NCLEX CRUSADE ACADEMY TEST - 18 NEUROLOGICAL DISORDERS

1. Which classic triad is most commonly associated with meningitis?. Fever, headache, nuchal rigidity. Fever, cough, hemoptysis. Nausea, vomiting, abdominal pain. Rash, hypotension, tachycardia.

2. Which physical assessment sign indicates meningeal irritation when pain occurs upon leg extension?. Babinski sign. Kernig sign. Romberg sign. Tinel sign.

3. Brudzinskis sign is considered positive when which response occurs?. Neck flexion causes involuntary hip and knee flexion. Leg extension causes neck stiffness. Foot dorsiflexion causes toe extension. Arm elevation causes neck pain.

4. Which precaution is the nursing priority when bacterial meningitis is suspected?. Airborne precautions. Standard precautions. Droplet precautions. Contact precautions.

5. Which cerebrospinal fluid finding most strongly indicates bacterial meningitis?. Clear CSF with normal glucose. Cloudy CSF with low glucose. Clear CSF with normal protein. Slightly elevated protein only.

6. What is the nurses role during a lumbar puncture procedure?. Perform the spinal puncture. Position the patient in a curled fetal position. Administer anesthesia. Insert the spinal needle.

7. A patient with suspected meningitis develops hypotension and signs of septic shock. What is the priority intervention?. Lumbar puncture. IV fluid resuscitation. CT scan. Oral antibiotics.

8. Bells palsy primarily involves inflammation of which cranial nerve?. CN V. CN VII. CN IX. CN XII.

9. Which assessment finding helps differentiate Bells palsy from stroke?. Facial droop with limb weakness. Forehead muscle involvement. Aphasia. Hemiparesis.

10. The priority nursing intervention for Bells palsy is prevention of which complication?. Pneumonia. Corneal abrasion. Kidney failure. Sepsis.

11. Which stroke type accounts for approximately 85% of cases?. Hemorrhagic. Ischemic. Embolic. Transient.

12. Which mnemonic is used for rapid stroke recognition?. CAB. FAST. SOAP. ABC.

13. The gold standard medication for acute ischemic stroke is which drug?. Warfarin. tPA (Alteplase). Aspirin. Heparin.

14. What is the therapeutic window for administering tPA after stroke symptom onset?. 1 hour. 2 hours. 34.5 hours. 12 hours.

15. Which diagnostic test must be completed before administering tPA?. MRI. CT scan of the brain. Chest X-ray. EEG.

16. Which treatment is contraindicated in hemorrhagic stroke?. Blood pressure control. Seizure precautions. tPA administration. Head elevation.

17. Which nursing intervention helps reduce intracranial pressure in hemorrhagic stroke?. Flat bed positioning. Elevate head of bed 30 degrees. Encourage coughing. Increase IV fluids rapidly.

18. Which complication should nurses monitor during stroke recovery?. Dysphagia. Kidney stones. Appendicitis. Pneumothorax.

19. According to Maslows hierarchy in clinical prioritization, which need is addressed first?. Psychosocial needs. Safety needs. Physiological survival. Self-actualization.

20. According to NCLEX clinical reasoning strategy, when should a nurse act immediately?. When patient condition is stable. When distress or life threatening problem is present. When diagnosis is unclear. When patient requests intervention.