NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
Based on the nurse's knowledge, which characteristic is found in Alzheimer's disease that distinguishes it from other dementias?
Correct Answer: C
Rationale: Neurofibrillary tangles and amyloid plaques are hallmark pathological features of Alzheimer's disease.
Question 2 of 5
The nurse is caring for the client who had a stroke affecting the right hemisphere of the brain. The nurse should assess for which problem initially?
Correct Answer: C
Rationale: A stroke affecting the right hemisphere may produce left, not right hemiparesis. Motor fibers in the brain cross over in the medulla before entering the spinal column. This client may or may not have aphasia because the center for language is located on the left side of the brain in 75% to 80% of the population; this client had a stroke involving the right hemisphere. Even though the client may have expressive aphasia, it is more important to assess for poor impulse control due to the risk for injury. The client with a stroke affecting the right side of the brain often exhibits impulsive behavior and is unaware of the neurological deficits. Poor impulse control increases the client’s risk for injury. Tetraplegia (quadriplegia) is associated with an SCI; tetraplegia usually does not occur from a stroke.
Question 3 of 5
The chief executive officer (CEO) of a large manufacturing plant presents to the occupational health clinic with chronic rhinitis and requesting medication. On inspection, the nurse notices holes in the septum that separates the nasal passages. The nurse also notes dilated pupils and tachycardia. The facility has a 'No Drug' policy. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Nasal septal perforation, dilated pupils, and tachycardia suggest cocaine use. A drug screen (
A) objectively confirms substance use while maintaining confidentiality. Discussing drug use (
B) is premature, notifying the supervisor (
C) breaches confidentiality, and ignoring findings (
D) is unethical.
Question 4 of 5
The resident in a long-term care facility fell during the previous shift and has a laceration in the occipital area that has been closed with steristrips. Which signs/symptoms would warrant transferring the resident to the emergency department?
Correct Answer: B
Rationale: Signs of shock (weak pulse, shallow respirations, cool pale skin,
B) suggest internal bleeding or serious injury post-fall, warranting ED transfer. Minor drainage (
A) is expected, normal pupils (
C) are reassuring, and a resolving headache (
D) is not urgent.
Question 5 of 5
The occupational health nurse is concerned about preventing occupation-related acquired seizures. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Helmets (
A) protect against head injuries, a common cause of acquired seizures in occupational settings. Exercise (
B), diet (
C), and safety glasses (
D) do not directly prevent seizures.