NCLEX-RN
NCLEX RN Questions on Neurological Disorders Questions
Question 1 of 5
A 30-year-old man was involved in a head-on collision and was unconscious for two minutes prior to EMS arrival. Five minutes before arriving at the hospital, the paramedic notices clear fluid draining from the patient's nose. Having seen this before, the paramedic places a drop from the patient's nose onto a piece of gauze. The nurse is looking for a clinical finding that is called the halo's sign. What type of fracture does the paramedic suspect the patient has?
Correct Answer: D
Rationale: Halo sign (clear fluid with a yellow ring on gauze) suggests cerebrospinal fluid leak, commonly associated with basilar skull fracture.
Question 2 of 5
The primary healthcare provider (PHCP) is preparing to intubate a client. The PHCP prescribes succinylcholine. The nurse understands that this medication is intended to
Correct Answer: D
Rationale: Succinylcholine is a depolarizing neuromuscular blocker used to cause skeletal muscle paralysis, facilitating intubation. It does not sedate, reduce secretions, or increase heart rate.
Question 3 of 5
The nurse who is caring for a post-stroke client suddenly notes that the client has a fixed and dilated pupil. What would be the most appropriate action by the nurse?
Correct Answer: D
Rationale: A fixed and dilated pupil suggests increased intracranial pressure, requiring immediate physician notification.
Question 4 of 5
The nurse is developing a plan of care for a client with advanced Alzheimer's disease. Which of the following should the nurse include?
Correct Answer: A,B,C,E,F
Rationale: These interventions address safety, behavior, and comfort in advanced Alzheimer's disease.
Question 5 of 5
Minutes after administering an intravenous dose of 10 mg of morphine, the nurse notes that the client's blood pressure has dropped from 122/83 mmHg to 88/67 mmHg, and the client's respirations are now 8/minute. Which nursing action is the most appropriate?
Correct Answer: C
Rationale: Naloxone reverses opioid-induced respiratory depression and hypotension, which are evident here.