NCLEX Neurological Disorders | Nurselytic

Questions 85

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NCLEX Neurological Disorders Questions

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Question 1 of 5

When implementing this medical order, which nursing action is most appropriate?

Correct Answer: B

Rationale: Wrapping the cooling blanket in a light cloth cover prevents direct skin contact, reducing the risk of thermal injury while allowing effective cooling.

Question 2 of 5

The client is diagnosed with expressive aphasia. Which psychosocial client problem would the nurse include in the plan of care?

Correct Answer: B

Rationale: Expressive aphasia impairs the ability to communicate, leading to frustration and feelings of powerlessness (
B). Injury (
A) is physical, disturbed thought processes (
C) relate to cognition, and sexual dysfunction (
D) is not directly linked to aphasia.

Question 3 of 5

The client is diagnosed with a brain abscess. Which sign/symptom is the most common?

Correct Answer: C

Rationale: Brain abscesses cause increased ICP, leading to headaches worse in the morning (
C). Vomiting (
A) is less specific, disorientation (
B) is secondary, and petit mal seizures (
D) are less common.

Question 4 of 5

The client is diagnosed with meningococcal meningitis. Which preventive measure would the nurse expect the health-care provider to order for the significant others in the home?

Correct Answer: B

Rationale: Close contacts of meningococcal meningitis patients require antimicrobial chemoprophylaxis (
B), such as rifampin, to prevent infection. Vaccines (
A) are not for immediate prophylaxis, corticosteroids (
C) treat inflammation, and gamma globulin (
D) is not indicated.

Question 5 of 5

The client is undergoing post-thrombolytic therapy for a stroke. The health-care provider has ordered heparin to be infused at 1,000 units per hour. The solution comes as 25,000 units of heparin in 500 mL of D5W. At what rate will the nurse set the pump?

Correct Answer: 20 mL/hr

Rationale: Calculate: (1,000 units/hr ÷ 25,000 units) × 500 mL = 20 mL/hr. The pump should be set to 20 mL/hr.

Similar Questions

The client with ALS is admitted to the medical unit with shortness of breath, dyspnea, and respiratory complications. Which intervention should the nurse implement first?
The client with a closed head injury has clear fluid draining from the nose. Which action should the nurse implement first?
The male client is sitting in the chair and his entire body is rigid with his arms and legs contracting and relaxing. The client is not aware of what is going on and is making guttural sounds. Which action should the nurse implement first?
The client is reporting neck pain, fever, and a headache. The nurse elicits a positive Kernig's sign. Which diagnostic test procedure should the nurse anticipate the HCP ordering to confirm a diagnosis?
The experienced nurse is instructing the new nurse on subarachnoid hemorrhage. The nurse evaluates that the new nurse understands the information when the new nurse makes which statements? Select all that apply.

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