NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
The chief executive officer (CEO) of a large manufacturing plant presents to the occupational health clinic with chronic rhinitis and requesting medication. On inspection, the nurse notices holes in the septum that separates the nasal passages. The nurse also notes dilated pupils and tachycardia. The facility has a 'No Drug' policy. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Nasal septal perforation, dilated pupils, and tachycardia suggest cocaine use. A drug screen (
A) objectively confirms substance use while maintaining confidentiality. Discussing drug use (
B) is premature, notifying the supervisor (
C) breaches confidentiality, and ignoring findings (
D) is unethical.
Question 2 of 5
A family member brings the client to the emergency department reporting that the 78-year-old father has suddenly become very confused and thinks he is living in 1942, that he has to go to war, and that someone is trying to poison him. Which question should the nurse ask the family member?
Correct Answer: B
Rationale: Sudden confusion and delusions suggest delirium, often medication-related. Asking about medications (
B) identifies potential causes. Dementia (
A) causes gradual decline, blaming poison (
C) is untherapeutic, and movies (
D) are irrelevant.
Question 3 of 5
The nurse plans to show the spouse of the client with a suspected epidural hematoma where the epidural hematoma occurs in the brain. Which illustration should the nurse select when teaching the client’s spouse?
Correct Answer: B
Rationale: This illustration shows a subdural hematoma, which occurs below the dura. This illustration shows an epidural hematoma, which occurs between the skull and the dura. This illustration shows normal brain structures. An intracerebral hematoma occurs within the brain tissue and can result in brain herniation as shown in this illustration.
Question 4 of 5
Which intervention should the nurse take with the client recently diagnosed with amyotrophic lateral sclerosis (Lou Gehrig's disease)?
Correct Answer: C
Rationale: ALS is progressive and terminal. Providing an advance directive (
C) ensures the client’s wishes are respected early. Gastrostomy (
A) is later, fistulas (
B) are unrelated, and leg braces (
D) are less urgent.
Question 5 of 5
The nurse is assessing the client admitted with encephalitis. Which data require immediate nursing intervention? The client has bilateral facial palsies.
Correct Answer: B
Rationale: A fever of 100.6°F (
B) in encephalitis may indicate worsening infection or inflammation, requiring immediate intervention. Decreased headache (
C) suggests improvement, and taste loss (
D) is less urgent. Facial palsies are noted but not an option.