ATI LPN
NCLEX Neurology Practice Questions Questions
Question 1 of 5
A patient has been on daily, high-dose glucocorticoid therapy for the treatment of rheumatoid arthritis. His prescription runs out before his next appointment with his physician. Because he s asymptomatic, he thinks it is all right to withhold the medication for 3 days. What is liekley to happent to this patient?
Correct Answer: A
Rationale: Abrupt cessation of high-dose glucocorticoids can cause adrenal crisis (A) due to HPA axis suppression, leading to cortisol deficiency.
Question 2 of 5
The nurse is caring for a patient who has undergone major abdominal surgery 4 hrs post-op: urine output 45 mL/hr, BP 120/80 mmHg, HR 90 beats/min, Wt 97.5 kg 24 hrs post-op: urine output 20 mL/hr for past 2 hrs, BP 100/60 mmHg, HR 110 beats/min, Wt 99 kg According to the 4-hr post-op assessment and the 24-hr assessment data, the nurse should?
Correct Answer: B
Rationale: Decreased urine output (20 mL/hr), dropping BP, and rising HR suggest hypovolemia, warranting a saline bolus (B).
Question 3 of 5
The nurse providing insulin education for an elderly patient with long-standing diabetes. A prescription has been written for the patient to take 20 unit of insulin glargine at 10 pm nightly. The nurse should instruct the patient that the peak of the insulin action for this agent is when?
Correct Answer: B
Rationale: Insulin glargine (B) is a long-acting, peakless insulin, providing steady glucose control over 24 hours.
Question 4 of 5
The nurse is concerned about administering opioid medication to a patient in pain because the patient is weaning from mechanical ventilation. The nurse consults with the clinical pharmacist, who suggests trying a/an:
Correct Answer: D
Rationale: IV NSAID (D) relieves pain without respiratory depression, safe during weaning.
Question 5 of 5
When flushing a feeding tube, the nurse knows to use how many mL of water?
Correct Answer: B
Rationale: 30 mL (B) is standard for flushing feeding tubes to maintain patency.