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NCLEX PN· Neurological · NCLEX Questions on Neurological Disorders Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a client with increased intracranial pressure (ICP) who has secretions pooled in the throat. Which intervention should the nurse implement first?

A. Set the ventilator to hyperventilate the client in preparation for suctioning.

B. Assess the client's lung sounds and check for peripheral cyanosis.

C. Turn the client to the side to allow the secretions to drain from the mouth.

D. Suction the client using the in-line suction, wait 30 seconds, and repeat.

Expert Explanatory Rationale

Correct Answer: Turn the client to the side to allow the secretions to drain from the mouth.

Question 2 of 5

Which intervention is most appropriate for a client with Bell's palsy experiencing eye dryness?

A. Apply warm compresses to the affected eye.

B. Administer oral antihistamines.

C. Use artificial tears as prescribed.

D. Cover the unaffected eye with a patch.

Expert Explanatory Rationale

Correct Answer: Use artificial tears as prescribed.

Question 3 of 5

Which statement best describes the scientific rationale for alternating a nonnarcotic antipyretic and a nonsteroidal anti-inflammatory drug (NSAID) every two (2) hours to a female client diagnosed with bacterial meningitis?

A. This regimen helps to decrease the purulent exudate surrounding the meninges.

B. These medications will decrease intracranial pressure and brain metabolism.

C. These medications will increase the client's memory and orientation.

D. This will help prevent a yeast infection secondary to antibiotic therapy.

Expert Explanatory Rationale

Correct Answer: These medications will decrease intracranial pressure and brain metabolism.

Question 4 of 5

Because carbamazepine (Tegretol) can cause liver dysfunction, the client's discharge plan should include instructions to report which symptom?

A. Unusual bleeding

B. Yellowing of the skin

C. Cloudy urine

D. Mottled skin

Expert Explanatory Rationale

Correct Answer: Yellowing of the skin

Question 5 of 5

Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke?

A. A blood glucose level of 480 mg/dL.

B. A right-sided carotid bruit.

C. A blood pressure (BP) of 220/120 mm Hg.

D. The presence of bronchogenic carcinoma.

Expert Explanatory Rationale

Correct Answer: A blood pressure (BP) of 220/120 mm Hg.

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