The following occur in response to a major surgery:
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ATI RN · NCLEX Questions for Neurological System
Question 2 of 80
Each cerebral hemisphere is divided into ________ lobes, ________ of which have the same name as the bone over them.
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Question 3 of 80
It is important for the nurse to maintain proper pin care for which of the following methods of treating a fracture?
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Question 4 of 80
As the community health nurse, you meet with Mrs. Rollo 1 week after discharge. She complains to you of increasing joint pain and stiffness despite adherence to the discharge plan for medication therapy and heat treatments. Which of the following aspects would you initially want to evaluate?
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Question 5 of 80
To prevent strain on Mr. Tucker's back muscles, which nursing action is INAPPROPRIATE?
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Question 6 of 80
The athlete comes to the clinic with bursitis. What does the nurse know happens to the tissue to cause pain when bursitis occurs?
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Question 7 of 80
A 40 year old man suffered a whiplash injury to his neck and now complains of pain along the lateral aspect of his left forearm, and there is weakness of his left biceps. What is the most likely cause of his symptoms?
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Question 8 of 80
Which statement concerning the areas of the brain is true?
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Question 9 of 80
A patient with paraplegia has developed an irritable bladder with reflex emptying. What will be most helpful for the nurse to teach the patient?
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Question 10 of 80
A 65-year-old patient has undergone a right total hip arthroplasty with a cemented prosthesis for treatment of severe osteoarthritis of the hip. What is included in the activity the nurse anticipates for the patient on the patient's first or second postoperative day?
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Question 11 of 80
Which finding should the nursing assistant report immediately for a patient with a fractured fibula receiving skeletal traction?
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Question 12 of 80
Patients with a history of osteoporosis have an increased risk for
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Question 13 of 80
The vital centers for the control of visceral activities such as heart rate, breathing, blood pressure, swallowing, and vomiting are located in the:
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Question 14 of 80
When planning range-of-motion exercises with Mrs. Iris, which exercises for the right leg would it be important for her to perform?
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Question 15 of 80
The patient with migraine headaches has a seizure. After the seizure, which action can you delegate to the nursing assistant?
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Question 16 of 80
Which number represents the medulla oblongata? (Figure 3)
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Question 17 of 80
Which of the following activity-related strategies would a nurse teach a client who is going home?
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Question 18 of 80
Which assessment finding best supports the diagnosis of dissociative amnesia with fugue? The patient states:
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Question 19 of 80
To attain the goal of ambulation for the patient who is hemiplegic the initial care plan needs to be structured to first attain
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Question 20 of 80
Myotome of shoulder abduction?
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Question 21 of 80
During neurologic assessment of the older adult, what should the nurse expect to find?
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Question 22 of 80
A 65-year-old patient with PD is experiencing moderate dyskinesias that are bothersome. The patient is on carbidopa/levodopa 25/100 mg two tablets at 7 AM and one tablet at 11 AM, 2 PM, 5 PM, 8 PM, and 11 PM. Which of the following is most appropriate:
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Question 23 of 80
Which of the following is NOT a common symptom of Encephalitis which refers to infections that cause an inflammation of the brain resulting from the direct infection of the brain by a virus:
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Question 24 of 80
Anti-diuretic hormone (ADH):
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Question 25 of 80
A client with a disease of the bones is beginning to feel better. Which of the following critical instructions should a nurse provide this client at this stage?
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Question 26 of 80
A client admitted with an exacerbation of multiple sclerosis is demonstrating frustration with eating because hand and arm spasms prevent the proper use of utensils. What should the nurse do to assist this client?
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Question 27 of 80
What does a positive Babinski sign in an adult suggest?
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Question 28 of 80
In discharge planning with Mrs. Post, it will be important to teach her to avoid exposure to the sun because
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Question 29 of 80
Which of the following actions should the nurse first take if a client with spinal cord injury at T3 complains of a sudden severe headache, nasal congestion, flushed skin, and goose-bumps?
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Question 30 of 80
The client diagnosed with an acute exacerbation of multiple sclerosis is placed on high-dose intravenous injections of corticosteroid medication. Which nursing intervention should be implemented?
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Question 31 of 80
Which of the following might indicate a problem with the patient's sensory system?
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Question 32 of 80
How can the nurse assist the patient and family in coping with the long-term effects of a stroke?
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Question 33 of 80
How is leprosy primarily transmitted from person to person?
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Question 34 of 80
What advice must the nurse give to prevent recurrence of insect bites?
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Question 35 of 80
Nursing students are doing a class presentation on stroke. What is the term they would use for deficits in articulation?
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Question 36 of 80
When assessing the patient's ability to perform fine motor tasks, the nurse should:
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Question 37 of 80
In providing care for the patient, what is most important for the nurse to do?
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Question 38 of 80
The fifth cranial nerve supplies
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Question 39 of 80
A glove-&-stocking pattern of sensory disturbance usually develops with disease in:
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Question 40 of 80
During the physical assessment of the patient with early to moderate RA, what should the nurse expect to find?
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Question 41 of 80
A 30-year-old female presents with muscle weakness in the lower extremities and palpitations. Her symptoms have been progressively worse over the course of a 2 weeks. She reports to be in great health, but had a period of abdominal pain and diarrhea approximately 5 weeks ago. Her temperature is 98.9 deg F (37.2 deg C), blood pressure 117/82 mmHg, pulse is 102/min, and respirations are 16/min. On physical exam, there is 4-/5 muscle strength throughout the lower extremities. Bilateral patellar reflexes are 1+ and ankle reflexes are absent. Lumbar puncture was performed, and results are pending. Part 1: What is the most likely diagnosis?
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Question 42 of 80
When utilizing the Glasgow Coma Scale, the nurse knows coma will be represented by a score of
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Question 43 of 80
What are the two branches of the autonomic nervous system?
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Question 44 of 80
Which of these patients in the neurologic ICU will be best to assign to an RN who has floated from the medical unit?
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Question 45 of 80
What causes an initial incomplete spinal cord injury to result in complete cord damage?
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Question 46 of 80
What should the nurse teach the patient recovering from an episode of acute low back pain?
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Question 47 of 80
An 18 year-old college freshman presents to the emergency room for evaluation of fever, headache, and neck stiffness. On physical examination, the patient is resting quietly and has a flushed face. His vital signs are as follows: temperature, 104 F; pulse, 110 bpm; and BP, 105/70. He has no rashes. During the physical examination, you flex the patient's neck and his hips and knees flex in response, indicating a meningeal irritation. The name of this positive sign is:
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Question 48 of 80
Which structure is encircled by the circle of Willis?
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Question 49 of 80
The autonomic nervous system includes any of the following EXCEPT:
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Question 50 of 80
To assess the Glasgow Coma Scale (GCS), the nurse needs to evaluate:
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Question 51 of 80
Nurse Parker is overseeing the care of a patient with Parkinson's disease who has been consistently taking carbidopa/levodopa (Sinemet) for a year. She is attentively monitoring for any potential adverse reactions associated with this specific medication. Which adverse reaction should Nurse Parker be particularly vigilant about in monitoring this patient?
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Question 52 of 80
Which of the following are the parts of neurons?
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Question 53 of 80
Immediately after an action potential is propagated, which one of the following ions rapidly diffuses out of the cell into the tissue fluid:
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Question 54 of 80
A new patient arrived in a physician's unit. He or she has been diagnosed with a brain tumor. The physician is told that the patient is unable to speak. Based on this sign, where is the tumor located?
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Question 55 of 80
KL is a 34-year-old male admitted to the hospital (large trauma center) after suffering a traumatic brain injury (TBI) secondary to a serious motor vehicle accident. He was in excellent health prior to the accident. HT: 6'2" WT: 190 pounds (86 kg) What is the best means of determining KL's caloric needs while in the hospital?
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Question 56 of 80
When the nurse shines a light in a patient's left pupil, both of the pupils constrict. What type of response should the nurse document?
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Question 57 of 80
The patient with apraxia cannot:
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Question 58 of 80
A patient reports nearly having a motor vehicle crash and states that his heart was pounding and he was breathing heavy and fast. Currently, the patient's heart rate and breathing are within normal limits. Which neurotransmitter has resumed control after the patient's incident?
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Question 59 of 80
A squid axon is placed on stimulating electrodes, and an intracellular electrode is inserted and connected through a cathode-ray oscilloscope (CRO) to an indifferent electrode. When the axon is stimulated, the latent period is 1.5 ms. The intracellular electrode is 6 cm form the anode of the simulator and 4.5 cm from the cathode of the simulator. What is the conduction velocity of the axon.
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Question 60 of 80
The action potential pattern that appears on the oscilloscope screen is caused by rapid ________.
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Question 61 of 80
Acetylcholine is a neurotransmitter that provides for communication between muscles and nerves. When there is a problem with the interaction between acetylcholine and the acetylcholine receptor sites on the muscles, which condition(s) can occur?
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Question 62 of 80
An important nursing intervention for the patient with ankylosing spondylitis is to teach the patient to do what?
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Question 63 of 80
Testosterone is to ________ as estrogen is to ________.
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Question 64 of 80
Which part of the brain produces the neurotransmitter dopamine?
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Question 65 of 80
Which of the following statements about axon-guidance is TRUE?
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Question 66 of 80
Which treatment modality should a nurse recommend to help a patient diagnosed with somatic symptom disorder cope more effectively?
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Question 67 of 80
In the 2000 film 'Memento' the lead character, Leonard is unable to form new memories as a result of an earlier head injury caused by an assailant. This is known as:
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Question 68 of 80
Schizophrenia and Parkinson's disease are both linked to changes in which neurotransmitter?
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Question 69 of 80
Which assessment question will the nurse practitioner ask a patient with a history of migraines currently prescribed oral sumatriptan (Imitrex) for treatment?
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Question 70 of 80
Which type of fiber could be considered the longest?
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Question 71 of 80
The nursing assistant reports to you, the RN, that the patient with myasthenia gravis (MG) has an elevated temperature (102.2°F), heart rate of 120/minute, rise in blood pressure (158/94), and was incontinent of urine and stool. What is your best first action at this time?
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Question 72 of 80
The job of the Nervous System is:
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Question 73 of 80
A patient is brought to the emergency department with an injured lower left leg following a fall while rock climbing. The nurse identifies the presence of a fracture based on what cardinal sign of fracture?
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Question 74 of 80
Which nervous system structure is associated with control of hunger?
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Question 75 of 80
During assessment of a patient with dementia, the nurse determines that the condition is potentially reversible when finding out what about the patient?
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Question 76 of 80
On observation of the patient, the nurse notes the presence of a gait disturbance. How should the nurse further evaluate the patient?
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Question 77 of 80
The nurse suspects a fat embolism rather than a pulmonary embolism from a venous thrombosis when the patient with a fracture develops what?
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Question 78 of 80
A drug that affects both divisions of the autonomic system is going to bind to, or block, which type of neurotransmitter receptor?
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Question 79 of 80
The effect of glucagon include:
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Question 80 of 80
Joe asks the nurse why he must be turned every 2 hours. The nurse explains that he is susceptible to developing decubitus ulcers primarily because
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