Neurological Disorders NCLEX Questions

Extract:

Question 1 of 5

The client has been diagnosed with a cerebrovascular accident (stroke). The client's wife is concerned about her husband's generalized weakness. Which home modification should the nurse suggest to the wife prior to discharge?

Correct Answer: B,C,D

Rationale: Generalized weakness post-stroke affects mobility and self-care. A long-handled bath sponge (
B) aids bathing, Velcro clothes (
C) simplify dressing, and a raised toilet seat (
D) facilitates safe toileting. A rubber mat (
A) is less relevant to generalized weakness.

Question 2 of 5

The husband of a client who is an alcoholic tells the nurse, 'I don’t know what to do. I don’t know how to deal with my wife’s problem.' Which response would be most appropriate by the nurse?

A. It must be difficult. Maybe you should think about leaving.' B. I think you should attend Alcoholics Anonymous.' C. I think that Alanon might be very helpful for you.' D. You should not enable your wife’s alcoholism.'

Correct Answer: C

Rationale: Alanon (
C) supports families of alcoholics, offering coping strategies. Suggesting leaving (
A) is judgmental, AA (
B) is for alcoholics, and accusing enabling (
D) may alienate.

Question 3 of 5

Which measure for preventing impaired skin integrity is appropriate to add to the care plan at this time?

A. Use an air-fluidized (Clinitron) bed. B. Change the client's position every 2 hours. C. Rub any reddened areas every 2 hours. D. Provide daily treatment in a hyperbaric oxygen chamber.

Correct Answer: B

Rationale: Changing position every 2 hours prevents pressure ulcers in clients with MS who have weakness and numbness.

Question 4 of 5

The client newly diagnosed with Parkinson’s Disease (PD) asks the nurse, 'Why can’t I control these tremors?' Which is the nurse’s best response?

A. You can control the tremors when you learn to concentrate and focus on the cause.' B. The tremors are caused by a lack of the chemical dopamine in the brain; medication may help.' C. You have too much acetylcholine in your brain causing the tremors but they will get better with time.' D. You are concerned about the tremors? If you want to talk I would like to hear how you feel.'

Correct Answer: B

Rationale: Parkinson’s tremors result from dopamine deficiency (
B), and medications like levodopa help. Concentration (
A) doesn’t control tremors, acetylcholine imbalance (
C) is partial and not time-resolving, and reflection (
D) doesn’t answer the question.

Question 5 of 5

The nurse is assessing the client with a tentative diagnosis of meningitis. Which findings should the nurse associate with meningitis? Select all that apply.

A. Nuchal rigidity B. Severe headache C. Pill-rolling tremor D. Photophobia E. Lethargy

Correct Answer: A,B,D,E

Rationale: Irritation of the meninges causes nuchal rigidity (stiff neck). Irritation of the meninges causes severe headache. Pill-rolling tremors are associated with PD. Irritation of the meninges causes photophobia (light irritates the eyes). Lethargy, pathological state of sleepiness or unresponsiveness, indicates a decreased level of consciousness which is associated with meningitis.

Neurological Disorders NCLEX Questions | Nurselytic

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