NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The client is diagnosed with a brain abscess. Which sign/symptom is the most common?
Correct Answer: C
Rationale: Brain abscesses cause increased ICP, leading to headaches worse in the morning (
C). Vomiting (
A) is less specific, disorientation (
B) is secondary, and petit mal seizures (
D) are less common.
Question 2 of 5
The nurse is developing a plan of care for a client diagnosed with West Nile virus. Which intervention should the nurse include in this plan?
Correct Answer: A
Rationale: Severe West Nile virus can cause neurological and respiratory complications, so monitoring respirations (
A) is critical. Rash (
B) is self-limiting, hypothermia (
C) is not typical, and lymph glands (
D) are not a primary concern.
Question 3 of 5
The client is brought to the emergency department by the police for public disorderliness. The client reports feeling no pain and is unconcerned that the police have arrested him. The nurse notes the client has epistaxis and nasal congestion. Which substance should the nurse suspect the client has abused?
Correct Answer: D
Rationale: Cocaine (
D) causes epistaxis, nasal congestion, and euphoria with pain insensitivity. Marijuana (
A), heroin (
B), and ecstasy (
C) do not typically cause these nasal symptoms.
Question 4 of 5
The nurse is planning care for a client experiencing agnosia secondary to a cerebrovascular accident. Which collaborative intervention will be included in the plan of care?
Correct Answer: D
Rationale: Agnosia is the inability to recognize objects, people, or sounds, impacting functional abilities. Referring to an occupational therapist (
D) is appropriate to assess and develop strategies for managing agnosia. Swallowing issues (A,
C) are related to dysphagia, not agnosia, and semi-Fowler’s position (
B) is not specific to agnosia management.
Question 5 of 5
The client is diagnosed with meningococcal meningitis. Which preventive measure would the nurse expect the health-care provider to order for the significant others in the home?
Correct Answer: B
Rationale: Close contacts of meningococcal meningitis patients require antimicrobial chemoprophylaxis (
B), such as rifampin, to prevent infection. Vaccines (
A) are not for immediate prophylaxis, corticosteroids (
C) treat inflammation, and gamma globulin (
D) is not indicated.