NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client is being evaluated to rule out ALS. Which signs/symptoms would the nurse note to confirm the diagnosis?
Correct Answer: C
Rationale: Slurred speech and dysphagia (
C) are early ALS signs due to bulbar muscle involvement. Atrophy/flaccidity (
A) and weakness/paralysis (
D) occur later, and fatigue/malnutrition (
B) are nonspecific.
Question 2 of 5
The male client diagnosed with a brain tumor is scheduled for a magnetic resonance imaging (MRI) scan in the morning. The client tells the nurse that he is scared. Which response by the nurse indicates an appropriate therapeutic response?
Correct Answer: B
Rationale: Reflecting the client’s fear (
B) encourages expression of concerns, fostering therapeutic communication. Other options provide information (A,
D) or minimize feelings (
C).
Question 3 of 5
The client diagnosed with delirium tremens when trying to quit drinking cold turkey is admitted to the medical unit. Which medications would the nurse anticipate administering?
Correct Answer: A
Rationale: Delirium tremens requires thiamine (vitamin B1, not B6) to prevent Wernicke’s encephalopathy and benzodiazepines like Librium (
A) to manage withdrawal symptoms. Other options are unrelated to delirium tremens management.
Question 4 of 5
Which assessment data would make the nurse suspect that the client has amyotrophic lateral sclerosis?
Correct Answer: C
Rationale: ALS presents with fatigue, progressive muscle weakness, and fasciculations (twitching,
C). Recent illness (
A) is nonspecific, double vision/ptosis (
B) suggests myasthenia gravis, and sensory loss (
D) is not typical of ALS.
Question 5 of 5
The client, who had a stroke, follows the nurse’s instructions without problems, but an attempt to verbally respond to the nurse’s question was garbled. The nurse should identify that the client has which type of aphasia?
Correct Answer: C
Rationale: With receptive aphasia (Wernicke’s aphasia or fluent aphasia) the client would hear the voice but would be unable to comprehend the meaning of the message. Global aphasia is a combination of receptive and expressive aphasia. The client would have difficulty speaking and understanding words and would not be able to read or write. The nurse should identify that the client has expressive aphasia (Broca’s aphasia or non-fluent aphasia). The client is able to comprehend and responds appropriately. The client may attempt to speak but has difficulty communicating with the correct words. With anomic aphasia, the client would have word-finding difficulties; this client does not verbalize.