NCLEX Neurological Disorders | Nurselytic

Questions 85

NCLEX-PN

Home > NCLEX-PN > Neurological > NCLEX Neurological Disorders
NCLEX-PN Test Bank

NCLEX Neurological Disorders Questions

Extract:


Question 1 of 5

The client diagnosed with a mild concussion is being discharged from the emergency department. Which discharge instruction should the nurse teach the client's significant other?

Correct Answer: A

Rationale: For a mild concussion, monitoring for worsening neurological status is key. Awakening every 2 hours (
A) allows assessment for altered consciousness. Monitoring ICP (
B) is complex and not feasible at home, hypervigilance (
C) is not typical, and frequent feeding (
D) is unnecessary.

Question 2 of 5

The nurse is admitting a client with the diagnosis of Parkinson’s disease. Which assessment data support this diagnosis?

Correct Answer: D

Rationale: Masklike facies and shuffling gait (
D) are hallmark signs of Parkinson’s due to bradykinesia and rigidity. Crackles and JVD (
A) suggest heart failure, weakness and ptosis (
B) indicate myasthenia gravis, and exaggerated arm swinging (
C) is opposite to Parkinson’s.

Question 3 of 5

Which intervention should the nurse implement to decrease increased intracranial pressure (ICP) for a client on a ventilator? Select all that apply.

Correct Answer: A

Rationale: HOB at 30 degrees (
A) promotes venous drainage, reducing ICP. Clustering activities (
B) increases ICP, suctioning every 3 hours (
C) is excessive, enemas (
D) are irrelevant, and Trendelenburg (E) worsens ICP.

Question 4 of 5

The client is reporting neck pain, fever, and a headache. The nurse elicits a positive Kernig's sign. Which diagnostic test procedure should the nurse anticipate the HCP ordering to confirm a diagnosis?

Correct Answer: D

Rationale: Neck pain, fever, headache, and positive Kernig’s sign suggest meningitis. A lumbar puncture (
D) confirms the diagnosis via CSF analysis. CT (
A) may precede LP, blood cultures (
B) are supportive, and EMG (
C) is unrelated.

Question 5 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.

Similar Questions

The client with ALS is admitted to the medical unit with shortness of breath, dyspnea, and respiratory complications. Which intervention should the nurse implement first?
After receiving report, the nurse working on the step-down neurological unit begins care for four clients. Prioritize the order in which the nurse should assess the four clients.
The nurse is caring for the client who, 6 weeks after an MVA, was diagnosed with a mild TBI. Which information in the client’s history of the injury should the nurse associate with the TBI? Select all that apply.
Which sign or symptom in the client's medical history would most likely indicate a manifestation of the client's disease?
The client is brought to the emergency department by the police for public disorderliness. The client reports feeling no pain and is unconcerned that the police have arrested him. The nurse notes the client has epistaxis and nasal congestion. Which substance should the nurse suspect the client has abused?

Access More Questions!

NCLEX PN Basic

$89/ 30 days

 

NCLEX PN Premium

$150/ 90 days