NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
In assessing a client with a Thoracic SCI, which clinical manifestation would the nurse expect to find to support the diagnosis of neurogenic shock?
Correct Answer: D
Rationale: Neurogenic shock in thoracic SCI results from loss of sympathetic tone, leading to hypotension and bradycardia (
D). No reflex activity (
A) indicates spinal shock, upper extremity paralysis (
B) occurs in cervical SCI, and headache (
C) is unrelated.
Question 2 of 5
Before discharge, the nurse instructs the client about administering subcutaneous injections and correctly explains the client should rotate injections between which two areas?
Correct Answer: C
Rationale: Rotating injections between the thighs and abdomen minimizes tissue damage and ensures consistent absorption.
Question 3 of 5
Which assessment data would indicate to the nurse that the client would be at risk for a hemorrhagic stroke?
Correct Answer: C
Rationale: Severe hypertension (BP 220/120 mm Hg,
C) is a major risk factor for hemorrhagic stroke due to vessel rupture. High blood glucose (
A) is more linked to ischemic stroke, a carotid bruit (
B) indicates atherosclerosis, and bronchogenic carcinoma (
D) is unrelated.
Question 4 of 5
The client is diagnosed with ALS. Which client problem would be most appropriate for this client?
Correct Answer: A
Rationale: ALS causes progressive muscle weakness, leading to disuse syndrome (
A) from immobility. Body image (
B) is secondary, fluid/electrolyte issues (
C) are not primary, and pain (
D) is less common.
Question 5 of 5
The client is diagnosed with an SCI and is scheduled for a magnetic resonance imaging (MRI) scan. Which question would be most appropriate for the nurse to ask prior to taking the client to the diagnostic test?
Correct Answer: D
Rationale: MRI scans require lying still in a confined space, so assessing for claustrophobia (
D) is critical to ensure patient safety and comfort. Hearing issues (
A), dairy allergies (
B), and recent eating (
C) are not relevant to MRI preparation.