NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
If the client had been unresponsive except to painful stimuli, which new assessment finding indicates that the client is improving?
Correct Answer: C
Rationale: A Glasgow Coma Scale score of 12 indicates improved responsiveness compared to being unresponsive except to painful stimuli, suggesting neurological improvement.
Question 2 of 5
The client diagnosed with atrial fibrillation complains of numbness and tingling of her left arm and leg. The nurse assesses facial drooping on the left side and slight slurring of speech. Which nursing interventions should the nurse implement first?
Correct Answer: B
Rationale: Symptoms suggest an acute stroke, requiring immediate activation of a Code STROKE (
B) to expedite diagnosis and treatment. MRI (
A), notifying HCP (
C), and swallowing tests (
D) follow protocol activation.
Question 3 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.
Question 4 of 5
The nurse is assessing the client following a closed head injury. When applying nailbed pressure, the client’s body suddenly stiffens, the eyes roll upward, and there is an increase in salivation and loss of swallowing reflex. Which observation should the nurse document?
Correct Answer: D
Rationale: Decerebrate posture involves rigid extension of the arms and legs, downward pointing of the toes, and backward arching of the head. Decorticate posture involves rigidity, flexion of the arms toward the body with the wrists and fingers clenched and held on the chest, and the legs extended. A positive Kernig’s sign is flexing the leg at the hip and then raising the leg into extension. Severe head and neck pain occurs. Body stiffening, eyes rolled upward, increase in salivation, and a loss of swallowing reflex are signs consistent with the tonic phase of a tonic-clonic seizure. This phase is followed by the clonic phase with violent muscle contractions.
Question 5 of 5
How can the nurse best help the client deal with personal fears at this time?
Correct Answer: A
Rationale: Encouraging verbalization of feelings helps the client process fears and promotes emotional coping during an MS exacerbation.