NCLEX 300-NEURO EXAM 2024/2025 /COMPLETE ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS ) ALREADY GRADED.PASS
GUARANTEED.
A client with amyotrophic lateral sclerosis (ALS) tells the nurse,
"Sometimes I feel so frustrated. I can't do anything without help!" This
comment best supports which nursing diagnosis? - ANSWER-
Powerlessness
When caring for a client with a head injury, the nurse must stay alert
for signs and symptoms of increased intracranial pressure (ICP).
Which cardiovascular findings are late indicators of increased ICP? -
ANSWER-Rising blood pressure and bradycardia
The nurse receives a physician's order to administer 1,000 ml of
normal saline solution I.V. over 8 hours to a client who recently had a
stroke. What should the drip rate be if the drop factor of the tubing is
15 gtt/ml? - ANSWER-31
When caring for a client with head trauma, the nurse notes a small
amount of clear, watery fluid oozing from the client's nose. What
should the nurse do? - ANSWER-Test the nasal drainage for glucose.
The physician orders measurement of the serum acetaminophen level
of a client admitted with a suspected overdose of this drug. To ensure
,an accurate result, the nurse should wait how long after
acetaminophen (Tylenol) ingestion before drawing the blood sample?
- ANSWER-4 hours
A home health nurse visits a client who's taking pilocarpine, a miotic
agent, to treat glaucoma. The nurse notes that the client's pilocarpine
solution is cloudy. What should the nurse do first? - ANSWER-Advise
the client to discard the drug because it may have undergone
chemical changes or become contaminated.
Damage to which area of the brain results in receptive aphasia? -
ANSWER-Temporal lobe
A client who sustained an L1 to L2 spinal cord injury in a construction
accident asks a nurse if he'll ever be able to walk again. Which
response by the nurse is appropriate? - ANSWER-"What has your
physician told you about your ability to walk again?"
A client is admitted to an acute care facility for treatment of a brain
tumor. When reviewing the chart, the nurse notes that the client's
extremity muscle strength is rated 1/5. What does this mean? -
ANSWER-Muscle contraction is palpable and visible.
A client with a spinal cord injury and subsequent urine retention
receives intermittent catheterization every 4 hours. The average
catheterized urine volume has been 550 ml. The nurse should plan to:
,- ANSWER-increase the frequency of the catheterizations.
(SELECT ALL THAT APPLY) The nurse is planning care for a client
with multiple sclerosis. Which problems should the nurse expect the
client to experience? - ANSWER-(1) Visual disturbances, (3) Balance
problems, (5) Mood disorders
A client undergoes cerebral angiography to evaluate for neurologic
deficits. Afterward, the nurse checks frequently for signs and
symptoms of complications associated with this procedure. Which
findings indicate spasm or occlusion of a cerebral vessel by a clot? -
ANSWER-Hemiplegia, seizures, and decreased level of
consciousness (LOC)
The nurse is administering neostigmine to a client with myasthenia
gravis. Which nursing intervention should the nurse implement? -
ANSWER-Schedule the medication before meals.
A 78-year-old Alzheimer's client is being treated for malnutrition and
dehydration. The nurse decides to place him closer to the nurses'
station because of his tendency to: - ANSWER-wander.
During the course of a busy shift, a nurse fails to document that a
client's ventricular drain had an output of 150 ml. Assuming that the
drain was no longer draining cerebrospinal fluid, the physician
removes the drain. When the nurse arrives for work the next morning,
, she learns that the client became agitated during the night and his
blood pressure became elevated. What action should the nurse take?
- ANSWER-Notify the physician of the documentation omission.
How should the nurse position a client for a lumbar puncture? -
ANSWER-Laterally, with knees drawn up to the abdomen and chin
touching the chest
A client with Guillain-Barré syndrome has paralysis affecting the
respiratory muscles and requires mechanical ventilation. What should
the nurse tell the client about the paralysis? - ANSWER-"The paralysis
caused by this disease is temporary."
What should the nurse do when administering pilocarpine (Pilocar)? -
ANSWER-Apply pressure on the inner canthus to prevent systemic
absorption.
(SELECT ALL THAT APPLY) A client is admitted to the
medicalsurgical unit after undergoing intracranial surgery to remove a
tumor from the left cerebral hemisphere. Which nursing interventions
are appropriate for the client's postoperative care? - ANSWER-(2)
Turn the client on his right side., (5) Apply a soft collar to keep the
client's neck in a neutral position.
The nurse is caring for a client in a coma who has suffered a closed
head injury. What intervention should the nurse implement to prevent
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