NCLEX Neurological Disorders

Extract:

Question 1 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 2 of 5

The charge nurse is making client assignments for a neuro-medical floor. Which client should be assigned to the most experienced nurse?

A. The elderly client who is experiencing a stroke in evolution. B. The client diagnosed with a transient ischemic attack 48 hours ago. C. The client diagnosed with Guillain-Barré syndrome who complains of leg pain. D. The client with Alzheimer's disease who is wandering in the halls.

Correct Answer: A

Rationale: A stroke in evolution (
A) is an acute, progressing condition requiring experienced monitoring. TIA (
B) is stable, Guillain-Barré pain (
C) is manageable, and wandering (
D) needs supervision but is less acute.

Question 3 of 5

The client is at risk for septic emboli after being diagnosed with meningococcal meningitis. Which action by the nurse directly addresses this risk?

A. Monitoring vital signs and oxygen saturation levels hourly B. Planning to give meningococcal polysaccharide vaccine C. Assessing neurological function with the Glasgow Coma Scale q2h D. Completing a thorough vascular assessment of all extremities q2h

Correct Answer: D

Rationale: Monitoring VS is indicated but does not address the complication of septic emboli. Immunization with the meningococcal polysaccharide vaccine (Menomune) is a preventive measure against meningitis and would not be included in treatment. Frequent neurological assessments are indicated but do not address the complication of septic emboli. Frequent vascular assessments will detect vascular compromise secondary to septic emboli. Early detection allows for interventions that will prevent gangrene and possible loss of limb.

Question 4 of 5

The nurse is admitting the client for rule-out encephalitis. Which interventions should the nurse assess to support the diagnosis of encephalitis? Select all that apply.

A. Determine if the client has recently received any immunizations. B. Ask the client if he or she has had a cold in the last week. C. Check to see if the client has active herpes simplex 1. D. Find out if the client has traveled to the Great Lakes region. E. Assess for exposure to soil with fungal spores.

Correct Answer: C

Rationale: Encephalitis is often viral, with herpes simplex virus (HSV-1,
C) a common cause, supporting the diagnosis. Recent immunizations (
A), colds (
B), travel (
D), and fungal exposure (E) are less directly linked to encephalitis.

Question 5 of 5

The nurse stops at the scene of a motor-vehicle accident and provides emergency first aid at the scene. Which law protects the nurse as a first responder?

A. The First Aid Law. B. Ombudsman Act. C. Good Samaritan Act. D. First Responder Law.

Correct Answer: C

Rationale: The Good Samaritan Act (
C) protects nurses providing emergency care from liability. First Aid Law (
A) and First Responder Law (
D) are not standard, and Ombudsman Act (
B) is unrelated.

NCLEX Neurological Disorders | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN