NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
Before the client undergoes the craniotomy, the nurse inserts a urinary catheter. How far should the catheter be inserted if the client is a male?
Correct Answer: D
Rationale: For a male, the urinary catheter should be inserted 8'' to 10'' to reach the bladder adequately.
Question 2 of 5
Which priority goal would the nurse identify for a client diagnosed with Parkinson’s Disease (PD)?
Correct Answer: A
Rationale: Maintaining mobility and safe swallowing (
A) are priority goals in Parkinson’s to prevent falls and aspiration. Verbalizing feelings (
B), understanding medications (
C), and home health (
D) are secondary.
Question 3 of 5
The client is in status epilepticus. Which interventions, if prescribed, should be included in this client's immediate treatment? Select all that apply.
Correct Answer: B,D,E
Rationale: Anticonvulsant medications such as phenytoin (Dilantin), and not anti-inflammatory medications such as dexamethasone (Decadron), are administered IV to control seizure activity. Status epilepticus is a medical emergency. The client is at risk for brain hypoxia and permanent brain damage. The client needs additional oxygen, and intubation will secure the airway. Defibrillation is treatment for ventricular fibrillation, a lethal heart dysrhythmia. Care is taken to protect the client from injury during the seizure. Either lorazepam (Ativan) or diazepam (Valium) is administered initially to terminate the seizure because they can be administered more rapidly than phenytoin.
Question 4 of 5
The nurse is developing a plan of care for a client diagnosed with West Nile virus. Which intervention should the nurse include in this plan?
Correct Answer: A
Rationale: Severe West Nile virus can cause neurological and respiratory complications, so monitoring respirations (
A) is critical. Rash (
B) is self-limiting, hypothermia (
C) is not typical, and lymph glands (
D) are not a primary concern.
Question 5 of 5
The nurse is admitting a client with the diagnosis of Parkinson’s disease. Which assessment data support this diagnosis?
Correct Answer: D
Rationale: Masklike facies and shuffling gait (
D) are hallmark signs of Parkinson’s due to bradykinesia and rigidity. Crackles and JVD (
A) suggest heart failure, weakness and ptosis (
B) indicate myasthenia gravis, and exaggerated arm swinging (
C) is opposite to Parkinson’s.