NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
The client has glossopharyngeal nerve (cranial nerve IX) paralysis secondary to a stroke. Which referral would be most appropriate for this client?
Correct Answer: B
Rationale: Glossopharyngeal nerve paralysis affects swallowing and speech. A speech therapist (
B) is most appropriate to address these deficits. Hospice (
A) is for end-of-life care, physical therapy (
C) focuses on mobility, and occupational therapy (
D) addresses daily activities.
Question 2 of 5
Before requesting the clear liquids prescribed by the physician, which assessment information is essential for the nurse to know?
Correct Answer: D
Rationale: Assessing the ability to swallow ensures safety when initiating oral intake post-craniotomy.
Question 3 of 5
Which behavior is a risk factor for developing and spreading bacterial meningitis?
Correct Answer: A
Rationale: URI (
A) increases the risk of bacterial meningitis by facilitating bacterial invasion. Sexual intercourse (
B), alcohol (
C), and tobacco (
D) are not direct risk factors.
Question 4 of 5
The nurse assesses the client, who was injured in a diving accident 2 hours earlier. The client is breathing independently but has no movement or muscle tone from below the area of injury. A CT scan reveals a fracture of the C4 cervical vertebra. The nurse should plan interventions for which problem?
Correct Answer: B
Rationale: A complete spinal cord transection results in no reflexes or movement distal to the injury. With a C4 injury, the client initially would have some difficulty breathing due to edema of the spinal cord that occurs above the level of the injury. The client is experiencing spinal shock that manifests within a few hours after the injury. Hypotension, flaccid paralysis, and absence of muscle contractions occur. Spinal shock lasts 7 to 20 days, and the SCI cannot be classified accurately until spinal shock resolves. An injury of the upper motor neuron results in spastic paralysis. Quadriplegia, now termed tetraplegia, is paralysis involving all four extremities.
Question 5 of 5
Which clinical findings would the nurse find on assessment in the brain-dead client? Select all that apply.
Correct Answer: D,E
Rationale: Absent corneal reflex and dilated nonreactive pupils are consistent with brain death, indicating loss of brainstem function.