NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client is prescribed phenytoin (Dilantin), an anticonvulsant, for a seizure disorder. Which statement indicates the client understands the discharge teaching concerning this medication?
Correct Answer: A
Rationale: Phenytoin can cause gingival hyperplasia, so good oral hygiene (
A) is essential and indicates understanding. Dilantin levels (
B) are checked periodically by providers, not daily. Urine color change (
C) is not typical, and seizures may still occur (
D) if not fully controlled.
Question 2 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 3 of 5
The male client diagnosed with a brain tumor is scheduled for a magnetic resonance imaging (MRI) scan in the morning. The client tells the nurse that he is scared. Which response by the nurse indicates an appropriate therapeutic response?
Correct Answer: B
Rationale: Reflecting the client’s fear (
B) encourages expression of concerns, fostering therapeutic communication. Other options provide information (A,
D) or minimize feelings (
C).
Question 4 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).
Question 5 of 5
Which instruction should be the nurse's priority in this situation?
Correct Answer: C
Rationale: Safety is the priority for clients with Parkinson's disease due to risks of falls and injury from motor symptoms.