NCLEX 300-NEURO STUDY EXAM QUESTIONS & ANSWERS.

NCLEX 300-NEURO STUDY EXAM QUESTIONS & ANSWERS. 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER "What has your physician told you about your ability to walk again?"