NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client diagnosed with atrial fibrillation has experienced a transient ischemic attack (TIA). Which medication would the nurse anticipate being ordered for the client on discharge?
Correct Answer: A
Rationale: A TIA in a client with atrial fibrillation is likely due to cardioembolic stroke risk. Oral anticoagulants (
A), such as warfarin or direct oral anticoagulants, are prescribed to prevent clot formation. Beta blockers (
B) control heart rate, anti-hyperuricemics (
C) treat gout, and thrombolytics (
D) are used acutely, not for discharge prevention.
Question 2 of 5
Which instruction is most applicable after symptoms are relieved?
Correct Answer: B
Rationale: Lifting with knees bent and back straight prevents re-injury to the lumbar spine after a herniated disk.
Question 3 of 5
The nurse is caring for the client who has severe craniocerebral trauma. Which finding indicates that the client is developing DI?
Correct Answer: B
Rationale: Elevated glucose levels are not associated with DI. The lack of ADH that occurs in DI results in excreting a large amount of pale, dilute urine. The urine of clients with DI is very dilute and therefore has a very low, not high, specific gravity. Decrease in level of consciousness is not directly associated with DI but rather with craniocerebral swelling or bleeding from the trauma.
Question 4 of 5
Which intervention is most effective for managing autonomic dysreflexia in a client with a spinal cord injury?
Correct Answer: D
Rationale: Autonomic dysreflexia is often triggered by bladder distension; immediate catheterization relieves the stimulus.
Question 5 of 5
The client is prescribed a loading dose of phenytoin of 15 mg/kg IV for seizure activity, then 100 mg IV tid. The client weighs 198 lb. What dose in mg should the nurse administer for the loading dose of phenytoin?
Correct Answer: 1350
Rationale: 198 lb = 90 kg; (198 ÷ 2.2 = 90 kg; 90 x 15 = 1350) The nurse should administer 1350 mg phenytoin (Dilantin).