NCLEX Secrets - Neurology Board Review
41. When lumbar puncture is done, the needle is inserted into which of the following intervertebral spaces?
a) cervical 4 and 5
b) thoracic 4 and 5
c) lumbar 4 and 5
d) sacral 4 and 5
42. The cerebral cortex is responsible for regulating which of the following functions?
a) motor activities, speech
b) touch, temperature
c) hearing, taste
d) vision, reading
43. A client with Alzheimer's disease lives in a board and care facility. The client frequently wanders outside the care facility. Which of the following is the most essential measure to avoid injury in the client?
a) the staff members should frequently orient the client
b) the staff members should go for a walk with the client several times a day
c) the staff members should assign a nursing assistant to stay with the client in her room during an entire shift
d) the staff members should allow the client to go out of his room only during meals times
44. Which of the following questions would evaluate that the client suffered from frontal lobe defect?
a) what would you do if your house is on fire?
b) what is the color of this flower?
c) what sound do you hear now?
d) what is the temperature of this fluid?
45. The charge nurse assigned the RN to a client with increased intracranial pressure. Which action by the RN needs intervention by the charge nurse?
a) the RN places the client in semi-fowler's position
b) the RN places the client in side-lying position with the neck flexed
c) the RN places the client in supine position
d) the RN places the client in side-lying, semi-fowler's position
NCLEX Secrets - Neurology Board Review:
ANSWERS AND RATIONALE
41) C
- the spinal needle is inserted in L3 and L4, L4 and L5, L5 ans S1 intervertebral spaces to prevent trauma to the spinal cord, which ends at L1.
42) A
- the cerebral cortex regulates motor activities, speech, logical operations (number skills, reasoning, scientific skills), insights, art awareness, imagination, music awareness, personality development, future planning.
Choice B - parietal lobe is responsible for touch and temperature
Choice C - the temporal lobe is responsible for hearing and taste
Choice D - the occipital lobe is responsible for vision and hearing.
43) A
- Alzheimer's disease is characterized by memory loss. Frequent orientation of the client is necessary.
44) A
- frontal lobe is responsible for thought processes, logical operations, and reasoning.
Choice B evaluates function of the occipital lobe.
Choice C evaluates function of the temporal lobe.
Choice D evaluates function of the parietal lobe.
45) B
- the client with increased intracranial pressure should be positioned with the neck in neutral position. This prevents compression of jugular veins and will prevent cerebral venous congestion.
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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 (41-45)
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