NCLEX Neurological Disorders

Extract:

Question 1 of 5

The client diagnosed with Parkinson’s disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain these assessment data?

Correct Answer: B

Rationale: Difficulty swallowing and immobility (
B) in PD increase aspiration risk, leading to pneumonia, which presents as fever and lung infiltrates. Other manifestations are less directly related to pulmonary complications.

Question 2 of 5

The client who just had a three (3)-minute seizure has no apparent injuries and is oriented to name, place, and time but is very lethargic and just wants to sleep. Which intervention should the nurse implement?

A. Perform a complete neurological assessment. B. Awaken the client every 30 minutes. C. Turn the client to the side and allow the client to sleep. D. Interview the client to find out what caused the seizure.

Correct Answer: C

Rationale: Post-seizure, the client is in a postictal phase with lethargy. Turning to the side (
C) prevents aspiration and allows safe rest. Neurological assessment (
A) can wait until the client is less lethargic, frequent awakening (
B) is unnecessary if oriented, and interviewing (
D) is not urgent.

Question 3 of 5

Which nursing action is priority for a client with a stroke experiencing unilateral neglect?

A. Place objects on the unaffected side. B. Encourage bilateral arm exercises. C. Provide a mirror for self-awareness. D. Teach the client to scan the environment.

Correct Answer: D

Rationale: Teaching the client to scan the environment compensates for unilateral neglect, promoting safety and awareness.

Question 4 of 5

The nurse is admitting the client for rule-out encephalitis. Which interventions should the nurse assess to support the diagnosis of encephalitis? Select all that apply.

A. Determine if the client has recently received any immunizations. B. Ask the client if he or she has had a cold in the last week. C. Check to see if the client has active herpes simplex 1. D. Find out if the client has traveled to the Great Lakes region. E. Assess for exposure to soil with fungal spores.

Correct Answer: C

Rationale: Encephalitis is often viral, with herpes simplex virus (HSV-1,
C) a common cause, supporting the diagnosis. Recent immunizations (
A), colds (
B), travel (
D), and fungal exposure (E) are less directly linked to encephalitis.

Question 5 of 5

Which nursing actions are essential when finding a client experiencing a tonic-clonic seizure? Select all that apply.

A. Calling out the client's name B. Padding the client's body during the seizure activity C. Placing an emesis basin close to the client's mouth D. Rolling the client's body to the side E. Removing environmental hazards to protect the client F. Calling the respiratory therapy department

Correct Answer: D,E

Rationale: Rolling the client to the side prevents aspiration, and removing environmental hazards minimizes injury risk during a tonic-clonic seizure.

NCLEX Neurological Disorders | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN