NGN MNEURO NCLEX LATEST EXAM
QUESTIONS & ANSWERS BEST
GUARANTEED 2023\2024 RATED A+
1. . The nurse is caring for the client with increased
... [Show More] intracranial
pressure. The nurse would note which of the following trends in vital
signs if the ICP is rising?
Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure. Increasing temperature, decreasing pulse, decreasing respirations,
increasing blood pressure. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure. Decreasing temperature, increasing pulse, decreasing respirations,
increasing blood pressure. 2. A client with a subarachnoid hemorrhage is prescribed a 1,000-mg
loading dose of Dilantin IV. Which consideration is most important
when administering this dose?
1. Therapeutic drug levels should be maintained between 20 to 30 mg/ml. 2. Rapid Dilantin administration can cause cardiac arrhythmias. Dilantin should be mixed in dextrose in water before administration. • Dilantin should be administered through an IV catheter in the client’s
hand. 3
While in the ER, a client with C8 tetraplegia develops
a blood pressure of 80/40, pulse 48, and RR of 18. The nurse suspects
which of the following conditions?
1. Autonomic dysreflexia
2. Hemorrhagic shock
3. Neurogenic shock
4. Pulmonary embolism
When evaluating an ABG from a client with a subdural hematoma, the nurse notes the PaCO2 is 30 mm Hg. Which of the following
responses best describes this result?
Appropriate; lowering carbon dioxide (CO2) reduces intracranial pressure
(ICP). Emergent; the client is poorly oxygenated. Normal
Significant; the client has alveolar hypoventilation. A client who had a transsphenoidal hypophysectomy should be
watched carefully for hemorrhage, which may be shown by which of the
following signs?
Bloody drainage from the ears
2. Frequent swallowing
Guaiac-positive stools
Hematuria
6. After a hypophysectomy, vasopressin is given IM for which of the
following reasons?
To treat growth failure
To prevent syndrome of inappropriate antidiuretic hormone (SIADH)
To reduce cerebral edema and lower intracranial pressure
To replace antidiuretic hormone (ADH) normally secreted by the pituitary.
7. A client comes into the ER after hitting his head in an MVA. He’s alert
and oriented. Which of the following nursing interventions should be
done first?
Assess full ROM to determine extent of injuries
Call for an immediate chest x-ray
Immobilize the client’s head and neck
Open the airway with the head-tilt-chin-lift maneuver
8. A client with a C6 spina [Show Less]