NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The 29-year-old client who was employed as a forklift operator sustains a traumatic brain injury (TBI) secondary to a motor-vehicle accident. The client is being discharged from the rehabilitation unit after three (3) months and has cognitive deficits. Which goal would be most realistic for this client?
Correct Answer: B
Rationale: Cognitive deficits post-TBI may limit complex tasks. Focusing for 10 minutes (
B) is a realistic short-term goal to build cognitive endurance. Returning to work (
A) may be unrealistic within 6 months, dressing independently (
C) requires motor and cognitive skills, and bowel/bladder control (
D) may be affected by physical deficits.
Question 2 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.
Question 3 of 5
Which assessment finding in a client with myasthenia gravis indicates a need for immediate intervention?
Correct Answer: D
Rationale: A low respiratory rate indicates potential respiratory failure in myasthenia gravis, requiring immediate intervention.
Question 4 of 5
Which discharge teaching is essential for a client with a spinal cord injury to prevent respiratory complications?
Correct Answer: A
Rationale: Deep breathing exercises help prevent atelectasis and pneumonia in clients with spinal cord injuries.
Question 5 of 5
The nurse is caring for the client experiencing Guillain-Barré syndrome (GBS). It is most important for the nurse to monitor the client for which complication?
Correct Answer: D
Rationale: The client with SCI, not GBS, should be monitored for autonomic dysreflexia. The client who has bacterial meningitis should be monitored for septic emboli. Although the client with GBS should be monitored for cardiac dysrhythmias, it is most important to monitor for respiratory failure. It is most important for the nurse to monitor for respiratory failure. Ascending paralysis that occurs in GBS can affect the innervations of the muscles used in respiration, leading to respiratory failure.