NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
If the diagnosis is accurate, which assessment findings should the nurse document? Select all that apply.
Correct Answer: A,B,F
Rationale: Meningitis commonly presents with photophobia, stiff neck (nuchal rigidity), and fever due to inflammation of the meninges. Muscle weakness, diarrhea, and vertigo are not typically associated with meningitis.
Question 2 of 5
Which nursing action is priority for a client with a stroke experiencing unilateral neglect?
Correct Answer: D
Rationale: Teaching the client to scan the environment compensates for unilateral neglect, promoting safety and awareness.
Question 3 of 5
When planning care for a client with a stroke, which goal is most appropriate for addressing dysphagia?
Correct Answer: A
Rationale: Swallowing soft foods without choking is a realistic and safe goal for managing dysphagia in stroke clients.
Question 4 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 5 of 5
The wife of the client diagnosed with septic meningitis asks the nurse, 'I am so scared. What is meningitis?' Which statement would be the most appropriate response by the nurse?
Correct Answer: C
Rationale: Septic meningitis is a bacterial infection of the meninges (
C). Bleeding (
A) describes subarachnoid hemorrhage, viral meningitis (
B) is aseptic, and mosquito-related inflammation (
D) refers to encephalitis.