NCLEX RN Neurological Questions
Home / Nursing & Allied Health Certifications / NCLEX RN / RN Neurologic
Question 1 of 5.
The nurse is caring for a client with newly prescribed sumatriptan. The nurse understands that this medication is intended to treat which condition?
A. Peripheral artery disease
B. Accelerated hypertension
C. Migraine headache
D. Angina
Explanation: Sumatriptan is a triptan specifically used to treat migraine headaches by constricting blood vessels and reducing inflammation. It is not used for peripheral artery disease, hypertension, or angina.
Question 2 of 5.
Extract:The following scenario applies to the next 1 items The nurse in the emergency department is caring for a 22-year-old female. Item 1 of 1 History And Physical Orders 1114: A 22-year-old female client was with friends at a restaurant and reportedly started acting odd and then had uncontrollable and uncoordinated movements. This lasted three minutes. Once this terminated, EMS was called, and this occurred again and lasted four minutes. EMS administered lorazepam. The client does not have any medical history or take any medications. On exam, she did not recall the seizure, nor did she remember how she felt leading up to the seizure. She denied any drug use. She is drowsy following the administration of lorazepam but can sustain attention and is fully oriented. Glasgow Coma Scale 14. Will admit the client for observation.
For each physician order, click to specify the appropriate nursing intervention: Magnetic Resonance Imaging (MRI) of the brain
| Description | Options |
|---|---|
| Lorem ipsum dolor sit amet consectetur. |
|
| Lorem ipsum dolor sit amet consectetur. |
|
| Lorem ipsum dolor sit amet consectetur. |
|
| Lorem ipsum dolor sit amet consectetur. |
|
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.
Related Questions