NCLEX Questions on Neurological Disorders Quizlet

Extract:

Question 1 of 5

The client diagnosed with atrial fibrillation complains of numbness and tingling of her left arm and leg. The nurse assesses facial drooping on the left side and slight slurring of speech. Which nursing interventions should the nurse implement first?

Correct Answer: B

Rationale: Symptoms suggest an acute stroke, requiring immediate activation of a Code STROKE (
B) to expedite diagnosis and treatment. MRI (
A), notifying HCP (
C), and swallowing tests (
D) follow protocol activation.

Question 2 of 5

A family member brings the client to the emergency department reporting that the 78-year-old father has suddenly become very confused and thinks he is living in 1942, that he has to go to war, and that someone is trying to poison him. Which question should the nurse ask the family member?

A. Has your father been diagnosed with dementia?' B. What medication has your father taken today?' C. What have you given him that makes him think it's poison?' D. Does your father like to watch old movies on television?'

Correct Answer: B

Rationale: Sudden confusion and delusions suggest delirium, often medication-related. Asking about medications (
B) identifies potential causes. Dementia (
A) causes gradual decline, blaming poison (
C) is untherapeutic, and movies (
D) are irrelevant.

Question 3 of 5

Which intervention is most appropriate for a client with Bell's palsy experiencing eye dryness?

A. Apply warm compresses to the affected eye. B. Administer oral antihistamines. C. Use artificial tears as prescribed. D. Cover the unaffected eye with a patch.

Correct Answer: C

Rationale: Artificial tears prevent corneal damage from eye dryness in Bell's palsy due to incomplete eye closure.

Question 4 of 5

The client is diagnosed with an SCI and is scheduled for a magnetic resonance imaging (MRI) scan. Which question would be most appropriate for the nurse to ask prior to taking the client to the diagnostic test?

A. Do you have trouble hearing?' B. Are you allergic to any type of dairy products?' C. Have you eaten anything in the last eight (8) hours?' D. Are you uncomfortable in closed spaces?'

Correct Answer: D

Rationale: MRI scans require lying still in a confined space, so assessing for claustrophobia (
D) is critical to ensure patient safety and comfort. Hearing issues (
A), dairy allergies (
B), and recent eating (
C) are not relevant to MRI preparation.

Question 5 of 5

Which collaborative intervention should the nurse implement when caring for the client with West Nile virus?

A. Complete neurovascular examinations every eight (8) hours. B. Maintain accurate intake and output at the end of each shift. C. Assess the client’s symptoms to determine if there is improvement. D. Administer intravenous fluids while assessing for overload.

Correct Answer: D

Rationale: IV fluids (
D) support hydration in West Nile virus while monitoring for overload prevents complications. Neurovascular exams (
A) are less relevant, intake/output (
B) is routine, and symptom assessment (
C) is nursing-driven.

NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

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