Neurological Disorder NCLEX

Extract:

Question 1 of 5

The client diagnosed with substance abuse is being discharged from a drug and alcohol rehabilitation facility. Which information should the nurse teach the client?

Correct Answer: B

Rationale: 12-step programs (
B) provide ongoing support and accountability, critical for maintaining sobriety. Avoiding temptation (
A) is vague, family reconciliation (
C) is not guaranteed, and disclosing to coworkers (
D) may breach privacy.

Question 2 of 5

The public health department nurse is preparing a lecture on prevention of West Nile virus. Which information should the nurse include?

A. Change water daily in pet dishes and birdbaths. B. Wear thick, dark clothing when outside to avoid bites. C. Apply insect repellent over face and arms only. D. Explain that mosquitoes are more prevalent in the morning.

Correct Answer: A

Rationale: Changing water daily in pet dishes and birdbaths (
A) prevents mosquito breeding, reducing West Nile virus risk. Thick clothing (
B) should be light-colored, repellent (
C) should cover all exposed areas, and mosquitoes are more active at dusk (
D).

Question 3 of 5

Which of the following indicates an autonomic nervous system manifestation of a seizure?

A. Numbness and tingling of the hands B. Changes in taste and speech C. Flushing and increased sweating D. A subjective aura or sensation

Correct Answer: C

Rationale: Flushing and increased sweating are autonomic nervous system manifestations that can occur during a seizure, reflecting involuntary physiological changes.

Question 4 of 5

The client diagnosed with atrial fibrillation has experienced a transient ischemic attack (TIA). Which medication would the nurse anticipate being ordered for the client on discharge?

A. An oral anticoagulant medication. B. A beta blocker medication. C. An anti-hyperuricemic medication. D. A thrombolytic medication.

Correct Answer: A

Rationale: A TIA in a client with atrial fibrillation is likely due to cardioembolic stroke risk. Oral anticoagulants (
A), such as warfarin or direct oral anticoagulants, are prescribed to prevent clot formation. Beta blockers (
B) control heart rate, anti-hyperuricemics (
C) treat gout, and thrombolytics (
D) are used acutely, not for discharge prevention.

Question 5 of 5

Which assessment data should the nurse expect to observe for the client diagnosed with Parkinson's disease?

A. Ascending paralysis and pain. B. Masklike facies and pill rolling. C. Diplopia and ptosis. D. Dysphagia and dysarthria.

Correct Answer: B

Rationale: Masklike facies and pill-rolling tremors (
B) are hallmark Parkinson’s signs due to dopamine deficiency. Paralysis/pain (
A) suggest Guillain-Barré, diplopia/ptosis (
C) indicate myasthenia gravis, and dysphagia/dysarthria (
D) are later symptoms.

Neurological Disorder NCLEX | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN