NCLEX RN Neurological Questions
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Question 1 of 5.
The nurse is caring for a client scheduled for a lumbar puncture (LP). Which of the following clinical manifestations would require follow-up by the nurse before the LP?
A. Nuchal rigidity
B. Temperature 101° F (38.3° C)
C. Petechial rash
D. Restlessness
Explanation: Nuchal rigidity, fever, and petechial rash suggest meningitis, which requires urgent evaluation before LP to avoid complications.
Question 2 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 3 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 4 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 5 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.