NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client admitted to the hospital to rule out encephalitis is being prepared for a lumbar puncture. Which instructions should the nurse teach the client regarding care postprocedure?
Correct Answer: C
Rationale: Post-lumbar puncture, increasing fluid intake (
C) helps replace CSF and prevent headaches. Consent (
A) is preoperative, CSF analysis (
B) explains purpose, and lying flat (
D) prevents headaches, not hematomas.
Question 2 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 3 of 5
The nurse researcher is working with clients diagnosed with Parkinson’s disease. Which is an example of an experimental therapy?
Correct Answer: D
Rationale: Fetal tissue transplantation (
D) is an experimental therapy for Parkinson’s, investigated for dopamine-producing cell replacement. Pallidotomy/thalamotomy (
A) and dopamine agonists (
B) are established, and physical therapy (
C) is standard care.
Question 4 of 5
The nurse is caring for several clients. Which client would the nurse assess first after receiving the shift report?
Correct Answer: C
Rationale: A GCS score of 6 (
C) indicates severe neurological impairment, requiring immediate assessment for potential life-threatening conditions. Waking every 2 hours (
A) is standard for concussion, left-sided weakness (
B) is concerning but less acute, and expressive aphasia (
D) is stable.
Question 5 of 5
Which client statement indicates a need for further teaching about post-craniotomy care?
Correct Answer: C
Rationale: Lifting heavy objects post-craniotomy can increase intracranial pressure; clients should avoid this for several weeks.