NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client is diagnosed with a closed head injury and is in a coma. The nurse writes the client problem as 'high risk for immobility complications.' Which intervention would be included in the plan of care?
Correct Answer: A
Rationale: For a comatose patient, preventing immobility complications like pressure ulcers and contractures is key. Elevating the HOB at intervals (
A) promotes circulation and reduces pressure. Active ROM (
B) is not possible in coma, turning every shift (
C) is too infrequent, and explaining procedures (
D) is less relevant.
Question 2 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 3 of 5
When assisting the client with activities of daily living (ADLs), which approach is best?
Correct Answer: C
Rationale: Allowing rest between activities conserves energy and supports the client's independence during an MS exacerbation.
Question 4 of 5
Which nursing action would be most appropriate if the client develops anorexia and nausea while taking interferon beta-1a (Avonex)?
Correct Answer: D
Rationale: Providing small, easy-to-digest meals helps manage nausea and encourages nutritional intake without altering the medication schedule.
Question 5 of 5
Which instruction is most applicable after symptoms are relieved?
Correct Answer: B
Rationale: Lifting with knees bent and back straight prevents re-injury to the lumbar spine after a herniated disk.