NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The client is being discharged following a transsphenoidal hypophysectomy. Which discharge instructions should the nurse teach the client? Select all that apply.
Correct Answer: A,C,E
Rationale: Elevating the HOB (
A) reduces ICP, cautious oral care (
C) prevents surgical site disruption, and reporting infections (E) is critical due to infection risk. Humidifiers (
B) are not standard, and a liquid diet (
D) is unnecessary unless specified.
Question 2 of 5
What should the nurse warn a client with multiple sclerosis to avoid?
Correct Answer: A
Rationale: Hot weather can exacerbate MS symptoms by increasing body temperature, which impairs nerve conduction.
Question 3 of 5
The nurse is monitoring clients for development of a brain abscess. Which client would be the nurse’s lowest priority for monitoring for a brain abscess?
Correct Answer: B
Rationale: The client with endocarditis has an infective process within the body’s circulation and is at risk for septic emboli, which could progress to a brain abscess. The client who has idiopathic epilepsy has the lowest risk of developing a brain abscess because epilepsy from an unknown cause does not have the risk factors of an active infectious process or an impaired immune system. The client with the liver transplant is at risk for brain abscess because immunosuppressant medications depress the immune system. The client with meningitis has an infective process in close proximity to the brain and should be monitored for a brain abscess.
Question 4 of 5
When changing the client's position postoperatively, which nursing action is best?
Correct Answer: B
Rationale: Logrolling maintains spinal alignment, preventing strain on the surgical site after diskectomy and spinal fusion.
Question 5 of 5
The client is diagnosed with ALS. As the disease progresses, which intervention should the nurse implement?
Correct Answer: C
Rationale: ALS progression leads to significant disability, making advance directives (
C) critical to ensure the client’s wishes are respected. Long-term care (
A) is premature, colostomy (
B) is unrelated, and wheelchair use (
D) is secondary.