Tina W.
Smith 5 NCLEX Questions
1. After striking his head on a tree while falling from a ladder, a young man 18 is admitted to the emergency department. He is unconscious and his pupils are nonreactive. Which intervention would be the most dangerous for the client? a. Give him a barbiturate b. Place him on mechanical ventilation c. Perform a lumbar puncture d. Elevate the head of the bed Answer: C
2. A male client is admitted with a cervical spine injury sustained during a diving accident. When planning this client's care, the nurse should assign highest priority to which nursing diagnosis? a. Impaired physical mobility b. Ineffective breating pattern c. Disturbed sensory perception d. Self-care deficit
Answer: B
3. A client, age 22, is admitted with bacterial meningitis. Which hospital room would be the best choice for this client? a. A private room down the hall from the nurses station b. An isolation room three doors from the nurses station c. A semiprivate room with a 32-year-old client who has viral
meningitis d. A two-bed room with a client who previously had bacterial meningitis
Answer: B
4. The nurse is caring for a male client diagnosed with a cerebral aneurysm who reports a severe headache. Which action should the nurse perform? a. Sit with the client for a few minutes. b. Administer an analgesic c. Inform the nurse manager. d. Call the physician immediately.
Answer: D
5. The nurse is performing a mental status examination on a male client diagnosed with subdural hematoma. This test assesses which of the following? a. Cerebellar function b. Intellectual function c. Cerebral function d. Sensory function Answer: C