NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
The client is diagnosed with ALS. Which client problem would be most appropriate for this client?
Correct Answer: A
Rationale: ALS causes progressive muscle weakness, leading to disuse syndrome (
A) from immobility. Body image (
B) is secondary, fluid/electrolyte issues (
C) are not primary, and pain (
D) is less common.
Question 2 of 5
The nurse is assessing the client following a closed head injury. When applying nailbed pressure, the client’s body suddenly stiffens, the eyes roll upward, and there is an increase in salivation and loss of swallowing reflex. Which observation should the nurse document?
Correct Answer: D
Rationale: Decerebrate posture involves rigid extension of the arms and legs, downward pointing of the toes, and backward arching of the head. Decorticate posture involves rigidity, flexion of the arms toward the body with the wrists and fingers clenched and held on the chest, and the legs extended. A positive Kernig’s sign is flexing the leg at the hip and then raising the leg into extension. Severe head and neck pain occurs. Body stiffening, eyes rolled upward, increase in salivation, and a loss of swallowing reflex are signs consistent with the tonic phase of a tonic-clonic seizure. This phase is followed by the clonic phase with violent muscle contractions.
Question 3 of 5
The client is diagnosed with an SCI and is scheduled for a magnetic resonance imaging (MRI) scan. Which question would be most appropriate for the nurse to ask prior to taking the client to the diagnostic test?
Correct Answer: D
Rationale: MRI scans require lying still in a confined space, so assessing for claustrophobia (
D) is critical to ensure patient safety and comfort. Hearing issues (
A), dairy allergies (
B), and recent eating (
C) are not relevant to MRI preparation.
Question 4 of 5
Which statement by a client with Alzheimer's disease indicates a need for further safety teaching?
Correct Answer: B
Rationale: Cooking alone on the stove poses a fire risk for clients with Alzheimer's due to memory and judgment impairments.
Question 5 of 5
The client has been diagnosed with a brain tumor. Which presenting signs and symptoms help to localize the tumor position?
Correct Answer: B
Rationale: Visual symptoms like diplopia and decreased visual acuity (
B) can localize a tumor to areas affecting the optic pathways or occipital lobe. Other options are less specific to tumor location.