NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client diagnosed with Guillain-Barré syndrome is scheduled to receive plasmapheresis treatments. The client’s spouse asks the nurse about the purpose of plasmapheresis. Which explanation is correct?
Correct Answer: C
Rationale: Aquapheresis or dialysis, not plasmapheresis, will remove excess fluid from the blood. Plasmapheresis does not increase protein levels in the blood. Plasmapheresis is a procedure in which harmful antibodies are removed from the blood. During the procedure, blood is removed from the client, the plasma is separated, and blood cells without the plasma are returned to the client. Plasmapheresis does not involve infusing lipoproteins.
Question 2 of 5
The 85-year-old client diagnosed with a stroke is complaining of a severe headache. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: A severe headache in a stroke patient may indicate complications like hemorrhagic transformation or increased intracranial pressure. A neurological assessment (
D) is the first step to evaluate the cause and guide further actions. Analgesics (
A) may mask symptoms, MRI (
B) requires assessment first, and IV fluids (
C) are not urgent.
Question 3 of 5
The client diagnosed with septic meningitis is admitted to the medical floor at noon. Which health-care provider’s order would have the highest priority?
Correct Answer: A
Rationale: Prompt IV antibiotic administration (
A) is critical in septic meningitis to combat infection and prevent complications. Lunch (
B), environment (
C), and weight (
D) are secondary.
Question 4 of 5
The client diagnosed with Guillain-Barré syndrome is scheduled to receive plasmapheresis treatments. The client’s spouse asks the nurse about the purpose of plasmapheresis. Which explanation is correct?
Correct Answer: C
Rationale: Aquapheresis or dialysis, not plasmapheresis, will remove excess fluid from the blood. Plasmapheresis does not increase protein levels in the blood. Plasmapheresis is a procedure in which harmful antibodies are removed from the blood. During the procedure, blood is removed from the client, the plasma is separated, and blood cells without the plasma are returned to the client. Plasmapheresis does not involve infusing lipoproteins.
Question 5 of 5
The nurse is discussing seizure prevention with a female client who was just diagnosed with epilepsy. Which statement indicates the client needs more teaching?
Correct Answer: D
Rationale: Menstrual hormonal changes can affect seizure frequency (
D), indicating a need for further teaching. Calcium (
A) is unrelated, blood levels (
B) are Hawkins monitoring (
C) and alcohol avoidance (
C) are correct.