Neurology NCLEX answers
A client weighing 150 lb with a head injury is receiving an IV
anticonvulsant. The order is for 5 mcg/kg/min. The premixed bag
contains 250 mg of anticonvulsant/250 mL normal saline solution.
The nurse will set the administration pump for how many
milliliters per hour?
20
A client has been taking carbamazepine (Tegretol) for 3 years.
What should the nurse specifically evaluate on the admission
physical assessment?
Symptoms of increased bruising and weakness
Before beginning a client's medication therapy with levodopa
(Sinemet) for Parkinson's disease, it is important for the nurse to
determine if he takes what medication?
Monoamine oxidase inhibitors
During a physical exam of a child diagnosed with chronic
recurrent seizures who is receiving antiepileptic medication, the
nurse notes hyperplasia of the gums. The nurse understands that
hyperplasia of the gums is:
A common side effect of phenytoin (Dilantin)
An older adult client is diagnosed with postherpetic neuralgia.
Which of the following medications would the nurse anticipate
being ordered to treat the neuralgia pain? Select all that apply.
Anticonvulsants, Tricyclic antidepressants, Opioids
A client is taking antiepileptic medication. The nurse understands
that antiepileptic medication:
May be discontinued after 4 years if there is no seizure activity,
and the EEG is normal
A client has been receiving antiepileptic medication. If the client
discontinues treatment abruptly, what complication may occur?
Status epilepticus
,What is important teaching to provide the client regarding the
use of medications to treat trigeminal neuralgia?
Relief of the symptoms should occur within 24 hours of starting
the medication.
The nurse is administering mannitol (Osmitrol) to a client who
had a craniotomy for a pituitary tumor the previous day. What
nursing observation would indicate that the medication is having
the desired effect?
The neurologic signs indicate no evidence of increased
intracranial pressure.
A client with a closed head injury is receiving dexamethasone
(Decadron). What is the purpose of administering this medication
to the client?
Decrease and/or prevent cerebral swelling
A client diagnosed with Parkinson's disease has been taking
benztropine (Cogentin) for approximately 6 months. The nurse is
evaluating him on his clinic visit. What is important for the nurse
to determine regarding this medication?
Has he had any problems with constipation and urinary
retention?
A client is admitted to the nursing unit with a diagnosis of
exacerbation of her myasthenia gravis. Before offering the client
any oral fluids, what would be important to determine?
When did she last take her Mestinon?
Immediately after a client has sustained a T8 spinal cord injury,
the nurse is administering IV methylprednisolone (Solu-Medrol).
To evaluate the effectiveness of this medication, the nurse would
assess:
Motor and sensory function of the lower extremities
A child is prescribed phenytoin (Dilantin) for epilepsy. The nurse
would monitor for a deficiency in which of the following?
Vitamin D
, Which of the following is usually the first pharmacologic
intervention for an adolescent experiencing a migraine
headache?
Excedrin
Which medication order would the nurse question for a client who
has been recently diagnosed with multiple sclerosis?
Neostigmine (Prostigmin)
A client with myasthenia gravis is scheduled to have a Tensilon
diagnostic test. In anticipation of complications regarding this
medication the nurse understands that the antidote is
Atropine sulfate
What drug will the nurse be prepared to administer to a client
who is experiencing an acute exacerbation of symptoms
associated with multiple sclerosis?
Methylprednisolone (Solu-Medrol)
The nurse is obtaining a health history from a client who states
he is having pain in his left arm. Which question by the nurse will
elicit the most useful response from the client?
"Can you describe the pain you are experiencing in your arm?"
The nurse is assessing a client with a tentative diagnosis of a
brain tumor. What would the nurse anticipate the client's primary
complaint to be?
Recurrent headaches
The nurse is caring for a client who has had a right-sided stroke.
What would be appropriate nursing care for this client?
Performing passive ROM exercises to affected side, active ROM on
unaffected side
A client is scheduled for an electroencephalogram. What will the
nurse explain to the client regarding the purpose of this test?
Records brain electrical activity
A client who has had a stroke is aphasic. It has been a week
since his stroke. The client is beginning to show functional
A client weighing 150 lb with a head injury is receiving an IV
anticonvulsant. The order is for 5 mcg/kg/min. The premixed bag
contains 250 mg of anticonvulsant/250 mL normal saline solution.
The nurse will set the administration pump for how many
milliliters per hour?
20
A client has been taking carbamazepine (Tegretol) for 3 years.
What should the nurse specifically evaluate on the admission
physical assessment?
Symptoms of increased bruising and weakness
Before beginning a client's medication therapy with levodopa
(Sinemet) for Parkinson's disease, it is important for the nurse to
determine if he takes what medication?
Monoamine oxidase inhibitors
During a physical exam of a child diagnosed with chronic
recurrent seizures who is receiving antiepileptic medication, the
nurse notes hyperplasia of the gums. The nurse understands that
hyperplasia of the gums is:
A common side effect of phenytoin (Dilantin)
An older adult client is diagnosed with postherpetic neuralgia.
Which of the following medications would the nurse anticipate
being ordered to treat the neuralgia pain? Select all that apply.
Anticonvulsants, Tricyclic antidepressants, Opioids
A client is taking antiepileptic medication. The nurse understands
that antiepileptic medication:
May be discontinued after 4 years if there is no seizure activity,
and the EEG is normal
A client has been receiving antiepileptic medication. If the client
discontinues treatment abruptly, what complication may occur?
Status epilepticus
,What is important teaching to provide the client regarding the
use of medications to treat trigeminal neuralgia?
Relief of the symptoms should occur within 24 hours of starting
the medication.
The nurse is administering mannitol (Osmitrol) to a client who
had a craniotomy for a pituitary tumor the previous day. What
nursing observation would indicate that the medication is having
the desired effect?
The neurologic signs indicate no evidence of increased
intracranial pressure.
A client with a closed head injury is receiving dexamethasone
(Decadron). What is the purpose of administering this medication
to the client?
Decrease and/or prevent cerebral swelling
A client diagnosed with Parkinson's disease has been taking
benztropine (Cogentin) for approximately 6 months. The nurse is
evaluating him on his clinic visit. What is important for the nurse
to determine regarding this medication?
Has he had any problems with constipation and urinary
retention?
A client is admitted to the nursing unit with a diagnosis of
exacerbation of her myasthenia gravis. Before offering the client
any oral fluids, what would be important to determine?
When did she last take her Mestinon?
Immediately after a client has sustained a T8 spinal cord injury,
the nurse is administering IV methylprednisolone (Solu-Medrol).
To evaluate the effectiveness of this medication, the nurse would
assess:
Motor and sensory function of the lower extremities
A child is prescribed phenytoin (Dilantin) for epilepsy. The nurse
would monitor for a deficiency in which of the following?
Vitamin D
, Which of the following is usually the first pharmacologic
intervention for an adolescent experiencing a migraine
headache?
Excedrin
Which medication order would the nurse question for a client who
has been recently diagnosed with multiple sclerosis?
Neostigmine (Prostigmin)
A client with myasthenia gravis is scheduled to have a Tensilon
diagnostic test. In anticipation of complications regarding this
medication the nurse understands that the antidote is
Atropine sulfate
What drug will the nurse be prepared to administer to a client
who is experiencing an acute exacerbation of symptoms
associated with multiple sclerosis?
Methylprednisolone (Solu-Medrol)
The nurse is obtaining a health history from a client who states
he is having pain in his left arm. Which question by the nurse will
elicit the most useful response from the client?
"Can you describe the pain you are experiencing in your arm?"
The nurse is assessing a client with a tentative diagnosis of a
brain tumor. What would the nurse anticipate the client's primary
complaint to be?
Recurrent headaches
The nurse is caring for a client who has had a right-sided stroke.
What would be appropriate nursing care for this client?
Performing passive ROM exercises to affected side, active ROM on
unaffected side
A client is scheduled for an electroencephalogram. What will the
nurse explain to the client regarding the purpose of this test?
Records brain electrical activity
A client who has had a stroke is aphasic. It has been a week
since his stroke. The client is beginning to show functional
