Neurological Disorders NCLEX Questions

Extract:

Question 1 of 5

The client being monitored while receiving tissue plasminogen activator (tPA) following an ischemic stroke opens both eyes spontaneously, mumbles inappropriate words in response to orientation questions, has no ability to move any extremities, and has decerebrate posturing in response to nailbed pressure. Based on the chart illustrated, what is the client’s Glasgow Coma Scale (GCS) score?

Correct Answer: 9

Rationale: Spontaneous eye opening is scored as 4; the best verbal response of inappropriate words is scored as 3, and the best motor response of decerebrate posturing is scored as 2.

Question 2 of 5

The client diagnosed with Parkinson's disease is prescribed carbidopa/levodopa (Sinemet). Which intervention should the nurse implement prior to administering the medication?

A. Discuss how to prevent orthostatic hypotension. B. Take the client's apical pulse for one (1) full minute. C. Inform the client that this medication is for short-term use. D. Tell the client to take the medication on an empty stomach.

Correct Answer: A

Rationale: Carbidopa/levodopa can cause orthostatic hypotension. Discussing prevention (
A) ensures safety. Pulse (
B) is not routine, the medication is long-term (
C), and it can be taken with food (
D) to reduce nausea.

Question 3 of 5

A client diagnosed with a subarachnoid hemorrhage has undergone a craniotomy for repair of a ruptured aneurysm. Which intervention will the intensive care nurse implement?

A. Administer a stool softener bid. B. Encourage the client to cough hourly. C. Monitor neurological status every shift. D. Maintain the dopamine drip to keep BP at 160/90.

Correct Answer: A

Rationale: Post-craniotomy for subarachnoid hemorrhage, preventing increased intracranial pressure is critical. A stool softener (
A) prevents straining, which could raise ICP. Coughing (
B) increases ICP, neurological checks (
C) should be more frequent (e.g., hourly), and dopamine to maintain high BP (
D) risks re-bleeding.

Question 4 of 5

The unlicensed assistive personnel (UAP) is caring for a client who is having a seizure. Which action by the UAP would warrant immediate intervention by the nurse?

A. The assistant attempts to insert an oral airway. B. The assistant turns the client on the right side. C. The assistant has all the side rails padded and up. D. The assistant does not leave the client's bedside.

Correct Answer: A

Rationale: Inserting an oral airway during a seizure (
A) risks injury and is contraindicated. Turning to the side (
B), padding rails (
C), and staying with the client (
D) are appropriate.

Question 5 of 5

Which rationale explains the transmission of the West Nile virus?

A. Transmission occurs through exchange of body fluids when sneezing and coughing. B. Transmission occurs only through mosquito bites and not between humans. C. Transmission can occur from human to human in blood products and breast milk. D. Transmission occurs with direct contact from the maculopapular rash drainage.

Correct Answer: B

Rationale: West Nile virus is primarily transmitted via mosquito bites (
B), not human-to-human contact, body fluids (
A), blood/breast milk (
C), or rash drainage (
D).

Neurological Disorders NCLEX Questions | Nurselytic

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