Questions 75

NCLEX-RN

Home > NCLEX-RN > RN Neurologic > NCLEX RN Neurological Questions
NCLEX-RN Test Bank

NCLEX RN Neurological Questions 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 5 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 physician order, click to specify the appropriate nursing intervention: Lumbar puncture

Assess the client for an allergy to contrast dye
Obtain laboratory work prior to the procedure
Position the client flat before the procedure
Monitor the client's temperature for efficacy
Place an incontinence pad under the client for increased urinary output
administer immediately after lumbar puncture
establish a patent vascular access device

Correct Answer: B,F,G

Rationale: Obtaining labs (e.g., coagulation studies) ensures safety before lumbar puncture. Ketorolac may help reduce fever; monitoring temperature assesses its efficacy. Ceftriaxone is administered post-lumbar puncture to treat confirmed or suspected bacterial meningitis. Padding the bed prevents injury during potential seizures.

Extract:


Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

In a client with spinal cord injury, the nurse understands which of the following symptoms are indicative of autonomic dysreflexia?
The nurse is caring for a client who is experiencing status epilepticus. Which of the following actions should be prioritized by the nurse?
The nurse cares for geriatric clients. The nurse knows which of the following is the leading cause of cognitive impairment in old age?
The nurse is performing a follow-up assessment on a client who was prescribed carbidopa/levodopa. Which assessment finding would indicate a therapeutic finding from this medication?
The nurse is supervising a graduate nurse implement seizure precautions for a client with epilepsy. Which observation by the nurse requires follow-up?

Access More Questions!

NCLEX RN Basic

$89/ 30 days

 

NCLEX RN Premium

$150/ 90 days