NCLEX Secrets - Neurology Board Review
16. Which of the following nursing interventions is best for a patient with Alzheimer's disease?
a) providing an unstructured environment
b) providing for an environment with less decision making
c) providing for flexible environment
d) providing for stimulating environment
17. A patient with cerebellar impairment. Which of the following assessment is expected?
a) ataxia
b) apraxia
c) agnosia
d) agraphia
18. The client has been diagnosed to have hypertension. Captopril (capoten), an angiotensin-converting-enzyme inhibitor was prescribed by the physician. When is the best time for the client to take the medication?
a) one hour before meals
b) with meals
c) 30 minutes after meals
d) at bedtime
19. A nurse should be most concerned with a patient who had closed head injury if she assessed which of the following?
a) glascow coma scale rating changes from 10 to 14
b) pupil size changes from 7 mm to 5 mm
c) blood pressure changes from 120/80 mmHg to 140/60 mmHg
d) pulse rate changes from 90 per minute to 68 per minute
20. The client who had cerebrovascular accident is in coma. He has an advance directive which states DNR (do not resuscitate). Which of the following statements by the wife indicates effective coping?
a) I should have taken him to the hospital for regular check-up
b) I want to be with him when he dies
c) I wish, I'm not around when he draws his last breath
d) I don't want him to suffer any longer
NCLEX Secrets - Neurology Board Review:
ANSWERS AND RATIONALE
16) B
- Alzheimer's disease is characterized by loss of memory or problem with ability to think. The client with this disease will benefit most in a simple, structured environment. (Structured /routine activities/schedule).
17) A
- cerebellum is responsible for balance/equilibrium.
Ataxia - uncoordinated movement
Apraxia - inability to perform fine motor activities
Agnosia - inability to perceive sensory stimuli
Agraphia - inability to write
18) A
- capoten is best taken on an empty stomach to promote adequate absorption.
19) C
- widening of pulse pressure (the difference between systolic pressure and diastolic pressure is more than 30 to 40 mmHg) is an indication of increased ICP. Always consider increase in ICP as emergency because it causes cerebral hypoxia.
20) B
- the wife exhibits acceptance with her husband's decision. Her presence when the husband is dying will provide great psychological support to him.
Go to the next page ---> NCLEX Secrets - Neurology Board Review (21-25)
Or Go back to NCLEX Secrets - Neurology Board Review (1-5) to start the test from the beginning.
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NCLEX Secrets - Neurology Board Review (16-20)
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