NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
The client diagnosed with a brain abscess has become lethargic and difficult to arouse. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Lethargy and difficulty arousing suggest neurological deterioration. Assessing neurological status (
B) is the first step to determine the cause and guide interventions. Seizure precautions (
A), darkening the room (
C), and steroids (
D) follow assessment.
Question 2 of 5
Which finding is considered to be one of the warning signs of developing Alzheimer's disease?
Correct Answer: A
Rationale: Difficulty performing familiar tasks (
A) is an early Alzheimer’s sign due to cognitive decline. Orientation issues (
B) occur later, focus problems (
C) are nonspecific, and atherosclerosis (
D) is unrelated.
Question 3 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 4 of 5
Which potential pituitary complication should the nurse assess for in the client diagnosed with a traumatic brain injury (TBI)?
Correct Answer: C
Rationale: TBI can damage the pituitary, causing SIADH (
C), leading to fluid retention and hyponatremia. DM2 (
A) is unrelated, seizures (
B) are neurological, and Cushing’s (
D) is less common post-TBI.
Question 5 of 5
Which assessment data indicate that the client with a traumatic brain injury (TBI) exhibiting decorticate posturing on admission is responding effectively to treatment?
Correct Answer: B
Rationale: Purposeful movement (
B) indicates improved brain function compared to decorticate posturing. Flaccid paralysis (
A) or decerebrate posturing (
C) suggest worsening, and no movement (
D) is not an improvement.