NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The 29-year-old client is admitted to the medical floor diagnosed with meningitis. Which assessment by the nurse has priority?
Correct Answer: D
Rationale: Level of consciousness (
D) is the priority assessment in meningitis, as it indicates neurological status and potential complications like increased ICP. Lung sounds (
A), eye movements (
B), and pulse (
C) are secondary.
Question 2 of 5
The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medical-surgical unit. Which task should not be assigned to the UAP?
Correct Answer: A
Rationale: Feeding a client with swallowing difficulty (
A) requires nursing judgment to assess aspiration risk, so it should not be delegated. Turning/positioning (
B), assisting with toileting (
C), and vital signs (
D) are within UAP scope.
Question 3 of 5
The client diagnosed with Parkinson’s disease is being discharged. Which statement made by the significant other indicates an understanding of the discharge instructions?
Correct Answer: C
Rationale: Scheduling appointments late in the morning (
C) accommodates Parkinson’s patients’ morning stiffness and medication timing, indicating understanding. Emotional slowing (
A) is incorrect, hallucinations (
B) are a side effect not limited to initiation, and strict medication schedules (
D) are critical.
Question 4 of 5
The nurse is caring for clients on a medical-surgical floor. Which clients should be assessed first?
Correct Answer: B
Rationale: Inability to move toes in a T10 SCI (
B) may indicate neurological deterioration or edema, requiring immediate assessment. Mild headache (
A), emotional distress (
C), and resolving hemiparesis (
D) are less urgent.
Question 5 of 5
A 20-year-old female client who tried lysergic acid diethylamide (LSD) as a teen tells the nurse that she has bad dreams that make her want to kill herself. Which is the explanation for this occurrence?
Correct Answer: B
Rationale: LSD can cause flashbacks (
B), where users re-experience effects like bad dreams years later, especially from a 'bad trip.' Holdover reactions (
A) is not a term, LSD is not stored long-term (
C), and suicidal ideation (
D) requires assessment but is not the explanation.