NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client diagnosed with a gunshot wound to the head assumes decorticate posturing when the nurse applies painful stimuli. Which assessment data obtained three (3) hours later would indicate the client is improving?
Correct Answer: A
Rationale: Purposeless movement (
A) indicates a higher level of brain function compared to decorticate posturing, suggesting improvement. Flaccid paralysis (
B) or decerebrate posturing (
C) indicates worsening, and nonreactive pupils (
D) suggest severe brain damage.
Question 2 of 5
Which instruction should be the nurse's priority in this situation?
Correct Answer: C
Rationale: Safety is the priority for clients with Parkinson's disease due to risks of falls and injury from motor symptoms.
Question 3 of 5
The nurse is caring for a client who has had a stroke. Which nursing intervention is most appropriate to prevent contractures in the affected limbs?
Correct Answer: A
Rationale: Passive range-of-motion exercises prevent contractures by maintaining joint mobility in clients with stroke-related paralysis.
Question 4 of 5
Which home care suggestion is best for promoting the mobility of the client with a spinal cord injury?
Correct Answer: B
Rationale: A wheelchair ramp enhances home accessibility, significantly improving mobility for a client with a spinal cord injury.
Question 5 of 5
The male client diagnosed with a brain tumor is scheduled for a magnetic resonance imaging (MRI) scan in the morning. The client tells the nurse that he is scared. Which response by the nurse indicates an appropriate therapeutic response?
Correct Answer: B
Rationale: Reflecting the client’s fear (
B) encourages expression of concerns, fostering therapeutic communication. Other options provide information (A,
D) or minimize feelings (
C).