ICP in the brain stem?CorrectIncorrect
Question 43 of 50
Which of the following nursing interventions is appropriate for a client with an ICP of 20 mm Hg?CorrectIncorrect
Question 44 of 50
A client has signs of increased ICP. Which of the following is an early indicator of deterioration in the client’s condition?CorrectIncorrect
Question 45 of 50
A client who is regaining consciousness after a craniotomy becomes restless and attempts to pull out her IV line. Which nursing intervention protects the client without increasing her ICP?CorrectIncorrect
Question 46 of 50
Which of the following describes decerebrate posturing?CorrectIncorrect
Question 47 of 50
A client receiving vent-assisted mode ventilation begins to experience cluster breathing after recent intracranial occipital bleeding. Which action would be most appropriate?CorrectIncorrect
Question 48 of 50
In planning the care for a client who has had a posterior fossa (infratentorial) craniotomy, which of the following is contraindicated when positioning the client?CorrectIncorrect
Question 49 of 50
A client has been pronounced brain dead. Which findings would the nurse assess? Select all that apply.CorrectIncorrect
Question 50 of 50
A 23-year-old patient with a recent history of encephalitis is admitted to the medical unit with new onset generalized tonic-clonic seizures. Which nursing activities included in the patient’s care will be best to delegate to an LPN/LVN whom you are supervising?CorrectIncorrect
Recommended books and resources for your NCLEX success:
Saunders Comprehensive Review for the NCLEX-RN
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Saunders Q & A Review for the NCLEX-RN® Examination
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NCLEX-RN Prep Plus by Kaplan
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7 thoughts on “Neurological Disorders (Stroke, Seizures, CVA) NCLEX Practice Quiz (150 Questions)”
Thanks, sir. Really the best preparation on NURSESLABS
The practice quizzes are great help.
They helped me prepare for the exam
This is the best practice test I’ve ever taken since my 1.5 years of being in nursing school. Correlates very well with my PowerPoint and really hits the high points.
Thank you for these informative practice questions. One thing though, question 49 is unclear. I suggest maybe review the wording, I found it confusing in trying to understand what the question was asking.
God bless you great for the good teaching