NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with ALS is prescribed an antiglutamate, riluzole (Rilutek). Which instruction should the nurse discuss with the client?
Correct Answer: D
Rationale: Riluzole can cause liver toxicity, and febrile illness (
D) may indicate infection or drug reaction, requiring prompt reporting. Taking with food (
A) is not required, green vegetables (
B) are unrelated, and sun protection (
C) is not specific.
Question 2 of 5
The client is being discharged following a transsphenoidal hypophysectomy. Which discharge instructions should the nurse teach the client? Select all that apply.
Correct Answer: A,C,E
Rationale: Elevating the HOB (
A) reduces ICP, cautious oral care (
C) prevents surgical site disruption, and reporting infections (E) is critical due to infection risk. Humidifiers (
B) are not standard, and a liquid diet (
D) is unnecessary unless specified.
Question 3 of 5
The nurse is caring for a client diagnosed with an epidural hematoma. Which nursing interventions should the nurse implement? Select all that apply.
Correct Answer: B,C
Rationale: Stool softeners (
B) prevent straining, which could increase ICP. Maintaining pulse oximetry >93% (
C) ensures adequate oxygenation. High HOB elevation (
A) may reduce cerebral perfusion, deep suction (
D) risks increasing ICP, and sedatives (E) may mask neurological changes.
Question 4 of 5
The nurse assessed the client newly diagnosed with MG. Which finding should the nurse recognize as being unrelated to the diagnosis?
Correct Answer: D
Rationale: Ptosis (drooping eyelids) is a sign of muscle weakness often seen with MG. If the muscles involved with speech are weak in the client with MG, the client may exhibit slurred speech. Clients with MG may demonstrate weakness in the lower extremities. Numbness around the mouth is not associated with muscle weakness but could be indicative of a calcium deficiency or some other problem.
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.