NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with ALS asks the nurse, 'I know this disease is going to kill me. What will happen to me in the end?' Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: Providing factual information about respiratory failure (
B) addresses the client’s question honestly while respecting their need for clarity. Reflecting fear (
A) is vague, dismissing concerns (
C) is untherapeutic, and denying prognosis (
D) is inaccurate.
Question 2 of 5
The client being monitored while receiving tissue plasminogen activator (tPA) following an ischemic stroke opens both eyes spontaneously, mumbles inappropriate words in response to orientation questions, has no ability to move any extremities, and has decerebrate posturing in response to nailbed pressure. Based on the chart illustrated, what is the client’s Glasgow Coma Scale (GCS) score?
Correct Answer: 9
Rationale: Spontaneous eye opening is scored as 4; the best verbal response of inappropriate words is scored as 3, and the best motor response of decerebrate posturing is scored as 2.
Question 3 of 5
The nurse educator is presenting an in-service on seizures. Which disease process is the leading cause of seizures in the elderly?
Correct Answer: C
Rationale: Stroke (CVA,
C) is the leading cause of seizures in the elderly due to brain tissue damage. Alzheimer’s (
A) and Parkinson’s (
B) may cause seizures but are less common, and brain atrophy (
D) is not a primary cause.
Question 4 of 5
The nurse reviews the chart of the client who had a T12 SCI 12 years ago and is receiving baclofen through an intrathecal infusion pump. Which chart information in the exhibit is most important for the nurse to discuss with the HCP?
Correct Answer: A
Rationale: Exaggerated spasticity, muscle rigidity, and tinnitus are adverse effects of baclofen (Lioresal) that the nurse should discuss with the HCP. The client had a minimal drop in BP from lying to standing and does not have orthostatic hypotension. The WBC and liver enzymes are WNL. The glucose is not significantly elevated and would not warrant notifying the HCP. All prescribed medications are appropriate for the client who has a T12 SCI.
Question 5 of 5
Which assessment data would make the nurse suspect that the client with a C7 spinal cord injury is experiencing autonomic dysreflexia?
Correct Answer: B
Rationale: Autonomic dysreflexia in SCI causes severe headache (
B) due to hypertensive crisis from a trigger like bladder distention. Diaphoresis (
A) is secondary, motor loss (
C) is expected, and spasticity (
D) is chronic.