NCLEX Questions on Neurological Disorders Quizlet

Extract:

Question 1 of 5

The client diagnosed with a closed head injury is admitted to the rehabilitation department. Which medication order would the nurse question?

Correct Answer: A

Rationale: Subcutaneous anticoagulants (
A) increase bleeding risk in head injury patients, where intracranial hemorrhage is a concern, and should be questioned. Osmotic diuretics (
B) reduce ICP, anticonvulsants (
C) prevent seizures, and proton pump inhibitors (
D) protect against stress ulcers.

Question 2 of 5

The client diagnosed with a closed head injury is admitted to the rehabilitation department. Which medication order would the nurse question?

A. A subcutaneous anticoagulant. B. An intravenous osmotic diuretic. C. An oral anticonvulsant. D. An oral proton pump inhibitor.

Correct Answer: A

Rationale: Subcutaneous anticoagulants (
A) increase bleeding risk in head injury patients, where intracranial hemorrhage is a concern, and should be questioned. Osmotic diuretics (
B) reduce ICP, anticonvulsants (
C) prevent seizures, and proton pump inhibitors (
D) protect against stress ulcers.

Question 3 of 5

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

A. The person must have been exposed to an infected prion.' B. It is mad cow disease, and eating contaminated meat is the cause.' C. This disease is caused by a virus that is in stagnant water.' D. A fungal spore from the lungs infects the brain tissue.'

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 4 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a client with right-sided paralysis. Which action by the UAP requires the nurse to intervene?

A. The assistant places a gait belt around the client's waist prior to ambulating. B. The assistant places the client on the back with the client's head to the side. C. The assistant places a hand under the client's right axilla to move up in bed. D. The assistant praises the client for attempting to perform ADLs independently.

Correct Answer: C

Rationale: Placing a hand under the axilla (
C) to move a client with right-sided paralysis risks shoulder subluxation or injury to the weak side. A gait belt (
A) is appropriate for safe ambulation, positioning with head to the side (
B) prevents aspiration, and praising independence (
D) is therapeutic.

Question 5 of 5

The client is diagnosed with ALS. Which client problem would be most appropriate for this client?

A. Disuse syndrome. B. Altered body image. C. Fluid and electrolyte imbalance. D. Alteration in pain.

Correct Answer: A

Rationale: ALS causes progressive muscle weakness, leading to disuse syndrome (
A) from immobility. Body image (
B) is secondary, fluid/electrolyte issues (
C) are not primary, and pain (
D) is less common.

NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

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