HESI LPN · HESI Neurological System Assessment Questions
Question 1 of 78
A nurse is preparing a client for an MRI. Which factor would exclude the client from the test?
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Question 2 of 78
Which disease or disorder is characterized by demyelination of cells within the CNS, inflammation, and development of scar tissue?
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Question 3 of 78
Which of the following intracranial surgeries involves the repair of a defect in a cranial bone?
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Question 4 of 78
When assessing for signs of a stroke, the nurse should be alert for:
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Question 5 of 78
A 75 year-old retired short-order cook presents to the office for evaluation of weakness. He has a history of hypertension; he stopped taking his medication a few months ago because he couldn't tell that it was making a difference and it was too expensive. On physical examination, his blood pressure is 220/110 mm Hg. He has deviation of the tongue to the left side. Which cranial nerve would have to be affected for this finding to be present?
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Question 6 of 78
If an individual has an inability to initiate speech or respond to speech with anything other than simple words is known as
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Question 7 of 78
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) Which of the following might reduce KL's metabolic requirements?
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Question 8 of 78
Which of the following methods would best help the nurse determine the degree of a traumatic musculoskeletal injury?
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Question 9 of 78
When Mr. Singer is discharged he should know that, at home, he can best relieve the pain and early morning stiffness after a night's sleep by
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Question 10 of 78
What drug therapy is included for acute migraine and cluster headaches that appears to alter the pathophysiologic process for these headaches?
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Question 11 of 78
Where does the superior cerebral vein lie?
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Question 12 of 78
Pathological reflex, occurred in central paralysis (upper motor neuron lesion) is the following:
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Question 13 of 78
A young patient with a fractured femur has a hip spica cast applied. While the cast is drying, what should the nurse do?
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Question 14 of 78
To assess cranial nerve II (Optic nerve), the nurse should:
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Question 15 of 78
Which finding indicates that the physician should be notified for a patient with Paget's disease?
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Question 16 of 78
A health care provider diagnoses a patient with a plantar wart. What should the nurse know about this kind of abnormality?
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Question 17 of 78
A patient with Parkinson's disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene?
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Question 18 of 78
A 74-year-old patient has had PD for 8 years and is currently taking carbidopa/levodopa 25/100 mg one and a half tablets five times a day. His medical history is also significant for pancytopenia. He is experiencing troublesome hallucinations. Previous attempts to lower his carbidopa/levodopa dose were not tolerated due to significant worsening of motor symptoms. The best recommendation is to add:
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Question 19 of 78
A client who underwent an amputation a week ago still feels an itching sensation or a dull pain in the missing limb. Which of the following nursing actions would help the client in getting relief?
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Question 20 of 78
Corneal sensation synapses in which ganglion?
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Question 21 of 78
While Susan's medication is being adjusted, the priority goal for her care would be
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Question 22 of 78
Priority Decision: The patient was in a traffic collision and is experiencing loss of function below C4. Which effect must the nurse be aware of to provide priority care for the patient?
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Question 23 of 78
A patient with newly diagnosed SLE asks the nurse how the disease will affect her life. What is the best response the nurse can give the patient?
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Question 24 of 78
The incidence of ischemic stroke in patients with TIAs and other risk factors is reduced with the administration of which medication?
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Question 25 of 78
The patient who had a stroke needs to be fed. What instruction should you give to the nursing assistant who will feed the patient?
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Question 26 of 78
The following are true about acetylcholine:
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Question 27 of 78
The nursing diagnosis of a patient with periarteritis nodosa may include which one of the following?
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Question 28 of 78
Priority Decision: When planning care for the patient with trigeminal neuralgia, which patient outcome should the nurse set as the highest priority?
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Question 29 of 78
What medications act to reduce the breakdown of L-dopa outside the blood-brain barrier?
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Question 30 of 78
Mr. Hall enjoys all the following activities while he is in the hospital. Which one will LEAST prepare him for crutch walking?
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Question 31 of 78
Priority Decision: A patient with severe ulnar deviation of the hands undergoes an arthroplasty with reconstruction and replacement of finger joints. Postoperatively, what is it most important for the nurse to do?
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Question 32 of 78
When evaluating a patient's gait, the nurse should:
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Question 33 of 78
Which of these is true of the Sabin but NOT the Salk polio vaccine?
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Question 34 of 78
Parkinson's disease can be confirmed by
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Question 35 of 78
In report, the nurse is told that the patient has a contracture of the right arm. What does the nurse know this means?
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Question 36 of 78
________ contain only afferent fibers, long dendrites of sensory neurons.
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Question 37 of 78
Which lobe is primarily responsible for hearing and language?
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Question 38 of 78
A patient with a metastatic tumor of the spinal cord is scheduled for removal of the tumor by a laminectomy. In planning postoperative care for the patient, what should the nurse recognize?
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Question 39 of 78
Which of the following is a branch of the maxillary nerve?
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Question 40 of 78
Which of the following values is considered normal for ICP?
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Question 41 of 78
Until doctor's orders are received, the most appropriate position for Mr. Jones is lying
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Question 42 of 78
A patient with a lack of oxygen to his heart will have pain in his chest and possibly in the shoulder, arms, or jaw. The nurse knows that the best explanation why this occurs is which one of these statements?
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Question 43 of 78
The nurse is caring for a patient who has impaired functioning of the left glossopharyngeal (IX) nerve and the vagus (X) nerve. What intervention should the nurse plan to maintain the patient's safety while diagnostic testing is being completed?
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Question 44 of 78
The effect of neurotransmitters may be:
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Question 45 of 78
The lumbar plexus
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Question 46 of 78
A patient with an extracapsular hip fracture is admitted to the orthopedic unit and placed in Buck's traction. The nurse explains to the patient that the purpose of the traction is to do what?
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Question 47 of 78
What does the nurse know this patient will need help with?
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Question 48 of 78
How does lateral inhibition work to specify individual neurons in the neural epithelium of invertebrates and vertebrates?
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Question 49 of 78
A patient with a spinal cord injury is unable to perspire below the level of the injury during the period of spinal shock, which may result in
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Question 50 of 78
Cerebral palsy affects neurons in which part of the body?
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Question 51 of 78
A patient opens the eyes to painful stimuli, makes incomprehensible sounds, and withdraws from pain. What should the nurse calculate this patient's Glasgow Coma Scale score to be?
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Question 52 of 78
What is the first sign or symptom that occurs with increased intracranial pressure?
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Question 53 of 78
Which of the following symptoms should the nurse observe in a client who is in the midstage of Lyme disease?
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Question 54 of 78
In the lens:
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Question 55 of 78
A client with multiple sclerosis (MS) is receiving baclofen (Lioresal). The nurse determines that the drug is effective when it achieves which of the following?
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Question 56 of 78
A 39-year-old female presents with progressive weakness in her shoulders and hips over a period of two months. She states that getting up from a chair, climbing a flight of stairs, combing her hair, and picking up her groceries have become increasingly difficult. Family history is significant for colon cancer in her father, and systemic lupus erythematosus in the mother. Creatine kinase and LDH is elevated on laboratory testing. On physical examination, an erythematous rash in the periorbital region is seen. Mild swelling is noted in the small joints of the hand. Muscle tenderness is elicited upon palpation of the shoulders and hips. 4-/5 strength is appreciated in the deltoid, and hip. Which of the following is the best treatment for her symptoms?
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Question 57 of 78
Which drug that prevents binding of the tumor necrosis factor and inhibits the inflammatory response is used in the management of RA?
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Question 58 of 78
A nurse counsels a patient diagnosed with body dysmorphic disorder. Which nursing diagnosis would be a priority for the plan of care?
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Question 59 of 78
Doll's head phenomenon:
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Question 60 of 78
Nurse Martinez is preparing to conduct an initial assessment of Mrs. Smith, a 66-year-old woman admitted with Parkinson's Disease. As part of her preparation, Nurse Martinez reviews the patient's medication, specifically levodopa. She considers the primary action of this medication in the management of Parkinson's Disease. What should Nurse Martinez identify as the main effect of levodopa?
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Question 61 of 78
The retinal pigment epithelium (RPE):
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Question 62 of 78
The ability to walk along a straight line is most often impaired with:
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Question 63 of 78
The presence of anosmia suggests damage to the following cranial nerve:
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Question 64 of 78
Which nerves are attached to the brain and emerge from the skull?
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Question 65 of 78
The Central Nervous System is made up of the:
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Question 66 of 78
Which one of the following describes saltatory conduction:
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Question 67 of 78
Which of the following is/are type(s) of neurons?
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Question 68 of 78
The nurse is planning care for a client with multiple sclerosis. Which intervention would address the nursing diagnosis of Fatigue?
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Question 69 of 78
An adult female patient presents with new-onset diplopia (double vision), altered balance, numbness on one side of the face, and urinary and bowel incontinence. Which finding is consistent with the suspected diagnosis?
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Question 70 of 78
What is the function of the dendrite?
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Question 71 of 78
Which of the following is not a target of a sympathetic preganglionic fiber?
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Question 72 of 78
The primary factor in determining choice of anticonvulsant medication is
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Question 73 of 78
How should the nursing assistant respond when a patient with a below-the-knee amputation asks about prostheses during morning care?
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Question 74 of 78
Which of the following is a less disabling form of HIV dementia?
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Question 75 of 78
Which kind of drug would have anti-anxiety effects?
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Question 76 of 78
To evaluate a patient's deep tendon reflexes, the nurse should:
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Question 77 of 78
The nurse is reviewing the vital sign measurements for a patient with a neurological problem. When analyzing these measurements, what should the nurse recall as the part of the brain that regulates heart rate and blood pressure?
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Question 78 of 78
The nerve that contains sensory fibers that are involved in hearing is:
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