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NCLEX Practice Exam for Neurologic System 1
NCLEX Exam

NCLEX Practice Exam for Neurologic System 1

Practice Mode

Welcome to your NCLEX Practice Exam for Neurologic System 1! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

✔ Exam Details

  • Number of Questions: 30 items
  • Mode: Practice Mode

✔ Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Think about which drug classification is responsible for blocking the parasympathetic nervous system's effects, particularly in the eyes.

1 / 30

1. Nurse Davis is caring for Mrs. Reynolds, a female client who is experiencing symptoms such as periorbital aching, tearing, blurred vision, and photophobia in her right eye. After an ophthalmologic examination reveals acute iris inflammation (iritis), the physician prescribes atropine sulfate (Atropisol), two drops of 0.5% solution in the affected eye twice daily. To which drug classification does atropine sulfate belong?

💡 Hint

Consider the primary function of the hypothalamus in maintaining homeostasis within the body.

2 / 30

2. Nurse Stevens is caring for Mr. Thompson, who recently suffered a cerebrovascular accident (CVA) affecting the hypothalamus. As she assesses his condition, Nurse Stevens is aware that damage to this area could lead to difficulties in which of the following functions?

💡 Hint

Think about which behavior best demonstrates the client’s awareness and proactive approach to preventing complications related to paralysis.

3 / 30

3. Nurse Kelly is working with Ms. Adams, a female patient who has paralysis on her left side. Ms. Adams has been participating in physical therapy and attending sessions focused on safety education. Which of Ms. Adams' behaviors suggests that she fully comprehends the safety precautions necessary for her condition?

💡 Hint

Think about how corticosteroids like dexamethasone help in reducing inflammation and immune response in ocular tissues.

4 / 30

4. Nurse Carter is providing care to an auto mechanic who has sustained a corneal injury after accidentally splashing battery acid in his eyes. After receiving initial irrigation and emergency care, the physician prescribes dexamethasone (Maxidex Ophthalmic Suspension), two drops of 0.1% solution to be instilled into the conjunctival sacs of both eyes every hour, along with polymyxin B sulfate (Neosporin Ophthalmic) 0.5% ointment every 3 hours. How does dexamethasone achieve its therapeutic effect?

💡 Hint

Think about which medication would most effectively reduce the potential stimulation and stress that could elevate ICP during suctioning.

5 / 30

5. Nurse Williams is caring for Mrs. Taylor, who was admitted after a car accident and now shows symptoms of increased intracranial pressure (ICP). As part of her care, Mrs. Taylor is intubated and placed on mechanical ventilation. Before performing suctioning, Nurse Williams plans to administer a specific drug endotracheally to prevent a further rise in ICP. Which drug should she choose?

💡 Hint

Maintaining adequate oxygenation and ventilation is the top priority in trauma care, especially for a comatose patient. Consider the basics of airway, breathing, and circulation (ABCs) when prioritizing care.

6 / 30

6. Nurse Franklin is preparing to receive a 27-year-old iron worker who was brought to the emergency department after falling from a two-story building. The emergency medical technicians report that the patient has a large contusion on his left chest, a hematoma in the left parietal area, a compound fracture of the left femur, and is comatose. The patient has been intubated and is maintaining an arterial oxygen saturation of 92% with a manual-resuscitation bag. What should Nurse Franklin prioritize first?

💡 Hint

Consider the approach that provides support and guidance while also promoting the client's ability to eat.

7 / 30

7. Nurse Thompson is caring for Mrs. Wallace, a female client with Alzheimer’s disease who has been having trouble with her nutritional intake. To support Mrs. Wallace in getting enough nutrition, what should Nurse Thompson do?

💡 Hint

Focus on the part of the eye responsible for detecting color.

8 / 30

8. Nurse Patel is assessing Mr. Brown, a male client diagnosed with color blindness. The nurse recognizes that color blindness is associated with an issue in which part of the eye?

💡 Hint

Consider the medication's primary effect on muscles and what side effects might arise as a result.

9 / 30

9. Nurse Smith is monitoring a patient who has been prescribed dantrolene (Dantrium) and is vigilant for any adverse reactions. Which adverse reaction is most frequently associated with this medication?

💡 Hint

Focus on activities that could increase pressure or stress on the ear during the healing period.

10 / 30

10. Nurse Adams is caring for Mr. Stevens, who has just undergone a stapedectomy to treat conductive hearing loss due to ankylosis of the stapes. What post-operative instruction should Nurse Adams provide to Mr. Stevens?

💡 Hint

Consider how the mechanism of action of pyridostigmine might exacerbate certain gastrointestinal conditions.

11 / 30

11. Nurse Evans is preparing to administer pyridostigmine (Mestinon) to a patient recently diagnosed with myasthenia gravis. Before giving this medication, Nurse Evans reviews the patient's medical history. Which of the following preexisting conditions would make pyridostigmine use inappropriate?

💡 Hint

Consider which finding could indicate a serious neurological complication that requires immediate attention following spinal surgery.

12 / 30

12. Nurse Patel is caring for a client who is on their second postoperative day following a lumbar laminectomy. While assessing the client, Nurse Patel knows that one particular finding could indicate a complication and should be considered abnormal. Which finding is this?

💡 Hint

Think about the systemic effects of atropine, particularly on the cardiovascular system.

13 / 30

13. Nurse Johnson is observing a male patient who has been administered atropine sulfate (Atropine Care) eyedrops. If the medication is systemically absorbed through the conjunctiva, which adverse reaction is most likely to occur?

💡 Hint

Consider the time frame in which diazepam’s effects are evaluated before a second dose might be safely administered if the seizures persist.

14 / 30

14. Nurse Collins is attending to Mr. Lewis, a male client recently admitted with a seizure disorder who has now developed status epilepticus. After administering the initial dose of diazepam (Valium) 10 mg I.V. as ordered, Nurse Collins is prepared to administer a second dose if necessary and prescribed. When is the soonest she can do this?

💡 Hint

Think about diazepam's use in managing conditions related to increased muscle tone and spasms, particularly those connected to neurological issues.

15 / 30

15. Nurse Taylor is reviewing the medication plan for Mr. Johnson, a male patient with a history of painful, continuous muscle spasms who has not responded to other skeletal muscle relaxants. His physician has prescribed diazepam (Valium), 2 mg orally twice daily. Besides relieving muscle spasms, diazepam is also recommended for:

💡 Hint

The correct method involves moving the patient's head to observe the eye movement in response to head rotation.

16 / 30

16. Nurse Ellis is assessing a female patient who was found unconscious and brought to the hospital. While in the ICU, Nurse Ellis checks the patient's oculocephalic (doll’s eye) reflex. How should Nurse Ellis perform this assessment?

💡 Hint

Consider the implications of myasthenia gravis on neuromuscular function and how it might affect the administration of these medications.

17 / 30

17. Nurse Rivera is reviewing the medical chart of a female patient diagnosed with myasthenia gravis. When considering the use of neuromuscular blocking agents for this patient, which of the following statements is accurate?

💡 Hint

Think about the classic triad of symptoms associated with Ménière's disease, particularly those related to the ear.

18 / 30

18. Nurse Lee is assessing Ms. Parker, a female patient admitted for evaluation of balance and coordination issues, with a potential diagnosis of Ménière’s disease. Which symptoms should Nurse Lee anticipate finding in this patient?

💡 Hint

Think about which function is most directly assessed through questions and observations during a mental status examination.

19 / 30

19. Nurse Harris is conducting a mental status examination on Mr. Daniels, a male client diagnosed with a subdural hematoma. This assessment is focused on evaluating which specific aspect of his condition?

💡 Hint

Decerebrate posturing is associated with a specific area of the brainstem that plays a crucial role in motor control and reflexes.

20 / 30

20. Nurse Thompson is evaluating a female patient brought to the emergency department after being trapped in a car for hours following a head-on collision. During the neurological assessment, the patient exhibits decerebrate posturing in response to painful stimuli. This response suggests damage to which part of the brain?

💡 Hint

Consider which condition poses the most immediate threat to life in a patient with a cervical spine injury.

21 / 30

21. Nurse Roberts is caring for Mr. Williams, a male patient admitted with a cervical spine injury from a diving accident. When developing his care plan, which nursing diagnosis should Nurse Roberts prioritize above all others?

💡 Hint

Consider the intervention that could increase the risk of worsening intracranial pressure in a patient with head trauma.

22 / 30

22. Nurse Kelly is treating an 18-year-old male who was admitted to the emergency department after falling from a ladder and hitting his head on a tree. He is currently unconscious with nonreactive pupils. Nurse Kelly must carefully choose interventions, knowing that one of them could be especially harmful to his condition. Which intervention should she avoid?

💡 Hint

Consider the term that describes a circular or "helicopter-like" movement of the feet during walking.

23 / 30

23. Nurse Daniels is evaluating Mr. Thompson, a male client in the emergency department who may have a neurological disorder. When asked to walk a few steps, Mr. Thompson's feet create a half-circle motion with each step. How should Nurse Daniels document this type of gait?

💡 Hint

Consider symptoms that result from the demyelination of nerves and are common in multiple sclerosis.

24 / 30

24. Nurse Anderson is assessing a 36-year-old patient who has been diagnosed with multiple sclerosis. Which of the following symptoms is the nurse most likely to observe in this patient?

💡 Hint

Pay attention to the abbreviation "OU" (both eyes) and "q.i.d." (four times daily) in the prescription.

25 / 30

25. Nurse Taylor is educating Mr. Johnson, who has been diagnosed with open-angle glaucoma, on how to correctly administer his prescribed eye drops. The physician has prescribed pilocarpine ophthalmic solution (Pilocar), 0.25% gtt i, OU q.i.d. How should Mr. Johnson or a family member be instructed to administer the medication?

💡 Hint

Think about the visual disturbances that are typically associated with retinal detachment.

26 / 30

26. Nurse Jordan is gathering the health history of Mr. Adams, a male client who is suspected of having a retinal detachment. She is attentive to the symptoms that Mr. Adams might describe, which could indicate this condition. What is he most likely to report?

💡 Hint

Consider the seriousness of a severe headache in the context of a cerebral aneurysm and the potential for rapid deterioration.

27 / 30

27. Nurse Carter is attending to a male patient diagnosed with a cerebral aneurysm who suddenly reports experiencing a severe headache. What should Nurse Carter do first?

💡 Hint

Think about the precautions necessary to prevent the spread of bacterial infections in a hospital setting.

28 / 30

28. Nurse Taylor is admitting a 23-year-old patient diagnosed with bacterial meningitis. To ensure proper infection control, which hospital room would be most appropriate for this patient?

💡 Hint

Consider which diagnosis is most immediately life-threatening and critical to address first.

29 / 30

29. Nurse Lee is caring for Mr. Thompson, a client experiencing a Parkinson’s crisis. As she prioritizes his care, Nurse Lee knows which nursing diagnosis should take the highest priority. What should she identify as the most critical concern?

💡 Hint

Think about the cranial nerves that control the muscles involved in swallowing and the gag reflex.

30 / 30

30. Nurse Williams is monitoring a female patient recovering from a cerebrovascular accident (CVA) who is currently on NPO status to prevent aspiration. To determine when the patient can safely start a liquid diet, Nurse Williams assesses the patient’s swallowing ability each shift. This assessment primarily involves evaluating which cranial nerves?

Exam Mode

Welcome to your NCLEX Practice Exam for Neurologic System 1! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

✔ Exam Details

  • Number of Questions: 30 items
  • Mode: Exam Mode

✔ Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 45 minutes.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career.

 

Click 'Start Exam' when you're ready to begin. Good luck!

1 / 30

1. Nurse Carter is attending to a male patient diagnosed with a cerebral aneurysm who suddenly reports experiencing a severe headache. What should Nurse Carter do first?

2 / 30

2. Nurse Rivera is reviewing the medical chart of a female patient diagnosed with myasthenia gravis. When considering the use of neuromuscular blocking agents for this patient, which of the following statements is accurate?

3 / 30

3. Nurse Carter is providing care to an auto mechanic who has sustained a corneal injury after accidentally splashing battery acid in his eyes. After receiving initial irrigation and emergency care, the physician prescribes dexamethasone (Maxidex Ophthalmic Suspension), two drops of 0.1% solution to be instilled into the conjunctival sacs of both eyes every hour, along with polymyxin B sulfate (Neosporin Ophthalmic) 0.5% ointment every 3 hours. How does dexamethasone achieve its therapeutic effect?

4 / 30

4. Nurse Kelly is working with Ms. Adams, a female patient who has paralysis on her left side. Ms. Adams has been participating in physical therapy and attending sessions focused on safety education. Which of Ms. Adams' behaviors suggests that she fully comprehends the safety precautions necessary for her condition?

5 / 30

5. Nurse Collins is attending to Mr. Lewis, a male client recently admitted with a seizure disorder who has now developed status epilepticus. After administering the initial dose of diazepam (Valium) 10 mg I.V. as ordered, Nurse Collins is prepared to administer a second dose if necessary and prescribed. When is the soonest she can do this?

6 / 30

6. Nurse Ellis is assessing a female patient who was found unconscious and brought to the hospital. While in the ICU, Nurse Ellis checks the patient's oculocephalic (doll’s eye) reflex. How should Nurse Ellis perform this assessment?

7 / 30

7. Nurse Johnson is observing a male patient who has been administered atropine sulfate (Atropine Care) eyedrops. If the medication is systemically absorbed through the conjunctiva, which adverse reaction is most likely to occur?

8 / 30

8. Nurse Franklin is preparing to receive a 27-year-old iron worker who was brought to the emergency department after falling from a two-story building. The emergency medical technicians report that the patient has a large contusion on his left chest, a hematoma in the left parietal area, a compound fracture of the left femur, and is comatose. The patient has been intubated and is maintaining an arterial oxygen saturation of 92% with a manual-resuscitation bag. What should Nurse Franklin prioritize first?

9 / 30

9. Nurse Lee is assessing Ms. Parker, a female patient admitted for evaluation of balance and coordination issues, with a potential diagnosis of Ménière’s disease. Which symptoms should Nurse Lee anticipate finding in this patient?

10 / 30

10. Nurse Stevens is caring for Mr. Thompson, who recently suffered a cerebrovascular accident (CVA) affecting the hypothalamus. As she assesses his condition, Nurse Stevens is aware that damage to this area could lead to difficulties in which of the following functions?

11 / 30

11. Nurse Lee is caring for Mr. Thompson, a client experiencing a Parkinson’s crisis. As she prioritizes his care, Nurse Lee knows which nursing diagnosis should take the highest priority. What should she identify as the most critical concern?

12 / 30

12. Nurse Davis is caring for Mrs. Reynolds, a female client who is experiencing symptoms such as periorbital aching, tearing, blurred vision, and photophobia in her right eye. After an ophthalmologic examination reveals acute iris inflammation (iritis), the physician prescribes atropine sulfate (Atropisol), two drops of 0.5% solution in the affected eye twice daily. To which drug classification does atropine sulfate belong?

13 / 30

13. Nurse Williams is monitoring a female patient recovering from a cerebrovascular accident (CVA) who is currently on NPO status to prevent aspiration. To determine when the patient can safely start a liquid diet, Nurse Williams assesses the patient’s swallowing ability each shift. This assessment primarily involves evaluating which cranial nerves?

14 / 30

14. Nurse Evans is preparing to administer pyridostigmine (Mestinon) to a patient recently diagnosed with myasthenia gravis. Before giving this medication, Nurse Evans reviews the patient's medical history. Which of the following preexisting conditions would make pyridostigmine use inappropriate?

15 / 30

15. Nurse Anderson is assessing a 36-year-old patient who has been diagnosed with multiple sclerosis. Which of the following symptoms is the nurse most likely to observe in this patient?

16 / 30

16. Nurse Taylor is reviewing the medication plan for Mr. Johnson, a male patient with a history of painful, continuous muscle spasms who has not responded to other skeletal muscle relaxants. His physician has prescribed diazepam (Valium), 2 mg orally twice daily. Besides relieving muscle spasms, diazepam is also recommended for:

17 / 30

17. Nurse Thompson is evaluating a female patient brought to the emergency department after being trapped in a car for hours following a head-on collision. During the neurological assessment, the patient exhibits decerebrate posturing in response to painful stimuli. This response suggests damage to which part of the brain?

18 / 30

18. Nurse Roberts is caring for Mr. Williams, a male patient admitted with a cervical spine injury from a diving accident. When developing his care plan, which nursing diagnosis should Nurse Roberts prioritize above all others?

19 / 30

19. Nurse Patel is assessing Mr. Brown, a male client diagnosed with color blindness. The nurse recognizes that color blindness is associated with an issue in which part of the eye?

20 / 30

20. Nurse Harris is conducting a mental status examination on Mr. Daniels, a male client diagnosed with a subdural hematoma. This assessment is focused on evaluating which specific aspect of his condition?

21 / 30

21. Nurse Kelly is treating an 18-year-old male who was admitted to the emergency department after falling from a ladder and hitting his head on a tree. He is currently unconscious with nonreactive pupils. Nurse Kelly must carefully choose interventions, knowing that one of them could be especially harmful to his condition. Which intervention should she avoid?

22 / 30

22. Nurse Jordan is gathering the health history of Mr. Adams, a male client who is suspected of having a retinal detachment. She is attentive to the symptoms that Mr. Adams might describe, which could indicate this condition. What is he most likely to report?

23 / 30

23. Nurse Williams is caring for Mrs. Taylor, who was admitted after a car accident and now shows symptoms of increased intracranial pressure (ICP). As part of her care, Mrs. Taylor is intubated and placed on mechanical ventilation. Before performing suctioning, Nurse Williams plans to administer a specific drug endotracheally to prevent a further rise in ICP. Which drug should she choose?

24 / 30

24. Nurse Patel is caring for a client who is on their second postoperative day following a lumbar laminectomy. While assessing the client, Nurse Patel knows that one particular finding could indicate a complication and should be considered abnormal. Which finding is this?

25 / 30

25. Nurse Daniels is evaluating Mr. Thompson, a male client in the emergency department who may have a neurological disorder. When asked to walk a few steps, Mr. Thompson's feet create a half-circle motion with each step. How should Nurse Daniels document this type of gait?

26 / 30

26. Nurse Smith is monitoring a patient who has been prescribed dantrolene (Dantrium) and is vigilant for any adverse reactions. Which adverse reaction is most frequently associated with this medication?

27 / 30

27. Nurse Taylor is admitting a 23-year-old patient diagnosed with bacterial meningitis. To ensure proper infection control, which hospital room would be most appropriate for this patient?

28 / 30

28. Nurse Taylor is educating Mr. Johnson, who has been diagnosed with open-angle glaucoma, on how to correctly administer his prescribed eye drops. The physician has prescribed pilocarpine ophthalmic solution (Pilocar), 0.25% gtt i, OU q.i.d. How should Mr. Johnson or a family member be instructed to administer the medication?

29 / 30

29. Nurse Adams is caring for Mr. Stevens, who has just undergone a stapedectomy to treat conductive hearing loss due to ankylosis of the stapes. What post-operative instruction should Nurse Adams provide to Mr. Stevens?

30 / 30

30. Nurse Thompson is caring for Mrs. Wallace, a female client with Alzheimer’s disease who has been having trouble with her nutritional intake. To support Mrs. Wallace in getting enough nutrition, what should Nurse Thompson do?

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