NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
The public health nurse is giving a lecture on potential outbreaks of infectious meningitis. Which population is most at risk for an outbreak?
Correct Answer: B
Rationale: College dormitory residents (
B) are at high risk for meningococcal meningitis due to close living conditions and shared spaces. Hospital discharges (
A), travel (
C), or office workers (
D) are less specific risks.
Question 2 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 3 of 5
The client diagnosed with a brain tumor has a diminished gag response and weakness on the left side of the body. Which intervention should the nurse implement?
Correct Answer: A
Rationale: A diminished gag reflex increases aspiration risk, so making the client NPO (
A) is safest until swallowing is evaluated. Low Fowler’s (
B) increases aspiration risk, a ground diet (
C) is premature, and directing food (
D) requires intact swallowing.
Question 4 of 5
The nurse is assessing a client experiencing motor loss as a result of a left-sided cerebrovascular accident (CVA). Which clinical manifestation would the nurse document?
Correct Answer: B
Rationale: A left-sided CVA affects the right side of the body due to the brain's contralateral control. Paralysis or hemiparesis of the right side is a common manifestation, and ataxia (impaired coordination) may also occur. Hemiparesis of the left arm would indicate a right-sided CVA, visual deficits like homonymous hemianopsia are possible but less specific to motor loss, and behavioral changes are not directly related to motor deficits.
Question 5 of 5
The nurse in the ED documents that the newly admitted client is 'postictal upon transfer.' What did the nurse observe?
Correct Answer: B
Rationale: Jaundice and icterus are terms for yellowing of the skin. The client had experienced a tonic-clonic seizure recently and is now in a state of deep relaxation and is breathing quietly. During this period the client may be unconscious or awaken gradually, but is often confused and disoriented. Often the client is amnesic regarding the seizure. Pruritus is a term for itching. Paresthesia is the term for abnormal sensations such as tingling and burning of the skin.