NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client is diagnosed with Creutzfeldt-Jakob disease. Which referral would be the most appropriate?
Correct Answer: B
Rationale: The Creutzfeldt-Jakob Disease Foundation (
B) provides specialized support and resources. Alzheimer’s Association (
A) is unrelated, hospice (
C) may be premature, and neurosurgery (
D) is not typically indicated.
Question 2 of 5
When planning care for this client, which equipment is most important for the nurse to keep at the bedside?
Correct Answer: B
Rationale: A suction machine is essential to clear secretions in myasthenia gravis clients with compromised swallowing, preventing aspiration.
Question 3 of 5
The nurse is performing a Glasgow Coma Scale (GCS) assessment on a client with a problem with intracranial regulation. The client’s GCS one (1) hour ago was scored at 10. Which datum indicates the client is improving?
Correct Answer: D
Rationale: A GCS of 12 (
D) is higher than 10, indicating improved neurological status. Scores of 3 (
A) or 9 (
B) indicate worsening, and 10 (
C) shows no change.
Question 4 of 5
The client diagnosed with a gunshot wound to the head assumes decorticate posturing when the nurse applies painful stimuli. Which assessment data obtained three (3) hours later would indicate the client is improving?
Correct Answer: A
Rationale: Purposeless movement (
A) indicates a higher level of brain function compared to decorticate posturing, suggesting improvement. Flaccid paralysis (
B) or decerebrate posturing (
C) indicates worsening, and nonreactive pupils (
D) suggest severe brain damage.
Question 5 of 5
The client diagnosed with septic meningitis is admitted to the medical floor at noon. Which health-care provider’s order would have the highest priority?
Correct Answer: A
Rationale: Prompt IV antibiotic administration (
A) is critical in septic meningitis to combat infection and prevent complications. Lunch (
B), environment (
C), and weight (
D) are secondary.