Health Assessment Neurological System NCLEX Questions

Health Assessment Neurological System NCLEX Questions Related

Review Health Assessment Neurological System NCLEX Questions related questions and content

A 21-year-old patient has a head injury resulting from trauma and is unconscious. There are no other injuries. During the assessment what would the nurse expect to find when testing the patient's deep tendon reflexes?

  • A. Reflexes will be normal.
  • B. Reflexes cannot be elicited.
  • C. All reflexes will be diminished but present.
  • D. Some reflexes will be present, depending on the area of injury.
Correct Answer: A

Rationale: The correct answer is A: Reflexes will be normal. In a patient with a head injury resulting from trauma and no other injuries, deep tendon reflexes are typically unaffected by the injury. The brain stem controls deep tendon reflexes, and since there are no other injuries, the reflexes should remain normal. Choices B, C, and D are incorrect because they do not align with the typical response of deep tendon reflexes in a head injury without other injuries. Choice B stating that reflexes cannot be elicited is incorrect as deep tendon reflexes are usually intact in this scenario. Choice C suggesting all reflexes will be diminished but present is incorrect as deep tendon reflexes are typically not affected by head injuries. Choice D stating that some reflexes will be present depending on the area of injury is incorrect because deep tendon reflexes are primarily controlled by the brain stem, which is not directly affected in this situation.

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During the acute phase of dermatomyositis, what is an appropriate patient outcome?

  • A. Relates improvement in pain
  • B. Does not experience aspiration
  • C. Performs active ROM four times daily
  • D. Maintains absolute rest of affected joints
Correct Answer: B

Rationale: Preventing aspiration is critical in dermatomyositis.

Sally has a brain injury; she knows what she wants to say but can't vocalize the words. The part of her brain that deals with the ability to speak is the:

  • A. longitudinal fissure
  • B. gyrus
  • C. central sulcus
  • D. Broca's area
Correct Answer: D

Rationale: Broca's area, located in the frontal lobe, is responsible for speech production. Damage to this area results in Broca's aphasia, where the individual knows what they want to say but cannot vocalize the words. Thus, D is the correct answer.

Which of the following symptoms should the nurse closely monitor for in a client with a compartment syndrome in the upper arm?

  • A. Epicondylitis
  • B. Carpal tunnel syndrome
  • C. Volkmann's contracture
  • D. Ganglion cyst
Correct Answer: C

Rationale: Volkmann's contracture is a serious complication of compartment syndrome.

Which of the following will not worsen PD symptoms?

  • A. Haloperidol
  • B. Metoclopramide
  • C. Prochlorperazine
  • D. Rasagiline
Correct Answer: D

Rationale: Rasagiline is a MAO-B inhibitor used to treat PD and does not worsen symptoms, unlike dopamine antagonists like haloperidol and metoclopramide.

The presence of ptosis suggests damage to cranial nerve:

  • A. IV
  • B. V
  • C. III
  • D. VII
Correct Answer: C

Rationale: Cranial nerve III (oculomotor nerve) is the correct answer because it innervates the levator palpebrae superioris muscle, which is responsible for elevating the eyelid. Damage to this nerve results in ptosis, or drooping of the eyelid, along with other symptoms such as diplopia and impaired eye movement.

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