NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
A client diagnosed with a subarachnoid hemorrhage has undergone a craniotomy for repair of a ruptured aneurysm. Which intervention will the intensive care nurse implement?
Correct Answer: A
Rationale: Post-craniotomy for subarachnoid hemorrhage, preventing increased intracranial pressure is critical. A stool softener (
A) prevents straining, which could raise ICP. Coughing (
B) increases ICP, neurological checks (
C) should be more frequent (e.g., hourly), and dopamine to maintain high BP (
D) risks re-bleeding.
Question 2 of 5
The 29-year-old client is admitted to the medical floor diagnosed with meningitis. Which assessment by the nurse has priority?
Correct Answer: D
Rationale: Level of consciousness (
D) is the priority assessment in meningitis, as it indicates neurological status and potential complications like increased ICP. Lung sounds (
A), eye movements (
B), and pulse (
C) are secondary.
Question 3 of 5
Which client statement indicates a need for further teaching about meningitis precautions?
Correct Answer: C
Rationale: Sharing a water bottle can transmit meningitis, indicating a misunderstanding of droplet precaution protocols.
Question 4 of 5
Which nursing action is best for controlling the symptoms of the client diagnosed with myasthenia gravis?
Correct Answer: B
Rationale: Precise timing of pyridostigmine administration ensures consistent symptom control in myasthenia gravis by maintaining acetylcholine levels.
Question 5 of 5
The client diagnosed with ALS asks the nurse, 'I know this disease is going to kill me. What will happen to me in the end?' Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: Providing factual information about respiratory failure (
B) addresses the client’s question honestly while respecting their need for clarity. Reflecting fear (
A) is vague, dismissing concerns (
C) is untherapeutic, and denying prognosis (
D) is inaccurate.