Neurological Disorders NCLEX Questions

Extract:

Question 1 of 5

The client diagnosed with a brain abscess is experiencing a tonic-clonic seizure. Which interventions should the nurse implement? Rank in order of performance.

Correct Answer: E,B,C,D,A

Rationale: 1. Protect the client’s head (E): Prevents injury during convulsions. 2. Loosen restrictive clothing (
B): Ensures airway and circulation. 3. Turn to the side (
D): Prevents aspiration post-seizure. 4. Administer phenytoin (
C): Stops the seizure after safety is ensured. 5. Assess the mouth (
A): Done post-seizure to check for injury.

Question 2 of 5

The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medical-surgical unit. Which task should not be assigned to the UAP?

A. Feed the 69-year-old client diagnosed with Parkinson’s disease who is having difficulty swallowing. B. Turn and position the 89-year-old client diagnosed with a pressure ulcer secondary to Parkinson’s disease. C. Assist the 54-year-old client diagnosed with Parkinson’s disease with toilet-training activities. D. Obtain vital signs on a 72-year-old client diagnosed with pneumonia secondary to Parkinson’s disease.

Correct Answer: A

Rationale: Feeding a client with swallowing difficulty (
A) requires nursing judgment to assess aspiration risk, so it should not be delegated. Turning/positioning (
B), assisting with toileting (
C), and vital signs (
D) are within UAP scope.

Question 3 of 5

Which assessment finding in a client with myasthenia gravis indicates a need for immediate intervention?

A. Mild diplopia B. Difficulty chewing C. Weak hand grip D. Respiratory rate of 10 breaths per minute

Correct Answer: D

Rationale: A low respiratory rate indicates potential respiratory failure in myasthenia gravis, requiring immediate intervention.

Question 4 of 5

The client diagnosed with a right-sided cerebrovascular accident is admitted to the rehabilitation unit. Which interventions should be included in the nursing care plan? Select all that apply.

A. Position the client to prevent shoulder adduction. B. Turn and reposition the client every shift. C. Encourage the client to move the affected side. D. Perform quadriceps exercises three (3) times a day. E. Instruct the client to hold the fingers in a fist.

Correct Answer: A,C,D

Rationale: For a right-sided CVA, the left side is affected. Positioning to prevent shoulder adduction (
A) supports the weak left arm to prevent contractures. Encouraging movement of the affected side (
C) promotes neuroplasticity and recovery. Quadriceps exercises (
D) strengthen the affected leg. Turning every shift (
B) is too infrequent; every 2 hours is standard to prevent pressure ulcers. Instructing to hold fingers in a fist (E) risks contractures and is not therapeutic.

Question 5 of 5

When the nurse performs a physical assessment, which finding is most indicative of the client's disorder?

A. Quivering eye movement B. Muscle spasms in the lower extremities C. Loss of motor function on the affected side D. Unilateral facial paralysis

Correct Answer: D

Rationale: Unilateral facial paralysis is the hallmark sign of Bell's palsy, caused by inflammation of cranial nerve VII.

Neurological Disorders NCLEX Questions | Nurselytic

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