NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 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 2 of 5
The nurse is developing a plan of care for a client diagnosed with aseptic meningitis secondary to a brain tumor. Which nursing goal would be most appropriate for the client problem 'altered cerebral tissue perfusion'?
Correct Answer: B
Rationale: Altered cerebral perfusion in meningitis may lead to seizures. Protecting from injury during seizures (
B) addresses this risk. ADLs (
A), fever (
C), and tissue turgor (
D) are unrelated to perfusion.
Question 3 of 5
The nurse is caring for clients on the rehabilitation unit. Which clients should the nurse assess first after receiving the change-of-shift report?
Correct Answer: A
Rationale: Dyspnea and crackles in a C6 SCI patient (
A) suggest respiratory compromise, a life-threatening condition requiring immediate assessment. Emotional distress (
B), headache (
C), or expected paralysis (
D) are less urgent.
Question 4 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 5 of 5
The client diagnosed with atrial fibrillation complains of numbness and tingling of her left arm and leg. The nurse assesses facial drooping on the left side and slight slurring of speech. Which nursing interventions should the nurse implement first?
Correct Answer: B
Rationale: Symptoms suggest an acute stroke, requiring immediate activation of a Code STROKE (
B) to expedite diagnosis and treatment. MRI (
A), notifying HCP (
C), and swallowing tests (
D) follow protocol activation.