NCLEX Questions on Neurological Disorders Quizlet

Extract:

Question 1 of 5

The client is to receive a 100-mL intravenous antibiotic over 30 minutes via an intravenous pump. At what rate should the nurse set the IV pump?

Correct Answer: 200 mL/hr

Rationale:
To infuse 100 mL over 30 minutes, calculate the hourly rate: (100 mL / 30 min) × 60 min/hr = 200 mL/hr. The pump should be set to 200 mL/hr.

Question 2 of 5

The client diagnosed with PD is being discharged on carbidopa/levodopa (Sinemet), an antiparkinsonian drug. Which statement is the scientific rationale for combining these medications?

A. There will be fewer side effects with this combination than with carbidopa alone. B. Dopamine D requires the presence of both of these medications to work. C. Carbidopa makes more levodopa available to the brain. D. Carbidopa crosses the blood-brain barrier to treat Parkinson’s disease.

Correct Answer: C

Rationale: Carbidopa inhibits peripheral breakdown of levodopa, allowing more levodopa to cross the blood-brain barrier and convert to dopamine (
C). This enhances efficacy and reduces side effects. Other options are incorrect.

Question 3 of 5

The unlicensed assistive personnel (UAP) is attempting to put an oral airway in the mouth of a client having a tonic-clonic seizure. Which action should the primary nurse take?

A. Help the UAP to insert the oral airway in the mouth. B. Tell the UAP to stop trying to insert anything in the mouth. C. Take no action because the UAP is handling the situation. D. Notify the charge nurse of the situation immediately.

Correct Answer: B

Rationale: Inserting objects during a seizure (
B) risks injury to the mouth or airway and is contraindicated. The nurse must intervene immediately. Helping the UAP (
A) is unsafe, taking no action (
C) neglects responsibility, and notifying the charge nurse (
D) delays correction.

Question 4 of 5

Because carbamazepine (Tegretol) can cause liver dysfunction, the client's discharge plan should include instructions to report which symptom?

A. Unusual bleeding B. Yellowing of the skin C. Cloudy urine D. Mottled skin

Correct Answer: B

Rationale: Yellowing of the skin (jaundice) indicates potential liver dysfunction, a known side effect of carbamazepine.

Question 5 of 5

When the nurse describes the myelogram procedure to the client, which statement is most accurate?

A. Part of the test involves a lumbar puncture.' B. You will be asked to change positions frequently.' C. Dye is instilled into a vein in your arm.' D. Light anesthesia is administered during the test.'

Correct Answer: A

Rationale: A myelogram involves a lumbar puncture to inject contrast dye into the spinal canal for imaging.

NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN