NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
When the nurse alternates injection sites on the client's upper arms, how far apart should the injections be spaced?
Correct Answer: C
Rationale: Injections should be spaced 1'' apart to prevent tissue irritation and ensure proper drug absorption.
Question 2 of 5
The client has undergone a craniotomy for a brain tumor. Which data indicate a complication of this surgery?
Correct Answer: B
Rationale: Significant output (3,500 mL) compared to intake (1,000 mL,
B) suggests diabetes insipidus, a complication of craniotomy due to pituitary dysfunction. Mild headache (
A), sore throat (
C), and orthostatic dizziness (
D) are less concerning.
Question 3 of 5
The client is admitted to the medical floor with a diagnosis of closed head injury. Which nursing intervention has priority?
Correct Answer: D
Rationale: Airway maintenance (
D) is the highest priority in any critically ill patient, including those with head injuries, to ensure oxygenation. Neurological assessment (
A), vital signs (
B), and IV access (
C) follow after securing the airway.
Question 4 of 5
The client diagnosed with amyotrophic lateral sclerosis (Lou Gehrig's disease) is prescribed medications that require intravenous access. The HCP has ordered a primary intravenous line at a keep-vein-open (KVO) rate at 25 mL/hr. The drop factor is 10 gtts/mL. At what rate should the nurse set the IV tubing?
Correct Answer: 4 gtts/min
Rationale: Calculate: (25 mL/hr ÷ 60 min) × 10 gtts/mL = 4.17 gtts/min, rounded to 4 gtts/min.
Question 5 of 5
If the drug is administered every 3 to 4 hours, which nursing action is most appropriate at this time in response to the client's statement?
Correct Answer: D
Rationale: Using a nondrug intervention like guided imagery is appropriate since it's too early for another dose, and it avoids escalating to opioids prematurely.