NCLEX RN Neurological Questions
Question 1 of 5.
For each physician order, click to specify the appropriate nursing intervention: Magnetic Resonance Imaging (MRI) of the brain
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Explanation: A negative pregnancy test is essential for female patients of childbearing age to avoid radiation risks to a fetus. Assessing for claustrophobia ensures patient comfort and safety during the MRI. Assessing for IV contrast dye allergy is necessary if contrast is used. Phenytoin can cause cardiac arrhythmias, so continuous cardiac monitoring is critical during infusion to detect and manage any adverse effects promptly. An EEG involves placing electrodes on the scalp, and instructing the client on how to remove adhesive post-test ensures proper care and comfort.
Question 2 of 5.
The nurse is caring for a client who is experiencing status epilepticus. Which of the following actions should be prioritized by the nurse?
A. Administer prescribed carbamazepine
B. Notify the rapid response team (RRT)
C. Obtain a prescription for lorazepam
D. Loosen any restrictive clothing
E. Review the client's most recent phenytoin level
Explanation: Status epilepticus is a medical emergency requiring immediate action. Notifying the RRT ensures rapid intervention, obtaining a lorazepam prescription is critical to stop seizures, and loosening restrictive clothing prevents injury and ensures airway patency.
Question 3 of 5.
The nurse is assessing a client with suspected Cushing's triad. Which of the following findings would support a diagnosis of Cushing's triad?
A. Hypotension, jugular venous distention, and muffled heart tones
B. Irregular respirations, bradycardia, and widening pulse pressure
C. Fixed pupils, hypotension, and bradycardia
D. Bradycardia, hypotension, and bradypnea
Explanation: Cushing's triad, indicative of increased intracranial pressure, includes irregular respirations, bradycardia, and widening pulse pressure.
Question 4 of 5.
The nurse is teaching a client newly diagnosed with multiple sclerosis. Which of the following statements by the client would indicate a correct understanding of the teaching?
A. If I experience double-vision, I should put an eye patch on both eyes for a few hours.
B. Planning my activities should help manage the fatigue.
C. I should plan to take a hot bath for my muscle spasms.
D. This disease may cause me to have an increased sensitivity to pain.
Explanation: Planning activities helps manage fatigue, a common symptom in multiple sclerosis. Hot baths can worsen symptoms, and eye patches are used for one eye, not both.
Question 5 of 5.
The nurse is caring for a client who is paraplegic secondary to a spinal cord injury. While planning this client's discharge, which would be most appropriate to include in the client's plan of care?
A. The client and their family members will arrange for rehabilitation.
B. The rehabilitation plan should be implemented early in the client's treatment.
C. The client should plan for minimal and short-term rehabilitation, as they will return to their former activities.
D. Long-term care should be arranged, as the client can no longer perform self-care.
Explanation: Early rehabilitation is critical for optimizing recovery and adaptation in spinal cord injury patients.