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NCLEX-RN Exam: Caring for the Client with Disorders of the Neurological System
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NCLEX-RN Exam: Caring for the Client with Disorders of the Neurological System
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10 Questions

1. A client is admitted with Parkinson’s disease. The client has been taking Carbidopa/levodopa (Sinemet) for 1 year. Which clinical manifestation would be the most important to report?
2. A client is admitted with a head injury. Which vital sign assessment would be most indicative of increased intracranial pressure?
3. The nurse is caring for a client with a head injury who has increased ICP. The physician plans to reduce the cerebral edema by reversing dilation of cerebral blood vessels. Which physician prescription would the nurse expect to accomplish this?
4. A client with angina is experiencing migraine headaches. The physician has prescribed sumatriptan succinate (Imitrex). Which nursing action is most appropriate?
5. Which assessment finding would be most indicative of increased ICP in a client admitted with a basilar skull fracture?
6. The nurse is caring for a client with a head injury who has an intracranial pressure monitor in place. Assessment reveals an ICP reading of 66. What is the nurse’s best action?
7. The nurse is performing an admission history for a client recovering from a stroke. Medication history reveals the drug clopidogrel (Plavix). Which clinical manifestation alerts the nurse to an adverse effect of this drug?
8. The nurse caring for a client with myasthenia gravis recognizes which of the following as the priority nursing diagnosis?
9. A client with a T6 injury 6 months ago develops facial flushing and a B. of 210/106. After elevating the head of the bed, which is the most appropriate nursing action?
10. A client has developed diabetes insipidous after removal of a pituitary tumor. Which finding would the nurse expect