NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The client has undergone a craniotomy for a brain tumor. Which data indicate a complication of this surgery?
Correct Answer: B
Rationale: Significant output (3,500 mL) compared to intake (1,000 mL,
B) suggests diabetes insipidus, a complication of craniotomy due to pituitary dysfunction. Mild headache (
A), sore throat (
C), and orthostatic dizziness (
D) are less concerning.
Question 2 of 5
The client is being admitted to rule out a brain tumor. Which classic triad of symptoms supports a diagnosis of brain tumor?
Correct Answer: B
Rationale: The classic triad for brain tumors is headache, vomiting, and papilledema (
B), due to increased ICP. Other options include unrelated or less specific symptoms.
Question 3 of 5
Which intervention is most appropriate for a client diagnosed with Bell's palsy?
Correct Answer: B
Rationale: Drinking from a straw helps clients with Bell's palsy manage liquids, compensating for facial muscle weakness.
Question 4 of 5
Which nursing intervention is best during the confusedness?
Correct Answer: D
Rationale: Reorienting the client to place and situation reduces confusion and promotes safety post-craniotomy.
Question 5 of 5
The client diagnosed with Parkinson’s disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain these assessment data?
Correct Answer: B
Rationale: Difficulty swallowing and immobility (
B) in PD increase aspiration risk, leading to pneumonia, which presents as fever and lung infiltrates. Other manifestations are less directly related to pulmonary complications.