NCLEX Neurological Disorders | Nurselytic

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NCLEX Neurological Disorders Questions

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Question 1 of 5

For a client with Guillain-Barré syndrome, which complication should the nurse monitor most closely?

Correct Answer: B

Rationale: Deep vein thrombosis is a significant risk in Guillain-Barré syndrome due to immobility from muscle weakness.

Question 2 of 5

On the basis of the factors that cause the client to experience paroxysmal pain, which intervention is most appropriate to include in this client's care plan?

Correct Answer: B

Rationale: Avoiding facial touch minimizes triggering paroxysmal pain in trigeminal neuralgia, which is sensitive to tactile stimuli.

Question 3 of 5

A 78-year-old client is admitted to the emergency department (ED) with numbness and weakness of the left arm and slurred speech. Which nursing intervention is priority?

Correct Answer: C

Rationale: For a suspected stroke, the priority is to confirm the diagnosis and determine the type of stroke (ischemic or hemorrhagic) before initiating treatment. A STAT CT scan of the head is critical to rule out hemorrhagic stroke, which contraindicates thrombolytic therapy like rt-PA. Administering rt-PA without imaging could be harmful, discussing precipitating factors is not urgent, and a speech pathology consult is secondary to diagnostic imaging.

Question 4 of 5

The male client is sitting in the chair and his entire body is rigid with his arms and legs contracting and relaxing. The client is not aware of what is going on and is making guttural sounds. Which action should the nurse implement first?

Correct Answer: D

Rationale: During a tonic-clonic seizure, the priority is safety. Easing the client to the floor (
D) prevents injury from falling. Clearing furniture (
A) follows, placing on the side (
B) is done after the client is safe, and vital signs (
C) are assessed post-seizure.

Question 5 of 5

Which intervention should the nurse implement when caring for the client diagnosed with encephalitis? Select all that apply.

Correct Answer: A,D,E

Rationale: Turning every 2 hours (
A) prevents pressure ulcers, assessing DVT (
D) addresses immobility risks, and monitoring elimination (E) ensures bowel/bladder function. Increased fluids (
B) depend on status, and supine positioning (
C) may increase ICP.

Similar Questions

The nurse is teaching the client who is scheduled for an outpatient EEG. Which instruction should the nurse include?
The nurse is preparing the male client for an electroencephalogram (EEG). Which intervention should the nurse implement?
The client is diagnosed with expressive aphasia. Which psychosocial client problem would the nurse include in the plan of care?
The significant other of a client diagnosed with a brain tumor asks the nurse for help identifying resources. Which would be the most appropriate referral for the nurse to make?
The nurse is caring for the client who, 6 weeks after an MVA, was diagnosed with a mild TBI. Which information in the client’s history of the injury should the nurse associate with the TBI? Select all that apply.

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