Neurological Disorders NCLEX Questions

Extract:

Question 1 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.

Question 2 of 5

The client diagnosed with Parkinson’s disease is being discharged. Which statement made by the significant other indicates an understanding of the discharge instructions?

A. All of my spouse’s emotions will slow down now just like his body movements.' B. My spouse may experience hallucinations until the medication starts working.' C. I will schedule appointments late in the morning after his morning bath.' D. It is fine if we don’t follow a strict medication schedule on weekends.'

Correct Answer: C

Rationale: Scheduling appointments late in the morning (
C) accommodates Parkinson’s patients’ morning stiffness and medication timing, indicating understanding. Emotional slowing (
A) is incorrect, hallucinations (
B) are a side effect not limited to initiation, and strict medication schedules (
D) are critical.

Question 3 of 5

Which nursing action is best for controlling the symptoms of the client diagnosed with myasthenia gravis?

A. Ensure that the client has regular bowel and bladder elimination. B. Administer each dose of medication at the precise scheduled time. C. Encourage the client to exercise twice daily for 30 minutes. D. Monitor the client's blood pressure every 4 hours.

Correct Answer: B

Rationale: Precise timing of pyridostigmine administration ensures consistent symptom control in myasthenia gravis by maintaining acetylcholine levels.

Question 4 of 5

The nurse is caring for clients on a medical-surgical floor. Which clients should be assessed first?

A. The 65-year-old client diagnosed with seizures who is complaining of a headache that is a '2' on a 1-to-10 scale. B. The 24-year-old client diagnosed with a T10 spinal cord injury who cannot move his toes. C. The 58-year-old client diagnosed with Parkinson’s disease who is crying and worried about her facial appearance. D. The 62-year-old client diagnosed with a cerebrovascular accident who has a resolving left hemiparesis.

Correct Answer: B

Rationale: Inability to move toes in a T10 SCI (
B) may indicate neurological deterioration or edema, requiring immediate assessment. Mild headache (
A), emotional distress (
C), and resolving hemiparesis (
D) are less urgent.

Question 5 of 5

Which intervention has the highest priority for the client in the emergency department who has been in a motorcycle collision with an automobile and has a fractured left leg?

A. Assessing the neurological status. B. Immobilizing the fractured leg. C. Monitoring the client's output. D. Starting an 18-gauge saline lock.

Correct Answer: A

Rationale: Trauma patients require a primary survey, prioritizing neurological status (
A) to detect head injuries, which are life-threatening. Immobilizing the leg (
B), monitoring output (
C), and IV access (
D) follow.

Neurological Disorders NCLEX Questions | Nurselytic

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