NCLEX Questions on Neurological Disorders Quizlet

Extract:

Question 1 of 5

A family member brings the client to the emergency department reporting that the 78-year-old father has suddenly become very confused and thinks he is living in 1942, that he has to go to war, and that someone is trying to poison him. Which question should the nurse ask the family member?

Correct Answer: B

Rationale: Sudden confusion and delusions suggest delirium, often medication-related. Asking about medications (
B) identifies potential causes. Dementia (
A) causes gradual decline, blaming poison (
C) is untherapeutic, and movies (
D) are irrelevant.

Question 2 of 5

When the nurse describes the myelogram procedure to the client, which statement is most accurate?

A. Part of the test involves a lumbar puncture.' B. You will be asked to change positions frequently.' C. Dye is instilled into a vein in your arm.' D. Light anesthesia is administered during the test.'

Correct Answer: A

Rationale: A myelogram involves a lumbar puncture to inject contrast dye into the spinal canal for imaging.

Question 3 of 5

Which collaborative intervention should the nurse implement when caring for the client with West Nile virus?

A. Complete neurovascular examinations every eight (8) hours. B. Maintain accurate intake and output at the end of each shift. C. Assess the client’s symptoms to determine if there is improvement. D. Administer intravenous fluids while assessing for overload.

Correct Answer: D

Rationale: IV fluids (
D) support hydration in West Nile virus while monitoring for overload prevents complications. Neurovascular exams (
A) are less relevant, intake/output (
B) is routine, and symptom assessment (
C) is nursing-driven.

Question 4 of 5

The public health nurse is giving a lecture on potential outbreaks of infectious meningitis. Which population is most at risk for an outbreak?

A. Clients recently discharged from the hospital. B. Residents of a college dormitory. C. Individuals who visit a third world country. D. Employees in a high-rise office building.

Correct Answer: B

Rationale: College dormitory residents (
B) are at high risk for meningococcal meningitis due to close living conditions and shared spaces. Hospital discharges (
A), travel (
C), or office workers (
D) are less specific risks.

Question 5 of 5

Which intervention should the nurse take with the client recently diagnosed with amyotrophic lateral sclerosis (Lou Gehrig's disease)?

A. Discuss a percutaneous gastrostomy tube. B. Explain how a fistula is accessed. C. Provide an advance directive. D. Refer to a physical therapist for leg braces.

Correct Answer: C

Rationale: ALS is progressive and terminal. Providing an advance directive (
C) ensures the client’s wishes are respected early. Gastrostomy (
A) is later, fistulas (
B) are unrelated, and leg braces (
D) are less urgent.

NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

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