NCLEX Questions for Neurological System

NCLEX Questions for Neurological System Related

Review NCLEX Questions for Neurological System related questions and content

Which assessment question will the nurse practitioner ask a patient with a history of migraines currently prescribed oral sumatriptan (Imitrex) for treatment?

  • A. “Does this medication provide relief of migraine symptoms?”
  • B. “Has the sumatriptan helped you sleep better during the migraine?”
  • C. “Does the medication help decrease your anxiety during a migraine?”
  • D. “Has the medication prevented you from getting any more migraines?”
Correct Answer: A

Rationale: The correct answer is A: "Does this medication provide relief of migraine symptoms?" This question directly assesses the effectiveness of sumatriptan in treating migraines, which is crucial for evaluating the medication's efficacy. Asking about symptom relief is essential in determining if the medication is working as intended.

Choices B, C, and D are incorrect because they do not directly assess the primary purpose of sumatriptan, which is to provide relief from migraine symptoms. B focuses on sleep improvement, C on anxiety reduction, and D on migraine prevention, none of which are the primary goal of sumatriptan therapy. To ensure optimal care, the focus should be on assessing the medication's effectiveness in managing the migraines.

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When assessing the patient's ability to perform fine motor tasks, the nurse should:

  • A. Ask the patient to perform tasks such as buttoning a shirt or writing a sentence.
  • B. Measure the patient's blood pressure.
  • C. Inspect the patient's gait and balance.
  • D. Check the patient's oral hygiene.
Correct Answer: A

Rationale: Fine motor skills are assessed by tasks like buttoning a shirt or writing. Blood pressure, gait, and oral hygiene are unrelated to fine motor assessment.

The action potential pattern that appears on the oscilloscope screen is caused by rapid ________.

  • A. polarity changes
  • B. pH changes
  • C. breakdown of the membrane structure
  • D. all of the above
Correct Answer: A

Rationale: The action potential pattern observed on an oscilloscope is caused by rapid changes in membrane polarity. During an action potential, the membrane potential depolarizes (becomes more positive) as sodium ions rush into the neuron, followed by repolarization (returning to negative) as potassium ions exit. These polarity changes are essential for the propagation of nerve impulses and are a hallmark of neural activity.

What advice must the nurse give to prevent recurrence of insect bites?

  • A. Prevent strenuous exercises by the client when outdoors.
  • B. Apply insect repellant to clothing and exposed skin.
  • C. Wear thick woolen clothing to cover the skin while outdoors.
  • D. Avoid giving daily baths to the client with soaps.
Correct Answer: B

Rationale: Insect repellants are effective in preventing bites.

The nursing assistant reports to you, the RN, that the patient with myasthenia gravis (MG) has an elevated temperature (102.2°F), heart rate of 120/minute, rise in blood pressure (158/94), and was incontinent of urine and stool. What is your best first action at this time?

  • A. Administer an acetaminophen suppository.
  • B. Notify the physician immediately.
  • C. Recheck vital signs in 1 hour.
  • D. Reschedule patient's physical therapy.
Correct Answer: B

Rationale: These symptoms could indicate a myasthenic crisis, necessitating immediate medical evaluation.

During neurologic assessment of the older adult, what should the nurse expect to find?

  • A. Absent deep tendon reflexes
  • B. Below-average intelligence score
  • C. Decreased sensation of touch and temperature
  • D. Decreased frequency of spontaneous awakening
Correct Answer: C

Rationale: Older adults often exhibit decreased sensation of touch and temperature.

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