NCLEX Neurological Disorders | Nurselytic

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NCLEX Neurological Disorders Questions

Extract:


Question 1 of 5

The charge nurse is making client assignments for a neuro-medical floor. Which client should be assigned to the most experienced nurse?

Correct Answer: A

Rationale: A stroke in evolution (
A) is an acute, progressing condition requiring experienced monitoring. TIA (
B) is stable, Guillain-Barré pain (
C) is manageable, and wandering (
D) needs supervision but is less acute.

Question 2 of 5

The wife of the client diagnosed with septic meningitis asks the nurse, 'I am so scared. What is meningitis?' Which statement would be the most appropriate response by the nurse?

Correct Answer: C

Rationale: Septic meningitis is a bacterial infection of the meninges (
C). Bleeding (
A) describes subarachnoid hemorrhage, viral meningitis (
B) is aseptic, and mosquito-related inflammation (
D) refers to encephalitis.

Question 3 of 5

Which instruction should the nurse include for a client taking phenytoin (Dilantin)?

Correct Answer: A

Rationale: Phenytoin can cause gingival hyperplasia; gentle brushing helps prevent gum complications.

Question 4 of 5

The client diagnosed with amyotrophic lateral sclerosis (Lou Gehrig's disease) is prescribed medications that require intravenous access. The HCP has ordered a primary intravenous line at a keep-vein-open (KVO) rate at 25 mL/hr. The drop factor is 10 gtts/mL. At what rate should the nurse set the IV tubing?

Correct Answer: 4 gtts/min

Rationale: Calculate: (25 mL/hr ÷ 60 min) × 10 gtts/mL = 4.17 gtts/min, rounded to 4 gtts/min.

Question 5 of 5

The client has been newly diagnosed with epilepsy. Which discharge instructions should be taught to the client? Select all that apply.

Correct Answer: A,C,D,E

Rationale: Recording seizures (
A) helps track treatment efficacy, avoiding OTC medications (
C) prevents interactions, regular serum levels (
D) ensure therapeutic dosing, and not driving alone (E) ensures safety. Tub baths (
B) pose a drowning risk and are not advised.

Similar Questions

The male client is admitted to the emergency department following a motorcycle accident. The client was not wearing a helmet and struck his head on the pavement. The nurse identifies the concept as impaired intracranial regulation. Which interventions should the emergency department nurse implement in the first five (5) minutes? Select all that apply.
The nurse in a long-term care facility has noticed a change in the behavior of one of the clients. The client no longer participates in activities and prefers to stay in his room. Which intervention should the nurse implement first?
Before the client undergoes the craniotomy, the nurse inserts a urinary catheter. How far should the catheter be inserted if the client is a male?
The client is in status epilepticus. Which interventions, if prescribed, should be included in this client's immediate treatment? Select all that apply.
If the drug is administered every 3 to 4 hours, which nursing action is most appropriate at this time in response to the client's statement?

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