Neurological Disorder NCLEX | Nurselytic

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Neurological Disorder NCLEX Questions

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Question 1 of 5

The client diagnosed with a brain tumor was admitted to the intensive care unit with decorticate posturing. Which indicates that the client’s condition is becoming worse?

Correct Answer: D

Rationale: Flaccid paralysis and unresponsiveness (
D) indicate severe brain dysfunction or progression to brain death, worse than decorticate posturing. Purposeful movement (
A) or thrashing (
C) suggest improvement, and adduction (
B) is not a standard indicator.

Question 2 of 5

The client recently has been diagnosed with trigeminal neuralgia. Which intervention is most important for the nurse to implement with the client?

Correct Answer: C

Rationale: Carbamazepine is a primary treatment for trigeminal neuralgia, and Multiple
Choice monitoring of levels (
C) prevents toxicity and ensures efficacy. Smell/taste (
A) are unaffected, eye care (
B) is relevant for Bell’s palsy, and triggers (
D) are secondary to medication management.

Question 3 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 4 of 5

Which discharge instruction is most appropriate following the positron emission tomography scan?

Correct Answer: B

Rationale: Increasing fluid intake helps flush the radioactive tracer used in the PET scan from the body.

Question 5 of 5

The client is diagnosed with a metastatic brain tumor, and radiation therapy is scheduled. The client asks the nurse, 'Why not try chemotherapy first? It has helped my other tumors.' The nurse’s response is based on which scientific rationale?

Correct Answer: B

Rationale: The blood-brain barrier (
B) limits chemotherapy penetration into the brain, making radiation more effective for brain metastases. Chemotherapy is used in some cases (
A), radiation side effects vary (
C), and resistance (
D) is not universally true.

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