Nursing Care of Patients with Neurological Disorders: Comprehensive Learning Quizzes

Question 1

Which of the following neurological signs is a potential indicator of an intracranial bleed?

Accepted Answer

Pupil dilation

Answer

Hemiplegia

Answer

Babinski reflex

Answer

Hyperreflexia

Question 2

When assessing a patient with a suspected Guillain-Barré syndrome, which of the following findings would be most concerning?

Accepted Answer

Difficulty breathing

Answer

Weakness in the lower extremities

Answer

Numbness and tingling in the hands

Answer

Headache

Question 3

Which of the following medications is a first-line anticonvulsant?

Accepted Answer

Phenytoin

Answer

Warfarin

Answer

Digoxin

Answer

Propranolol

Question 4

Which of the following is a common risk factor for developing a deep vein thrombosis (DVT) in a patient with a neurological disorder?

Accepted Answer

Prolonged immobilization

Answer

Obesity

Answer

Smoking

Answer

Diabetes

Question 5

When assessing a patient with a stroke, which of the following findings would indicate involvement of the right hemisphere?

Accepted Answer

Neglect of the left side

Answer

Left-sided facial droop

Answer

Right-sided weakness

Answer

Aphasia

Question 6

When administering thrombolytics for acute ischemic stroke, which ethical principle is of utmost importance?

Accepted Answer

Respecting patient autonomy through informed consent

Answer

Assessing the risk of cerebral edema

Answer

Considering patient age and health status

Answer

Documenting vital signs and neurological status

Question 7

What is the primary cause of a cerebrovascular accident (CVA)?

Accepted Answer

Sudden loss of blood flow to the brain

Answer

Progressive damage to brain cells

Answer

Uncontrolled electrical activity in the brain

Answer

Infection of the brain and spinal cord

Question 8

Which type of seizure is characterized by a sudden loss of consciousness and violent muscle contractions?

Accepted Answer

Grand mal seizure

Answer

Absence seizure

Answer

Myoclonic seizure

Answer

Tonic seizure

Question 9

What is the priority nursing intervention for a patient experiencing a grand mal seizure?

Accepted Answer

Protect the patient from injury by cushioning their head and body.

Answer

Administer anticonvulsant medication imediatamente.

Answer

Restrain the patient to prevent movement.

Answer

Elevate the patient's legs to reduce blood pressure.

Question 10

Which of the following is the primary nursing priority when caring for a patient with a traumatic brain injury?

Accepted Answer

Maintaining a patent airway and ensuring adequate oxygenation.

Answer

Monitoring neurological status closely.

Answer

Administering antibiotics to prevent infection.

Answer

Providing emotional support to the patient and their family.

Question 11

What is the Glasgow Coma Scale used to assess?

Accepted Answer

Level of consciousness and neurological function.

Answer

Vital signs and oxygen saturation.

Answer

Pain intensity and discomfort.

Answer

Motor function and coordination.

Question 12

What is the recommended position for a patient with a spinal cord injury?

Accepted Answer

Supine with head of bed slightly elevated to maintain spinal alignment.

Answer

Prone with head down to promote drainage.

Answer

Seated with legs elevated to prevent pressure sores.

Answer

Semi-Fowler's position to facilitate breathing.

Question 13

What is the primary goal of nursing care for a patient with Guillain-Barré syndrome?

Accepted Answer

Maintaining respiratory function and preventing complications.

Answer

Preventing skin breakdown and promoting comfort.

Answer

Managing pain and improving mobility.

Answer

Providing emotional support and educating the patient.

Question 14

Which of the following is NOT a典型 symptom associated with increased intracranial pressure?

Accepted Answer

Constipation

Answer

Headache

Answer

Nausea

Answer

Blurred vision

Question 15

When administering seizure medications to a patient, which route of administration is most effective and rapid in onset?

Accepted Answer

Intravenous

Answer

Intramuscular

Answer

Oral

Answer

Subcutaneous

Question 16

Which type of stroke is characterized by a sudden loss of blood flow to a part of the brain?

Accepted Answer

Ischemic stroke

Answer

Hemorrhagic stroke

Answer

Transient ischemic attack (TIA)

Answer

Subarachnoid hemorrhage (SAH)

Question 17

Which of the following nursing diagnoses is most appropriate for a patient with a neurogenic bladder?

Accepted Answer

Altered urinary elimination

Answer

Impaired skin integrity

Answer

Risk for falls

Answer

Ineffective coping

Question 18

Which of the following is the most critical nursing intervention when administering anticonvulsants to a patient with a seizure disorder?

Accepted Answer

Monitoring the patient's seizure activity closely.

Answer

Tapering the medication gradually over several days.

Answer

Administering the medication at the same time each day.

Answer

Educating the patient on the importance of seizure precautions.

Question 19

Which of the following is an early sign of increased intracranial pressure (ICP)?

Accepted Answer

Dilated pupils

Answer

Bradycardia

Answer

Hyperthermia

Answer

Constipation

Question 20

What is the priority nursing intervention in the immediate management of a patient with a suspected spinal cord injury?

Accepted Answer

Immobilizing the spine.

Answer

Establishing and maintaining an open airway.

Answer

Assessing for sensory and motor function.

Answer

Administering pain medication.

Question 21

When preparing a patient for a craniotomy, which nursing intervention is essential to minimize the risk of infection?

Accepted Answer

Administering preoperative antibiotics.

Answer

Shaving the surgical site.

Answer

Inserting an indwelling urinary catheter.

Answer

Restricting fluids for 8 hours before surgery.

Question 22

Which nursing intervention is crucial in the management of a patient with Guillain-Barré syndrome?

Accepted Answer

Frequent monitoring of respiratory status

Answer

Passive range of motion exercises

Answer

Administration of antibiotics

Answer

Early ambulation

Question 23

In a patient with a traumatic brain injury (TBI), which assessment takes priority?

Accepted Answer

Glasgow Coma Scale (GCS)

Answer

Blood pressure

Answer

Oxygen saturation

Answer

Pupillary response

Question 24

What is the immediate action that should be taken when a patient is experiencing a generalized tonic-clonic seizure?

Accepted Answer

Protect the patient from potential injury

Answer

Administer anticonvulsant medication

Answer

Clear secretions from the patient's airway by suctioning

Answer

Raise the patient's head by elevating the bed

Question 25

A patient with a traumatic brain injury (TBI) is exhibiting restlessness and agitation. Which nursing diagnosis is most suitable in this situation?

Accepted Answer

Risk for Injury

Answer

Ineffective Airway Clearance

Answer

Impaired Gas Exchange

Answer

Disturbed Sleep Pattern

Question 26

When preparing a patient for a lumbar puncture, what is the optimal position in which to place them?

Accepted Answer

Seated with their head and shoulders bent forward

Answer

Lying supine with their head and shoulders elevated

Answer

Standing with their hips and knees bent

Answer

Lying prone with their head turned to the side

Question 27

Following surgery for a brain tumor, which assessment finding may indicate a potential complication?

Accepted Answer

Reduced level of consciousness

Answer

Clear drainage from the surgical site

Answer

Correct orientation to person, place, and time

Answer

Stable vital signs

Question 28

For a patient with a spinal cord injury (SCI) who is at risk for developing skin breakdown, which nursing intervention is appropriate?

Accepted Answer

Repositioning the patient every two hours

Answer

Massaging the bony prominences on the patient's skin

Answer

Applying a heating pad to the affected area

Answer

Positioning the patient in a prone position

Question 29

Which class of medication is commonly used in the treatment of multiple sclerosis (MS)?

Accepted Answer

Immunomodulators

Answer

Anticonvulsants

Answer

Antidepressants

Answer

Antipsychotics

Question 30

What is the main focus of end-of-life care for patients with neurological disorders?

Accepted Answer

Providing comfort and managing symptoms

Answer

Prolonging the patient's life by all means necessary

Answer

Providing aggressive treatment to cure the underlying condition

Answer

Referring the patient to hospice only in the final days of life

Question 31

For a patient with traumatic brain injury (TBI), which nursing intervention has the highest priority?

Accepted Answer

Maintaining oxygen saturation above 95%

Answer

Administering pain medication

Answer

Monitoring for seizures

Answer

Restricting fluid intake

Question 32

Which symptom is most commonly associated with seizures?

Accepted Answer

Loss of consciousness

Answer

Nausea and vomiting

Answer

Intense headache

Answer

Blurred vision

Question 33

Which type of seizure involves sudden loss of consciousness and muscle rigidity?

Accepted Answer

Grand mal seizure

Answer

Petit mal seizure

Answer

Focal seizure

Answer

Psychomotor seizure

Question 34

For patients with dementia, which pain assessment tool is most appropriate?

Accepted Answer

Faces Pain Scale

Answer

Numerical Rating Scale (NRS)

Answer

Visual Analog Scale (VAS)

Answer

Verbal Descriptor Scale (VDS)

Question 35

A patient with Guillain-Barré syndrome is experiencing respiratory distress. Which of the following nursing interventions is the highest priority?

Accepted Answer

Administering oxygen via mechanical ventilation as prescribed

Answer

Monitoring the patient's vital signs every 15 minutes

Answer

Educating the patient about the importance of deep breathing exercises

Question 36

Which of the following findings is a hallmark sign of increased intracranial pressure (ICP)?

Accepted Answer

Cushing's triad (bradycardia, hypertension, irregular respirations)

Answer

Nausea

Answer

Dilated pupils

Answer

Lethargy

Question 37

When caring for a patient who has suffered a stroke, which of the following nursing interventions is crucial to prevent further neurological damage?

Accepted Answer

Maintaining the patient's mean arterial pressure (MAP) within a specified range

Answer

Positioning the patient in a semi-Fowler's position to improve cerebral circulation

Answer

Restricting the patient's fluid intake to minimize cerebral edema

Question 38

Which of the following is a well-established risk factor for the development of Alzheimer's disease?

Accepted Answer

Increasing age

Answer

Head injury

Answer

Smoking

Answer

Hypertension

Question 39

When providing end-of-life care for a patient with a terminal neurological disease, which of the following is the primary nursing focus?

Accepted Answer

Providing physical and emotional comfort to the patient and their loved ones

Answer

Educating the patient and family about the disease and its progression

Answer

Administering medications to control pain and other symptoms

Question 40

Which of the following nursing interventions is essential in empowering patients with multiple sclerosis (MS) to manage their condition?

Accepted Answer

Providing comprehensive education about the disease process, self-care strategies, and available resources

Answer

Monitoring the patient's neurological status

Answer

Administering disease-modifying therapies as prescribed

Question 41

Which type of seizure is characterized by a sudden loss of consciousness, stiffening of the body, and jerking movements?

Accepted Answer

Generalized tonic-clonic seizure

Answer

Myoclonic seizure

Answer

Absence seizure

Answer

Focal seizure

Question 42

Which medication is commonly prescribed to manage the symptoms of numbness and tingling in the extremities, a common manifestation in patients with multiple sclerosis (MS)?

Accepted Answer

Gabapentin

Answer

Valproic acid

Answer

Phenytoin

Answer

Lamotrigine

Question 43

What is the primary purpose of the Glasgow Coma Scale (GCS)?

Accepted Answer

To assess the level of consciousness and neurological status

Answer

To assess neurological deficits

Answer

To evaluate respiratory rate

Answer

To measure pain intensity

Question 44

Which of the following is an early warning sign indicating a potential spinal cord injury?

Accepted Answer

Pain radiating down one leg or arm

Answer

Dilated pupils

Answer

Nausea

Answer

Headache

Question 45

In caring for a patient with Parkinson's disease who is experiencing rigidity, which nursing intervention is most appropriate to implement?

Accepted Answer

Perform range of motion exercises to maintain joint mobility

Answer

Apply heat to affected areas

Answer

Provide massage therapy

Answer

Administer medications as prescribed

Question 46

When preparing a patient for neurosurgery, which preoperative measure is of utmost importance?

Accepted Answer

Maintain normothermia to prevent complications

Answer

Shave the surgical site for optimal surgical access

Answer

Administer antibiotics to prevent surgical site infections

Answer

Insert a urinary catheter for bladder management

Question 47

During a generalized tonic-clonic seizure, which immediate nursing intervention is most crucial to protect the patient?

Accepted Answer

Pad the bed rails and maintain a clear airway

Answer

Provide oxygen to support respiration

Answer

Administer anti-seizure medication

Answer

Elevate the patient's head to 30 degrees

Question 48

For a patient diagnosed with Guillain-Barré syndrome, what is the primary nursing goal that guides all other interventions?

Accepted Answer

Maintain and monitor airway and respiratory status

Answer

Manage pain effectively

Answer

Promote mobility to prevent muscle atrophy

Answer

Prevent skin breakdown due to immobility

Question 49

What is the purpose of hyperventilation in a patient with ICP?

Accepted Answer

To reduce cerebral blood flow

Answer

To promote diuresis

Answer

To increase oxygen delivery to the brain

Answer

To improve ventilation

Question 50

Which of the following is a nursing intervention for a patient with ataxia?

Accepted Answer

Provide a cane or walker for ambulation

Answer

Administer anti-emetics

Answer

Encourage the patient to exercise regularly

Answer

Place the patient on bed rest

Question 51

What is the most common cause of stroke?

Accepted Answer

Atherosclerosis

Answer

Infection

Answer

Vasculitis

Answer

Trauma

Question 52

What is the primary goal of end-of-life care for patients with neurological disorders?

Accepted Answer

To provide comfort and maintain dignity

Answer

To cure the underlying disorder

Answer

To prolong life

Answer

To prevent complications