NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The 28-year-old client is on the rehabilitation unit post spinal cord injury at level T10. Which collaborative team members should participate with the nurse at the case conference? Select all that apply.
Correct Answer: A,B,D,E
Rationale: OT (
A) and PT (
B) address functional and mobility needs, the physician (
D) oversees medical care, and the social worker (E) coordinates resources. Dietitian (
C) and PCT (F) are less critical for case conferences.
Question 2 of 5
The nurse is performing a Glasgow Coma Scale (GCS) assessment on a client with a problem with intracranial regulation. The client’s GCS one (1) hour ago was scored at 10. Which datum indicates the client is improving?
Correct Answer: D
Rationale: A GCS of 12 (
D) is higher than 10, indicating improved neurological status. Scores of 3 (
A) or 9 (
B) indicate worsening, and 10 (
C) shows no change.
Question 3 of 5
The client recently has been diagnosed with trigeminal neuralgia. Which intervention is most important for the nurse to implement with the client?
Correct Answer: C
Rationale: Carbamazepine is a primary treatment for trigeminal neuralgia, and Multiple
Choice monitoring of levels (
C) prevents toxicity and ensures efficacy. Smell/taste (
A) are unaffected, eye care (
B) is relevant for Bell’s palsy, and triggers (
D) are secondary to medication management.
Question 4 of 5
Which assessment data would make the nurse suspect that the client has amyotrophic lateral sclerosis?
Correct Answer: C
Rationale: ALS presents with fatigue, progressive muscle weakness, and fasciculations (twitching,
C). Recent illness (
A) is nonspecific, double vision/ptosis (
B) suggests myasthenia gravis, and sensory loss (
D) is not typical of ALS.
Question 5 of 5
The client is diagnosed with Creutzfeldt-Jakob disease. Which referral would be the most appropriate?
Correct Answer: B
Rationale: The Creutzfeldt-Jakob Disease Foundation (
B) provides specialized support and resources. Alzheimer’s Association (
A) is unrelated, hospice (
C) may be premature, and neurosurgery (
D) is not typically indicated.