If a patient cannot see the left-most part of his left visual field (but can see in all other areas), he may have a lesion

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NCLEX Neurology Practice Questions Questions

Question 1 of 5

If a patient cannot see the left-most part of his left visual field (but can see in all other areas), he may have a lesion

Correct Answer: A

Rationale: A left optic nerve lesion affects the entire left eye’s field, including the left-most part of the left visual field, without contralateral effects.

Question 2 of 5

Merkel's disks

Correct Answer: D

Rationale: Merkel’s disks are slow-adapting, epicritic (fine touch, pressure) receptors, not rapidly adapting or protopathic (crude sensation).

Question 3 of 5

Admission vital signs for a brain-injured client are BP 128/68 mm Hg, pulse 110 BPM, respirations 25. Which set of vital signs, if taken 1 hour after admission, will be of most concern to the nurse?

Correct Answer: A

Rationale: Cushing’s triad (hypertension, bradycardia, low RR) in A suggests rising ICP, a critical concern.

Question 4 of 5

A client with acute ischemic stroke is ordered alteplase, weighs 224.4 lbs. How many mg will the nurse prepare?

Correct Answer: B

Rationale: 0.9 mg/kg, max 90 mg (text note). 224.4 lbs = 101.8 kg, 91.8 mg exceeds max, so 90 mg (B).

Question 5 of 5

The nurse prepares to give mannitol for a severe head injury. What precaution is taken?

Correct Answer: B

Rationale: Mannitol requires a filtered needle (B) to remove crystals (text note).

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