NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with Parkinson's disease is prescribed carbidopa/levodopa (Sinemet). Which intervention should the nurse implement prior to administering the medication?
Correct Answer: A
Rationale: Carbidopa/levodopa can cause orthostatic hypotension. Discussing prevention (
A) ensures safety. Pulse (
B) is not routine, the medication is long-term (
C), and it can be taken with food (
D) to reduce nausea.
Question 2 of 5
The client has had recurrent episodes of low back pain. Which statement indicates that the client has incorporated positive lifestyle changes to decrease the incidence of future back problems?
Correct Answer: A
Rationale: Stooping and avoiding bending and twisting motions when lifting objects lessen the likelihood of injury. The client should wear supportive shoes. The client should include regular daily exercise as a program (not excessive walking over 2 days on the weekend). Clients should avoid prolonged sitting or standing.
Question 3 of 5
Which assessment finding in a client with myasthenia gravis indicates a need for immediate intervention?
Correct Answer: D
Rationale: A low respiratory rate indicates potential respiratory failure in myasthenia gravis, requiring immediate intervention.
Question 4 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 5 of 5
The unlicensed assistive personnel (UAP) is caring for a client who is having a seizure. Which action by the UAP would warrant immediate intervention by the nurse?
Correct Answer: A
Rationale: Inserting an oral airway during a seizure (
A) risks injury and is contraindicated. Turning to the side (
B), padding rails (
C), and staying with the client (
D) are appropriate.