NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 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 2 of 5
The client with a C6 SCI is admitted to the emergency department complaining of a severe pounding headache and has a BP of 180/110. Which intervention should the emergency department nurse implement?
Correct Answer: C
Rationale: Severe headache and hypertension in C6 SCI suggest autonomic dysreflexia, often triggered by bladder distention (
C). Assessing and relieving the trigger is the priority. Flat positioning (
A) may worsen symptoms, dimming lights (
B) is not effective, and narcotics (
D) do not address the cause.
Question 3 of 5
The client diagnosed with a gunshot wound to the head assumes decorticate posturing when the nurse applies painful stimuli. Which assessment data obtained three (3) hours later would indicate the client is improving?
Correct Answer: A
Rationale: Purposeless movement (
A) indicates a higher level of brain function compared to decorticate posturing, suggesting improvement. Flaccid paralysis (
B) or decerebrate posturing (
C) indicates worsening, and nonreactive pupils (
D) suggest severe brain damage.
Question 4 of 5
The nurse is performing a Glasgow Coma Scale (GCS) assessment on a client with a problem with intracranial regulation. The client’s GCS one (1) hour ago was scored at 10. Which datum indicates the client is improving?
Correct Answer: D
Rationale: A GCS of 12 (
D) is higher than 10, indicating improved neurological status. Scores of 3 (
A) or 9 (
B) indicate worsening, and 10 (
C) shows no change.
Question 5 of 5
The client is being evaluated to rule out ALS. Which signs/symptoms would the nurse note to confirm the diagnosis?
Correct Answer: C
Rationale: Slurred speech and dysphagia (
C) are early ALS signs due to bulbar muscle involvement. Atrophy/flaccidity (
A) and weakness/paralysis (
D) occur later, and fatigue/malnutrition (
B) are nonspecific.