NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client has right homonymous hemianopia following an ischemic stroke. The nurse asks the NA to help the client with meals knowing that this problem may result in which client response?
Correct Answer: B
Rationale: Tendency to fall to the contralateral side would be a concern if the client were weak or paralyzed. Homonymous hemianopia (hemianopsia) is a visual field abnormality that results in blindness in half of the visual field in the same side of both eyes. It results from damage to the optic tract or occipital lobe. Using the silverware inappropriately is a concern if the client has agnosia. Choking when swallowing any liquids is a concern if the client has dysphagia.
Question 2 of 5
The public health nurse is discussing St. Louis encephalitis with a group in the community. Which instruction should the nurse provide to help prevent an outbreak?
Correct Answer: B
Rationale: St. Louis encephalitis is mosquito-borne. Mosquito spraying (
B) reduces vector populations. No vaccine exists (
A), gloves (
C) are irrelevant, and night avoidance (
D) is less effective.
Question 3 of 5
The client is prescribed phenytoin (Dilantin), an anticonvulsant, for a seizure disorder. Which statement indicates the client understands the discharge teaching concerning this medication?
Correct Answer: A
Rationale: Phenytoin can cause gingival hyperplasia, so good oral hygiene (
A) is essential and indicates understanding. Dilantin levels (
B) are checked periodically by providers, not daily. Urine color change (
C) is not typical, and seizures may still occur (
D) if not fully controlled.
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?
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 intervention is most appropriate for a client with multiple sclerosis experiencing fatigue?
Correct Answer: B
Rationale: Short, frequent rest periods help manage fatigue in multiple sclerosis by conserving energy.