Neurological Disorders NCLEX Questions | Nurselytic

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Neurological Disorders NCLEX Questions Questions

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Question 1 of 5

During the immediate postoperative assessment, the nurse notices the dressing is moist. Which action is most appropriate to take first?

Correct Answer: B

Rationale: Reinforcing the dressing controls minor drainage and maintains sterility while further assessment is conducted.

Question 2 of 5

The client diagnosed with a brain abscess is experiencing a tonic-clonic seizure. Which interventions should the nurse implement? Rank in order of performance.

Order the Items

Source Container

Assess the client’s mouth.
Loosen restrictive clothing.
Administer phenytoin IVP.
Turn the client to the side.
Protect the client’s head from injury.

Correct Answer: E,B,C,D,A

Rationale: 1. Protect the client’s head (E): Prevents injury during convulsions. 2. Loosen restrictive clothing (
B): Ensures airway and circulation. 3. Turn to the side (
D): Prevents aspiration post-seizure. 4. Administer phenytoin (
C): Stops the seizure after safety is ensured. 5. Assess the mouth (
A): Done post-seizure to check for injury.

Question 3 of 5

A hospitalized client diagnosed with seizures has a vagus nerve stimulation (VNS) device implanted. The nurse determines that the VNS is working properly when making which observation?

Correct Answer: C

Rationale: A VNS device does not stimulate the heart to beat as a pacemaker. A VNS device does not defibrillate the heart as an implantable cardioverter/defibrillator does. A VNS is a medical device that is implanted in the chest and stimulates the vagus nerve to control seizures unresponsive to medical treatment. Clients who experience auras before a seizure use a magnet to activate the VNS to stop the seizure. The device does not have an effect on the airway or secretions.

Question 4 of 5

Which rationale explains the transmission of the West Nile virus?

Correct Answer: B

Rationale: West Nile virus is primarily transmitted via mosquito bites (
B), not human-to-human contact, body fluids (
A), blood/breast milk (
C), or rash drainage (
D).

Question 5 of 5

The client diagnosed with Parkinson’s disease is being discharged. Which statement made by the significant other indicates an understanding of the discharge instructions?

Correct Answer: C

Rationale: Scheduling appointments late in the morning (
C) accommodates Parkinson’s patients’ morning stiffness and medication timing, indicating understanding. Emotional slowing (
A) is incorrect, hallucinations (
B) are a side effect not limited to initiation, and strict medication schedules (
D) are critical.

Similar Questions

When the nurse performs a physical assessment, which finding is most indicative of the client's disorder?
Which intervention has the highest priority for the client in the emergency department who has been in a motorcycle collision with an automobile and has a fractured left leg?
The nurse is caring for the client with an SCI at the level of the sixth cervical vertebra. Which findings support the nurse’s conclusion that the client may be experiencing autonomic dysreflexia? Select all that apply.
The nurse educator is presenting an in-service on seizures. Which disease process is the leading cause of seizures in the elderly?
The nurse enters the room as the client is beginning to have a tonic-clonic seizure. What action should the nurse implement first?

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