NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The 85-year-old client diagnosed with a stroke is complaining of a severe headache. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: A severe headache in a stroke patient may indicate complications like hemorrhagic transformation or increased intracranial pressure. A neurological assessment (
D) is the first step to evaluate the cause and guide further actions. Analgesics (
A) may mask symptoms, MRI (
B) requires assessment first, and IV fluids (
C) are not urgent.
Question 2 of 5
The nurse is caring for the client who is having difficulty walking. Which procedure should the nurse perform to test the cerebellar function of the client?
Correct Answer: D
Rationale: Detecting sharp or dull touch is a test for peripheral nerve function. Assessing for pronator drift is a test for muscle weakness due to cerebral or brainstem dysfunction. Assessment of hand grasps compares equality of muscle strength bilaterally. Repetitive alternating motion tests the client’s coordination, an indicator of cerebellar function.
Question 3 of 5
Which discharge instruction is most appropriate following the positron emission tomography scan?
Correct Answer: B
Rationale: Increasing fluid intake helps flush the radioactive tracer used in the PET scan from the body.
Question 4 of 5
The nurse is preparing to administer acetaminophen (Tylenol) to a client diagnosed with a stroke who is complaining of a headache. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Checking the armband (
B) ensures patient safety before medication administration. Pudding (
A), crushing (
C), or sipping water (
D) follow identity confirmation.
Question 5 of 5
Which clinical manifestation will the nurse most likely observe first?
Correct Answer: B
Rationale: In the postictal phase, sleepiness and disorientation are typically observed first as the brain recovers from the seizure.