Nclex-Rn Practice Questions-Neurological Disorders-Management Issues
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Question 1 |
The registered nurse (RN), an LPN, and a UAP are caring for clients on a neurological unit. Which task would be most appropriate for the nurse to assign/delegate?
A | Instruct the LPN to complete the client’s admission assessment. |
B | Request the UAP to change the central line dressing. |
C | Assign the LPN to administer routine medications. |
D | Tell the UAP to complete the Glasgow Coma Scale. |
Question 2 |
The male client diagnosed with a brain tumor who is receiving hospice care is admitted to the hospital and provides the nurse with a copy of his living will, stating he does not want any heroic measures. Which action should the nurse implement first?
A | Check the chart to make sure there is a do not resuscitate (DNR) order. |
B | Inform the HCP that the client has a living will. |
C | Place a copy of the living will in the front of the client’s chart. |
D | Request the hospital chaplain to come and talk to the client. |
Question 3 |
The nurse and a UAP are caring for a client with right-sided paralysis secondary to a CVA. Which action by the UAP requires the nurse to intervene?
A | The UAP encourages the client to perform ROM exercises. |
B | The UAP places the client on a side with a pillow between the legs. |
C | The UAP leaves a urinal full of urine at the client’s bedside. |
D | The UAP praises the client for attempting to get dressed alone. |
Question 4 |
The primary nurse in the neurological critical care unit is very busy. Which nursing task must be implemented first?
A | Assist the HCP with a sterile dressing change for a client who has a turban dressing. |
B | Obtain a tracheostomy tray for a client with a C-4 SCI who is exhibiting air hunger. |
C | Transcribe orders for a client who was transferred from the emergency department. |
D | Administer the antibiotic therapy to the client diagnosed with meningitis. |
Question 5 |
The nurse is caring for clients on a medical surgical floor. Which client should be assessed first?
A | The client diagnosed with epilepsy who reports over the intercom having an aura. |
B | The client with an L-1 SCI who is complaining of shortness of breath while exercising. |
C | The client diagnosed with Parkinson disease who is being discharged today. |
D | The client diagnosed with a CVA who has resolving left hemiparesis. |
Question 6 |
The 22-year-old client with a severe head injury is admitted to the critical care unit. Some of the client’s friends come to the nurse’s station requesting information. Which action would be most appropriate by the nurse?
A | Tell the friends to talk to the parents. |
B | Discuss the client’s situation with the friends. |
C | Allow the friends to visit the client for 10 minutes. |
D | Explain that no information can be shared with the friends. |
Question 7 |
The charge nurse in the medical/surgical department is making rounds at 0700. Which client should the nurse see first?
A | The client diagnosed with a brain tumor who is complaining of a headache. |
B | The client diagnosed with meningitis who is complaining of a stiff neck. |
C | The client diagnosed with diabetes who is reporting seeing spots in the eyes. |
D | The client diagnosed with low back pain who has radiating pain down the left leg. |
Question 8 |
The charge nurse has received laboratory data for clients. Which situation requires the charge nurse’s intervention first?
A | The client with a brain tumor who has ABGs:ph 7.36, PaO2 95, PaCO2 38, HCO3 24. |
B | The postoperative craniotomy client who has a serum sodium level of 153 mEq/L. |
C | The client with septic meningitis who has a white blood cell count of 12,000 mm. |
D | The client with epilepsy who has a serum phenytoin (Dilantin) level 15 mcg/mL. |
Question 9 |
The nurse is caring for a client diagnosed with septic meningitis. The UAP reports T 101.6°F, P 128, R 32, B/P 96/46. Which action should the nurse implement first?
A | Notify the HCP. |
B | Assess the client immediately. |
C | Prepare to administer acetaminophen (Tylenol). |
D | Check the chart for the culture and sensitivity report. |
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