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Neurological NCLEX Questions with Correct answers
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Neurological NCLEX Questions with Correct answers
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Neurological NCLEX Questions with Correct answersThe nurse is teaching the client with myasthenia gravis about prevention
of myasthenic and cholinergic crises. The nurse tells the client that this
is most effectively done by which activity? Correct Answer ✓✓ Taking
medications on time to maintain therapeutic blood levels
A thymectomy via a median sternotomy approach is performed on a
client with a diagnosis of myasthenia gravis. The nurse has assisted in
developing a plan of care for the client and includes which nursing
action in the plan? Correct Answer ✓✓ Monitor the chest tube drainage.
The nurse is caring for a client with a diagnosis of multiple sclerosis
who has been prescribed oxybutynin (Ditropan). The nurse evaluates the
effectiveness of the medication by asking the client which question?
Correct Answer ✓✓ "Are you getting up at night to urinate?"
The nurse caring for a client following a craniotomy monitors for signs
of increased intracranial pressure (ICP). Which indicates an early sign of
increased ICP? Correct Answer ✓✓ Confusion
A client who sustained a closed head injury has a new onset of copious
urinary output. Urine output for the previous 8-hour shift was 3300 mL,
and 2800 mL for the shift before that. The findings have been reported
to the health care provider, and the nurse anticipates a prescription for
which medication? Correct Answer ✓✓ Desmopressin (DDAVP)
,A client with myasthenia gravis is experiencing prolonged periods of
weakness. The health care provider prescribes a test dose of
edrophonium (Enlon) and the client becomes weaker. The nurse
interprets this outcome as indicative of which result? Correct Answer
✓✓ Cholinergic crisis
The client with spinal cord injury is prone to experiencing autonomic
dysreflexia. The least appropriate measure to minimize the risk of
autonomic dysreflexia is which action? Correct Answer ✓✓ Limiting
bladder catheterization to once every 12 hours
A halo vest is applied to a client following a cervical spine fracture. The
nurse reinforces instructions to the client regarding safety measures
related to the vest. Which statement by the client indicates a need for
further teaching? Correct Answer ✓✓ "I will bend at the waist, keeping
the halo vest straight to pick up items."
The nurse is monitoring a client who sustained a head injury and
suspects that the client has a skull fracture. This conclusion is based on
which findings? Select all that apply. Correct Answer ✓✓ Drainage
from ear
Bruising around the eyes
Pink-tinged drainage from the nose
, The nurse is collecting neurological data on an unconscious client. On
application of a central noxious stimulus, the nurse observes this
response. How should the nurse document this response on the client's
record? Refer to figure. Correct Answer ✓✓ Client demonstrated
decerebrate posturing.
A client with spinal cord injury has experienced more than one episode
of autonomic dysreflexia. The nurse should avoid which action that
could trigger an episode of this complication? Correct Answer ✓✓
Allowing the client's bladder to become distended
A client with Parkinson's disease is embarrassed about the symptoms of
the disorder and is bored and lonely. The nurse should plan which
approach as therapeutic in assisting the client to cope with the disease?
Correct Answer ✓✓ Encourage and praise perseverance in exercising
and performing ADL.
A client with a T4 spinal cord injury is to be monitored for autonomic
dysreflexia (hyperreflexia). Which finding is indicative of this
complication? Correct Answer ✓✓ The client complains of a headache,
and the blood pressure is elevated.
The nurse is monitoring a client with a C5 spinal cord injury for spinal
shock. Which findings would be associated with spinal shock in this
client? Select all that apply. Correct Answer ✓✓ Bowel sounds are
absent.
The client's abdomen is distended.
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