Questions 74

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NCLEX RN Questions on Neurological Disorders Questions

Extract:

The following scenario applies to the next 6 items
The nurse in the emergency department (ED) is caring for a 20-year-old female client
Item 2 of 6
ED Triage Note
History And Physical
0912: Client was brought to the ED by her two college roommates 'because she was not acting right.' The roommate reports that she went to bed the night before reporting stiffness in her neck and a headache. She attributed it to being under pressure with final exams and having poor sleep the previous several days. The client apparently took non-prescribed lorazepam from another roommate to assist her with sleep. The roommate reported recently having influenza and is unsure if she became infected. It is reported that she declined the influenza vaccination when it was offered on campus. The roommate reports waking her with physical stimuli and found her diaphoretic, hot to touch, and mumbling, saying she did not feel well.
Vital signs: T 103.4° F (39.7° C), P 112, RR 12, BP 116/86, pulse oximetry 95% on room air.


Question 1 of 5

For each client finding below, click to specify if the finding is consistent with the disease process of benzodiazepine toxicity, bacterial meningitis, or influenza:

Client Findings benzodiazepine toxicity bacterial meningitisinfluenza
Altered mental status
Fever
Petechial rash
Altered speech pattern
Neck stiffness

Correct Answer: A,B,C,B,A,B

Rationale: Altered mental status is common in benzodiazepine toxicity (sedation) and bacterial meningitis (infection-related). Fever is typical in bacterial meningitis and influenza. Petechial rash is a hallmark of bacterial meningitis, especially meningococcal. Altered speech can occur in benzodiazepine toxicity (slurred speech) and meningitis (neurological impairment). Neck stiffness is a classic sign of bacterial meningitis.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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