ATI LPN
NCLEX Neurology Practice Questions Questions
Question 1 of 5
The nurse Is caring for a client with herpes zoster who reports painful blisters that align from the back along the chest curvature to the anterior chest. Which intervention is the highest priority for the nurse?
Correct Answer: B
Rationale: Herpes zoster (shingles) requires antivirals to reduce viral replication and pain duration. A is secondary, C/D manage symptoms but not the cause. [Level: Analysis]
Question 2 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 3 of 5
The nurse implements a change in the approach to the client care after gathering evidence of a new approach. What should the nurse do first?
Correct Answer: A
Rationale: Evidence-based practice starts with staff buy-in and education. Others follow implementation. [Level: Application]
Question 4 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 5 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]