ATI LPN
NCLEX Neurology Practice Questions Questions
Question 1 of 5
A client with hypovolemic shock is admitted to the intensive care unit with an intraosseous (IO) vascular access device placed in the right proximal tibia. The client has received two liters of normal saline and one unit of packed red blood cells through the IO access device since admission. Which assessment finding warrants immediate intervention by the nurse?
Correct Answer: B
Rationale: Tightness in the calf suggests compartment syndrome or infiltration, a critical complication requiring immediate action. Others are concerning but less urgent. [Level: Analysis]
Question 2 of 5
A patient is being admitted with a possible stroke. Which information from the assessment indicates that the nurse should consult with the health care provider before giving a prescribed dose of aspirin?
Correct Answer: C
Rationale: Severe headache suggests hemorrhagic stroke; aspirin (anticoagulant) could worsen bleeding. Others are ischemic stroke features. [Level: Analysis]
Question 3 of 5
Several weeks after a stroke, a 50-yr-old male patient has impaired awareness of bladder fullness, resulting in urinary incontinence. Which nursing intervention should be planned to begin an effective bladder training program?
Correct Answer: B
Rationale: Scheduled voiding (every 2 hours) retrains bladder awareness. C assesses, A/D manage but don’t train. [Level: Application]
Question 4 of 5
Which food would be included in the diet for a patient who had a stroke and has dysphagia?
Correct Answer: C
Rationale: Mashed potatoes are thick, reducing aspiration risk in dysphagia. A/B are thin, D is less common. [Level: Application]
Question 5 of 5
Which nursing interventions would assist the patient who had a right brain stroke in coping with perceptual deficits? SELECT ONE THAT DOES NOT APPLY
Correct Answer: D
Rationale: Right-brain perceptual deficits (e.g., neglect) benefit from A/B/C for safety/awareness. D risks injury due to impulsivity. [Level: Application]