NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

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NCLEX Questions on Neurological Disorders Quizlet Questions

Extract:


Question 1 of 5

The client diagnosed with a brain tumor has a diminished gag response and weakness on the left side of the body. Which intervention should the nurse implement?

Correct Answer: A

Rationale: A diminished gag reflex increases aspiration risk, so making the client NPO (
A) is safest until swallowing is evaluated. Low Fowler’s (
B) increases aspiration risk, a ground diet (
C) is premature, and directing food (
D) requires intact swallowing.

Question 2 of 5

The nurse is enjoying a day at the lake and witnesses a water skier hit the boat ramp. The water skier is in the water not responding to verbal stimuli. The nurse is the first health-care provider to respond to the accident. Which intervention should be implemented first?

Correct Answer: D

Rationale: In trauma with potential head or neck injury, stabilizing the cervical spine (
D) is the first priority to prevent spinal cord injury during movement. Assessing consciousness (
A), organizing removal (
B), or performing a full assessment (
C) follows.

Question 3 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 4 of 5

The client asks the nurse, 'What causes Creutzfeldt-Jakob disease?' Which statement would be the nurse's best response?

Correct Answer: A

Rationale: Creutzfeldt-Jakob disease is caused by prions (
A), infectious proteins. Mad cow (
B) is a variant but not the sole cause, and viral (
C) or fungal (
D) causes are incorrect.

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.

Similar Questions

The client has glossopharyngeal nerve (cranial nerve IX) paralysis secondary to a stroke. Which referral would be most appropriate for this client?
The nurse is assessing the client following a closed head injury. When applying nailbed pressure, the client’s body suddenly stiffens, the eyes roll upward, and there is an increase in salivation and loss of swallowing reflex. Which observation should the nurse document?
The client diagnosed with a brain abscess has become lethargic and difficult to arouse. Which intervention should the nurse implement first?
When a client is injured during a seizure, which fact is most important to document on the incident (accident) report to reduce the risk of liability?
The son of a client diagnosed with ALS asks the nurse, 'Is there any chance that I could get this disease?' Which statement by the nurse would be most appropriate?

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