NCLEX Secrets - Neurology Board Review (11-15)

NCLEX Secrets - Neurology Board Review

11. The nurse test for the function of abducens nerve in a client. Which of the following is appropriate nursing action?

a) have the client push his arm against a resistance
b) have the client shrug his shoulders
c) have the client turn his eyes from right to left
d) have the client smile and frown

12. Which of the following should the nurse include in the health teachings for the family of a child with meningitis?

a) meningitis can be prevented by influenza vaccine
b) meningitis does not pose danger to the family
c) meningitis can be transferred by droplet
d) meningitis is always fatal

13. A patient with cerebrovascular accident is experiencing dysphagia. Which of the following is appropriately included in the diet?

a) broth
b) chocolate milk
c) canned tuna
d) steamed pork chop

14. How does the nurse test for cranial nerve VI?

a) asking the patient to close his eyes
b) testing the pupillary reflexes using a penlight
c) asking the patient to read with the use of Snellen chart
d) with the use of penlight, move it different directions and ask the patient to follow it with his eyes

15. Which diagnostic test will be routine or regular for a patient with multiple sclerosis?

a) pulmonary function test
b) CT scan
c) ECG
d) myelography




NCLEX Secrets - Neurology Board Review:
ANSWERS AND RATIONALE

11) C
- the abducens innervate the lateral rectus muscles of the eyes. These muscles move the eyes from side to side (right <-> left).

12) C
- meningococcal infection is readily transmitted by droplet infection from nasopharyngeal secretions.

13) B
- thickened liquid diet like chocolate milk or pureed foods are best tolerated by clients with dysphagia

14)D
- the CN VI (abducens) innervates the lateral rectus muscles of the eyes. These muscles move the eyes from side to side.

15) A
- multiple sclerosis may lead to weakness/paralysis of respiratory muscles. Assessment of pulmonary functions is necessary.


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