NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
When assisting the client with activities of daily living (ADLs), which approach is best?
Correct Answer: C
Rationale: Allowing rest between activities conserves energy and supports the client's independence during an MS exacerbation.
Question 2 of 5
The nurse is caring for the client diagnosed with West Nile virus. Which assessment data would require immediate intervention from the nurse?
Correct Answer: D
Rationale: Lethargy and difficulty arousing (
D) indicate neurological deterioration, requiring immediate intervention. Mild fever (
A), body aches (
B), and positive ELISA (
C) are expected.
Question 3 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 4 of 5
Which of the following indicates an autonomic nervous system manifestation of a seizure?
Correct Answer: C
Rationale: Flushing and increased sweating are autonomic nervous system manifestations that can occur during a seizure, reflecting involuntary physiological changes.
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).