Published - Thu, 23 Feb 2023

NCLEX-RN Exam Questions - Part 141

1. In planning daily care for a client with multiple sclerosis, the nurse would take into consideration that multiple sclerosis:

A) Becomes progressively debilitating without remission
B) Has unpredictable remissions and exacerbations
C) Is rapidly fatal
D) Responds quickly to antimicrobial therapy

2. A client with a head injury asks why he cannot have something for his headache. The nurse - s response is based on the understanding that analgesics could:

A) Counteract the effects of antibiotics
B) Elevate the blood pressure
C) Mask symptoms of increasing intracranial pressure
D) Stimulate the central nervous system

3. To prevent transmission of bacterial meningitis, the nurse would instruct an infected baby - s mother to:

A) Avoid touching the baby while in the room.
B) Stay outside of the baby - s room.
C) Wear a gown and gloves and wash her hands before and after leaving the room.
D) Wear a mask while in the room.

4. A client is scheduled for a magnetic resonance imaging (MRI) to locate a cerebral lesion. It is important for the nurse to find out if he has a(n):

A) Allergy to seafood
B) History of seizures
C) Movable metal implant
D) Pin or screw in any bone

5. A child is admitted with severe headache, fever, vomiting, photophobia, drowsiness, and stiff neck associated with viral meningitis. She will be more comfortable if the nurse:

A) Dims the lights in her room
B) Encourages her to breathe slowly and deeply
C) Offers sips of warm liquids
D) Places a large, soft pillow under her head

1. Right Answer: B
Explanation: (A) Multiple sclerosis eventually becomes debilitating, but it is characterized by remission of symptoms. (B) Remissions and exacerbations are unpredictable with multiple sclerosis. The client experiences progressive dysfunction after each exacerbation episode. (C) Multiple sclerosis is usually slowly progressive. (D) Multiple sclerosis is an autoimmune disease. Antimicrobial therapy has no effect on its course.

2. Right Answer: C
Explanation: (A) Analgesic medication does not counteract the effects of antibiotics. (B) Analgesic medication may lower blood pressure elevated due to anxiety. (C) Analgesic medication, especially CNS depressants, is not given if there is danger of increasing ICP, because neurological changes may not be apparent. Also, further depression of the CNS is contraindicated. (D) Analgesics do not stimulate the CNS.

3. Right Answer: C
Explanation: (A) The mother should be allowed and encouraged to touch her baby. (B) With care, transmission can be prevented. There is no need for the mother to stay outside the room. (C) Everyone entering the babys room should take appropriate measures to prevent transmission of pathogens. (D) Wearing a mask will not protect against transmission of pathogens.

4. Right Answer: C
Explanation: (A) Iodine is not used as a contrast medium for MRI. It is important to inquire about allergy to seafood if the client is to have an arteriogram or enhanced computer tomography. (B) MRI is safe if seizures are under control. It is more important to inquire about movable metal implants. (C) Clients with movable metal implants such as shrapnel or aneurysm clips or clients with permanent pacemakers or implanted pumps can be traumatized during an MRI. (D) Nonmovable metal prostheses or hardware will not cause trauma during an MRI.

5. Right Answer: A
Explanation: (A) The discomfort of photophobia is alleviated by dimming the lights. (B) Helping the child to breathe slowly and deeply may help to reduce anxiety, but it will not alleviate other discomforts of viral meningitis. (C) It is important to maintain fluid balance, but sips of warm liquids do not alleviate the discomforts of meningitis. (D)A large, soft pillow under her head causing neck flexion is likely to increase her discomfort owing to stretching of the meninges.

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