Medical-Surgical II (MSII) Neuro 1 Practice Test

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