NCLEX Secrets - Neurology Board Review
56. Which of the following is a sign of neuroleptic malignant syndrome?
a) Temperature of 39.9 C
b) muscle weakness
c) red-purplish blotchy areas in the skin
d) weight gain
57. A nurse is caring for a client diagnosed to have head injury. Which of the following situations needs intervention by the nurse?
a) the padded side rails are up
b) the bed is adjusted to low level
c) the client's spouse turns on the TV one hour in the afternoon and 2 hours in the evening
d) the head of bed is elevated at 30 degree angle
58. Which of the following should be included when giving health teachings to a client with left hemianopsia?
a) tell her to fully turn her head from side to side
b) tell her to fully turn her head on her right side only
c) tell her not to turn her head from side to side
d) tell her to look forward most of the time
59. The client is diagnosed to have amyotrophic lateral sclerosis. Which of the following signs and symptoms should concern the nurse most?
a) tremors
b) difficulty in swallowing
c) ptosis of the eyelid
d) muscle atrophy
60. A client with closed head injury manifests increased urine output. What should the nurse do next?
a) measure urine specific gravity
b) start an IV fluid
c) monitor blood glucose levels
d) administer mannitol drip
NCLEX Secrets - Neurology Board Review:
ANSWERS AND RATIONALE
56) A
- fever is a characteristic manifestation of neuroleptic malignant syndrome
57) C
- in a client with head injury, increased ICP occurs. External stimuli should be reduced to prevent seizures.
58) A
- scanning technique will help the client with hemianopsia to see the entire visual field.
59) B
- difficulty in swallowing may cause aspiration. This in turn may cause airway obstruction.
60) A
- closed head injury causes increased intracranial pressure. This causes compression of the posterior pituitary gland that leads to hyposecretion of antidiuretic hormone (ADH). Diabetes insipidus occurs. Diabetes insipidus is characterized by polyuria and low urine specific gravity.
Related Topics:
- Go back to NCLEX Secrets - Neurology Board Review (1-5) to start the test from the beginning.
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