Neurological Disorder NCLEX

Question 1 of 82

Which client would the nurse identify as being most at risk for experiencing a cerebrovascular accident (CVA)?

A. A 55-year-old African American male.

B. An 84-year-old Japanese female.

C. A 67-year-old Caucasian male.

D. A 39-year-old pregnant female.

Correct Answer:

Rationale:

Question 2 of 82

The client diagnosed with atrial fibrillation has experienced a transient ischemic attack (TIA). Which medication would the nurse anticipate being ordered for the client on discharge?

A. An oral anticoagulant medication.

B. A beta blocker medication.

C. An anti-hyperuricemic medication.

D. A thrombolytic medication.

Correct Answer:

Rationale:

Question 3 of 82

The 85-year-old client diagnosed with a stroke is complaining of a severe headache. Which intervention should the nurse implement first?

A. Administer a nonnarcotic analgesic.

B. Prepare for STAT magnetic resonance imaging (MRI).

C. Start an intravenous infusion with D5W at 100 mL/hr.

D. Complete a neurological assessment.

Correct Answer:

Rationale:

Question 4 of 82

The nurse is caring for several clients. Which client would the nurse assess first after receiving the shift report?

A. The 22-year-old male client diagnosed with a concussion who is complaining someone is waking him up every two (2) hours.

B. The 36-year-old female client admitted with complaints of left-sided weakness who is scheduled for a magnetic resonance imaging (MRI) scan.

C. The 45-year-old client admitted with blunt trauma to the head after a motorcycle accident who has a Glasgow Coma Scale (GCS) score of 6.

D. The 62-year-old client diagnosed with a cerebrovascular accident (CVA) who has expressive aphasia.

Correct Answer:

Rationale:

Question 5 of 82

The client diagnosed with a gunshot wound to the head assumes decorticate posturing when the nurse applies painful stimuli. Which assessment data obtained three (3) hours later would indicate the client is improving?

A. Purposeless movement in response to painful stimuli.

B. Flaccid paralysis in all four extremities.

C. Decerebrate posturing when painful stimuli are applied.

D. Pupils that are 6 mm in size and nonreactive on painful stimuli.

Correct Answer:

Rationale:

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