Neurological Disorder NCLEX

Question 1 of 5

The client diagnosed with septic meningitis is admitted to the medical floor at noon. Which health-care provider’s order would have the highest priority?

A. Administer an intravenous antibiotic.B. Obtain the client’s lunch tray.C. Provide a quiet, calm, and dark room.D. Weigh the client in hospital attire.

Correct Answer: A

Rationale: Prompt IV antibiotic administration (
A) is critical in septic meningitis to combat infection and prevent complications. Lunch (
B), environment (
C), and weight (
D) are secondary.

Question 2 of 5

The student nurse asks the nurse, 'Why do you ask the client to identify how many fingers you have up when the client hit the front of the head, not the back?' The nurse would base the response on which scientific rationale?

A. This is part of the routine neurological examination.B. This is done to determine if the client has diplopia.C. This assesses the amount of brain damage.D. This is done to indicate if there is a rebound effect on the brain.

Correct Answer: B

Rationale: Frontal head injuries may affect the occipital lobe or optic pathways, causing diplopia (double vision,
B). Routine exams (
A) are broader, brain damage (
C) is not specific, and rebound effect (
D) is not a term used here.

Question 3 of 5

The nurse is preparing a client diagnosed with rule-out meningitis for a lumbar puncture. Which interventions should the nurse implement? Select all that apply.

A. Obtain an informed consent from the client or significant other.B. Have the client empty the bladder prior to the procedure.C. Place the client in a side-lying position with the back arched.D. Instruct the client to breathe rapidly and deeply during the procedure.E. Explain to the client what to expect during the procedure.

Correct Answer: A,B,C,E

Rationale: Informed consent (
A) is required, emptying the bladder (
B) ensures comfort, side-lying with back arched (
C) facilitates needle insertion, and explaining the procedure (E) reduces anxiety. Rapid breathing (
D) is not advised.

Question 4 of 5

Which instruction is most applicable after symptoms are relieved?

A. Carry heavy objects away from your center of gravity.B. Lift with your knees bent and your back straight.C. Create a base of support by keeping your feet together.D. Select a soft, spongy mattress for your bed.

Correct Answer: B

Rationale: Lifting with knees bent and back straight prevents re-injury to the lumbar spine after a herniated disk.

Question 5 of 5

The client with end-stage ALS requires a gastrostomy tube feeding. Which finding would require the nurse to hold a bolus tube feeding?

A. A residual of 125 mL.B. The abdomen is soft.C. Three episodes of diarrhea.D. The potassium level is 3.4 mEq/L.

Correct Answer: A

Rationale: A gastric residual of 125 mL (
A) indicates delayed gastric emptying, requiring the feeding to be held to prevent aspiration. Soft abdomen (
B) is normal, diarrhea (
C) requires monitoring but not holding, and low potassium (
D) is unrelated.

Neurological Disorder NCLEX | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN