NCLEX Practice Exam for Neurologic System 2

Practice Mode

Welcome to your NCLEX Practice Exam for Neurologic System 2! 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

For patients with increased ICP, avoid positions that impede venous drainage from the brain. Keep the head aligned with the body.

1 / 30

1. Nurse Mia is positioning Ms. Carter, a patient with increased intracranial pressure (ICP), to promote proper drainage and reduce pressure. While adjusting the patient’s position, which one should Nurse Mia avoid?

💡 Hint

Think of the position that maximally flexes the lumbar spine to widen the spaces between the vertebrae.

2 / 30

2. Nurse Taylor is preparing Mr. Evans for a lumbar puncture procedure. To ensure the best access to the lumbar spine, Nurse Taylor plans to position him appropriately. What position should the nurse use?

💡 Hint

Thin liquids are difficult to control and can increase the risk of aspiration in patients with dysphagia.

3 / 30

3. Nurse Karen is caring for Mr. Johnson, a patient recovering from a brain attack (stroke) with residual dysphagia. As she prepares to assist with the patient's dietary needs, which action should she avoid?

💡 Hint

The limbic system governs emotions and emotional regulation, which may lead to instability or flat affect in behavior.

4 / 30

4. Nurse Emily is assessing Ms. Parker, a patient with a neurological deficit involving the limbic system. Which behavior should Nurse Emily document as specific to this type of deficit?

💡 Hint

Focus on a technique that is localized and doesn’t involve excessive force on sensitive areas—no need for dramatic gestures like a sternal rub when the nail beds will do the trick!

5 / 30

5. Nurse Chloe is evaluating the motor response of Mr. Miller, an unconscious patient, and needs to test his peripheral response to pain. Wanting to ensure a safe and effective method, which approach should she use?

💡 Hint

Successful adaptation is demonstrated by consistent and effective use of tools or strategies that support independence in daily activities.

6 / 30

6. Nurse Jessica is evaluating Ms. Brown's adjustment to functional changes following a brain attack (stroke). Which observation indicates that Ms. Brown is adapting most successfully to her new abilities?

💡 Hint

Myasthenic crisis is often triggered by insufficient levels of medication, making adherence to the treatment regimen critical.

7 / 30

7. Nurse Rachel is caring for Ms. Carter, a patient who has experienced a myasthenic crisis. While reviewing potential triggers, Nurse Rachel evaluates possible contributing factors. What factor should Nurse Rachel assess for?

💡 Hint

CSF can be identified by the presence of glucose and the characteristic "halo" or concentric ring formation when dripped onto gauze.

8 / 30

8. Nurse Emma is caring for Ms. Daniels, a patient with a basilar skull fracture who has clear fluid leaking from her nose. To determine if the fluid is cerebrospinal fluid (CSF), Nurse Emma performs an assessment. What finding confirms the fluid as CSF?

💡 Hint

Bell’s palsy often involves inflammation or nerve compression and is linked to factors like viral infections or immune responses.

9 / 30

9. Nurse Laura is caring for Mr. Harris, a patient diagnosed with Bell’s palsy, who asks about the cause of his condition. How should Nurse Laura respond based on her understanding of the condition?

💡 Hint

Maintaining consistent medication levels is crucial in managing symptoms and avoiding crises in myasthenia gravis.

10 / 30

10. Nurse Andrea is educating Ms. Lopez, a patient with myasthenia gravis, about preventing both myasthenic and cholinergic crises. What is the most effective way to achieve this?

💡 Hint

Supporting communication involves patience and encouragement; completing sentences can discourage effort and independence.

11 / 30

11. Nurse Lisa is caring for Mr. Daniels, a patient who has aphasia following a brain attack (stroke). While communicating with him, which action by the nurse would be the least helpful?

💡 Hint

Protecting the affected side from cold and drafts is essential for preventing exacerbation of symptoms in Bell's palsy.

12 / 30

12. Nurse Mia has provided Mr. Daniels, a patient with Bell's palsy, with guidance on maintaining facial muscle tone and preventing further nerve damage. Which statement by Mr. Daniels indicates the need for further education?

💡 Hint

Managing ICP involves controlling CO2 levels to prevent cerebral vasodilation, which can worsen ICP.

13 / 30

13. Nurse Carla is caring for Mr. Reynolds, a patient with suspected increased intracranial pressure (ICP). While creating the care plan, Nurse Carla sets a respiratory goal to help manage his condition. What is the most appropriate respiratory goal for this client?

💡 Hint

Consider environmental factors that help reduce fatigue in conditions involving nerve conduction and heat sensitivity.

14 / 30

14. Nurse Elena is educating Ms. Carter, a 45-year-old woman with multiple sclerosis, about strategies to manage her fatigue. During the discussion, Nurse Elena emphasizes methods to conserve energy and reduce fatigue. What advice should the nurse provide to Ms. Carter?

💡 Hint

During a seizure, the priority is preventing injury; restraining the client can increase the risk of harm and should be avoided.

15 / 30

15. Nurse Carla is attending to Mr. Lopez, who begins having a seizure while in bed. To ensure his safety, Nurse Carla takes several actions to manage the situation. Which action should she avoid?

💡 Hint

MRI safety concerns often involve implanted devices or objects that could be affected by magnetic fields.

16 / 30

16. Nurse Jenna is discussing diagnostic testing options with Ms. Wilson, a patient admitted for a neurological issue. Ms. Wilson inquires about the possibility of undergoing magnetic resonance imaging (MRI). Which part of her medical history might make her ineligible for this procedure?

💡 Hint

Focus on the emotional response tied to the patient’s loss of control and independence.

17 / 30

17. Nurse Megan is caring for Ms. Harper, a patient with amyotrophic lateral sclerosis (ALS), who expresses frustration by saying, "Sometimes I feel so frustrated. I can’t do anything without help!" Based on this statement, which nursing diagnosis is most appropriate?

💡 Hint

Guillain-Barré syndrome is often preceded by an infection, particularly respiratory or gastrointestinal, within a few weeks of symptom onset.

18 / 30

18. Nurse Clara is completing the admission interview for Ms. Watson, who has been diagnosed with Guillain-Barré syndrome. To help determine potential triggers, what should Nurse Clara ask about in the patient’s history?

💡 Hint

Cranial nerve II is responsible for vision, so focus on minimizing risks related to visual impairment.

19 / 30

19. Nurse Alex is caring for Mr. Carter, who has an impairment of cranial nerve II (optic nerve). To ensure the client’s safety, what should the nurse prioritize in the care plan?

💡 Hint

Think about which procedure involves the spine, requiring careful alignment during movement.

20 / 30

20. Nurse Alex is caring for Mr. Jones, a patient recovering from surgery. The care plan includes instructions to logroll the patient when repositioning to maintain proper alignment and prevent complications. After which surgical procedure would this technique be most appropriate?

💡 Hint

Stability of the joint helps elicit an accurate reflex response during testing.

21 / 30

21. During a routine physical exam, Nurse Paul is assessing Mr. Carter’s deep tendon reflexes to evaluate his neurological function. While performing this assessment, Nurse Paul ensures the proper technique is used. What should Nurse Paul make sure to do?

💡 Hint

Prioritize addressing potential hazards for a disoriented patient to prevent further harm.

22 / 30

22. Nurse Lisa is caring for Ms. Turner, a patient admitted in a disoriented and restless state following a concussion sustained in a car accident. While developing the plan of care, Nurse Lisa identifies the most critical nursing diagnosis to address first. Which diagnosis should take the highest priority?

💡 Hint

Hemiparesis refers to weakness (not complete loss of movement) affecting one entire side of the body.

23 / 30

23. Nurse Sophia is caring for Ms. Andrews, a patient diagnosed with complete right-sided hemiparesis. While planning care, Nurse Sophia takes into account what this condition entails. What does this condition mean?

💡 Hint

CT scans with contrast require screening for allergies to prevent adverse reactions to the contrast dye.

24 / 30

24. Nurse Dana is preparing Ms. Fields, a patient with a suspected brain tumor, for a scheduled computed tomography (CT) scan. As part of the pre-procedure preparation, Nurse Dana ensures all necessary precautions are taken. What is the most important action for Nurse Dana to perform?

💡 Hint

Prioritize safety and injury prevention during seizure activity rather than interventions that might cause harm or are contraindicated.

25 / 30

25. Nurse Kevin is caring for Mr. Adams, a 50-year-old patient who begins experiencing a tonic-clonic seizure in the hospital room. As the seizure starts, Nurse Kevin quickly assesses the situation and prepares to act. What should Nurse Kevin do first?

💡 Hint

Guillain-Barré syndrome typically involves temporary paralysis with a gradual recovery phase. Focus on offering reassurance.

26 / 30

26. Nurse Sarah is caring for Ms. Lopez, a patient with Guillain-Barré syndrome who has paralysis of the respiratory muscles and is on mechanical ventilation. Ms. Lopez asks about her paralysis and its progression. How should Nurse Sarah respond to provide accurate and empathetic information?

💡 Hint

Autonomic dysreflexia is often triggered by bladder distension; frequent and timely catheterization is key to prevention.

27 / 30

27. Nurse James is caring for Mr. Thompson, a patient with a spinal cord injury who is at risk for autonomic dysreflexia. To minimize the likelihood of recurrence, which intervention should Nurse James avoid?

💡 Hint

Focus on modifiable lifestyle-related factors that can increase the risk for cerebrovascular accidents.

28 / 30

28. Nurse Clara is assessing Ms. Thompson, a 62-year-old woman admitted with a diagnosis of cerebrovascular accident (CVA). During the review of her medical history, Nurse Clara notes a past medical history that includes bronchial asthma, exogenous obesity, and iron deficiency anemia. Which of these factors increases Ms. Thompson’s risk for CVA?

💡 Hint

For trauma patients with suspected spinal injuries, choose a method that minimizes neck movement.

29 / 30

29. Nurse Emma witnesses her neighbor’s husband fall from the roof and rushes to assist. Suspecting a potential spinal injury, she assesses the need to open the airway to ensure proper breathing. Which method should Nurse Emma use to open the airway in this situation?

💡 Hint

Coping strategies should focus on education, emotional support, and stress reduction to empower and comfort the patient.

30 / 30

30. Nurse Jenna is caring for Ms. Taylor, a patient with Guillain-Barré syndrome who has ascending paralysis and is receiving mechanical ventilation. To help the patient cope with her condition, what strategies should Nurse Jenna include in the care plan?

Exam Mode

Welcome to your NCLEX Practice Exam for Neurologic System 2! 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 Kevin is caring for Mr. Adams, a 50-year-old patient who begins experiencing a tonic-clonic seizure in the hospital room. As the seizure starts, Nurse Kevin quickly assesses the situation and prepares to act. What should Nurse Kevin do first?

2 / 30

2. Nurse Elena is educating Ms. Carter, a 45-year-old woman with multiple sclerosis, about strategies to manage her fatigue. During the discussion, Nurse Elena emphasizes methods to conserve energy and reduce fatigue. What advice should the nurse provide to Ms. Carter?

3 / 30

3. During a routine physical exam, Nurse Paul is assessing Mr. Carter’s deep tendon reflexes to evaluate his neurological function. While performing this assessment, Nurse Paul ensures the proper technique is used. What should Nurse Paul make sure to do?

4 / 30

4. Nurse Karen is caring for Mr. Johnson, a patient recovering from a brain attack (stroke) with residual dysphagia. As she prepares to assist with the patient's dietary needs, which action should she avoid?

5 / 30

5. Nurse Emma is caring for Ms. Daniels, a patient with a basilar skull fracture who has clear fluid leaking from her nose. To determine if the fluid is cerebrospinal fluid (CSF), Nurse Emma performs an assessment. What finding confirms the fluid as CSF?

6 / 30

6. Nurse Laura is caring for Mr. Harris, a patient diagnosed with Bell’s palsy, who asks about the cause of his condition. How should Nurse Laura respond based on her understanding of the condition?

7 / 30

7. Nurse Lisa is caring for Ms. Turner, a patient admitted in a disoriented and restless state following a concussion sustained in a car accident. While developing the plan of care, Nurse Lisa identifies the most critical nursing diagnosis to address first. Which diagnosis should take the highest priority?

8 / 30

8. Nurse Jenna is discussing diagnostic testing options with Ms. Wilson, a patient admitted for a neurological issue. Ms. Wilson inquires about the possibility of undergoing magnetic resonance imaging (MRI). Which part of her medical history might make her ineligible for this procedure?

9 / 30

9. Nurse Carla is caring for Mr. Reynolds, a patient with suspected increased intracranial pressure (ICP). While creating the care plan, Nurse Carla sets a respiratory goal to help manage his condition. What is the most appropriate respiratory goal for this client?

10 / 30

10. Nurse Mia has provided Mr. Daniels, a patient with Bell's palsy, with guidance on maintaining facial muscle tone and preventing further nerve damage. Which statement by Mr. Daniels indicates the need for further education?

11 / 30

11. Nurse Megan is caring for Ms. Harper, a patient with amyotrophic lateral sclerosis (ALS), who expresses frustration by saying, "Sometimes I feel so frustrated. I can’t do anything without help!" Based on this statement, which nursing diagnosis is most appropriate?

12 / 30

12. Nurse Alex is caring for Mr. Carter, who has an impairment of cranial nerve II (optic nerve). To ensure the client’s safety, what should the nurse prioritize in the care plan?

13 / 30

13. Nurse Emily is assessing Ms. Parker, a patient with a neurological deficit involving the limbic system. Which behavior should Nurse Emily document as specific to this type of deficit?

14 / 30

14. Nurse Clara is assessing Ms. Thompson, a 62-year-old woman admitted with a diagnosis of cerebrovascular accident (CVA). During the review of her medical history, Nurse Clara notes a past medical history that includes bronchial asthma, exogenous obesity, and iron deficiency anemia. Which of these factors increases Ms. Thompson’s risk for CVA?

15 / 30

15. Nurse Sarah is caring for Ms. Lopez, a patient with Guillain-Barré syndrome who has paralysis of the respiratory muscles and is on mechanical ventilation. Ms. Lopez asks about her paralysis and its progression. How should Nurse Sarah respond to provide accurate and empathetic information?

16 / 30

16. Nurse Mia is positioning Ms. Carter, a patient with increased intracranial pressure (ICP), to promote proper drainage and reduce pressure. While adjusting the patient’s position, which one should Nurse Mia avoid?

17 / 30

17. Nurse Emma witnesses her neighbor’s husband fall from the roof and rushes to assist. Suspecting a potential spinal injury, she assesses the need to open the airway to ensure proper breathing. Which method should Nurse Emma use to open the airway in this situation?

18 / 30

18. Nurse Clara is completing the admission interview for Ms. Watson, who has been diagnosed with Guillain-Barré syndrome. To help determine potential triggers, what should Nurse Clara ask about in the patient’s history?

19 / 30

19. Nurse Alex is caring for Mr. Jones, a patient recovering from surgery. The care plan includes instructions to logroll the patient when repositioning to maintain proper alignment and prevent complications. After which surgical procedure would this technique be most appropriate?

20 / 30

20. Nurse James is caring for Mr. Thompson, a patient with a spinal cord injury who is at risk for autonomic dysreflexia. To minimize the likelihood of recurrence, which intervention should Nurse James avoid?

21 / 30

21. Nurse Sophia is caring for Ms. Andrews, a patient diagnosed with complete right-sided hemiparesis. While planning care, Nurse Sophia takes into account what this condition entails. What does this condition mean?

22 / 30

22. Nurse Andrea is educating Ms. Lopez, a patient with myasthenia gravis, about preventing both myasthenic and cholinergic crises. What is the most effective way to achieve this?

23 / 30

23. Nurse Rachel is caring for Ms. Carter, a patient who has experienced a myasthenic crisis. While reviewing potential triggers, Nurse Rachel evaluates possible contributing factors. What factor should Nurse Rachel assess for?

24 / 30

24. Nurse Jessica is evaluating Ms. Brown's adjustment to functional changes following a brain attack (stroke). Which observation indicates that Ms. Brown is adapting most successfully to her new abilities?

25 / 30

25. Nurse Carla is attending to Mr. Lopez, who begins having a seizure while in bed. To ensure his safety, Nurse Carla takes several actions to manage the situation. Which action should she avoid?

26 / 30

26. Nurse Taylor is preparing Mr. Evans for a lumbar puncture procedure. To ensure the best access to the lumbar spine, Nurse Taylor plans to position him appropriately. What position should the nurse use?

27 / 30

27. Nurse Chloe is evaluating the motor response of Mr. Miller, an unconscious patient, and needs to test his peripheral response to pain. Wanting to ensure a safe and effective method, which approach should she use?

28 / 30

28. Nurse Lisa is caring for Mr. Daniels, a patient who has aphasia following a brain attack (stroke). While communicating with him, which action by the nurse would be the least helpful?

29 / 30

29. Nurse Dana is preparing Ms. Fields, a patient with a suspected brain tumor, for a scheduled computed tomography (CT) scan. As part of the pre-procedure preparation, Nurse Dana ensures all necessary precautions are taken. What is the most important action for Nurse Dana to perform?

30 / 30

30. Nurse Jenna is caring for Ms. Taylor, a patient with Guillain-Barré syndrome who has ascending paralysis and is receiving mechanical ventilation. To help the patient cope with her condition, what strategies should Nurse Jenna include in the care plan?