NCLEX Neurological Disorders

Extract:

Question 1 of 5

The client is diagnosed with expressive aphasia. Which psychosocial client problem would the nurse include in the plan of care?

Correct Answer: B

Rationale: Expressive aphasia impairs the ability to communicate, leading to frustration and feelings of powerlessness (
B). Injury (
A) is physical, disturbed thought processes (
C) relate to cognition, and sexual dysfunction (
D) is not directly linked to aphasia.

Question 2 of 5

The wife of the client diagnosed with septic meningitis asks the nurse, 'I am so scared. What is meningitis?' Which statement would be the most appropriate response by the nurse?

A. There is bleeding into his brain causing irritation of the meninges.' B. A virus has infected the brain and meninges, causing inflammation.' C. It is a bacterial infection of the tissues that cover the brain and spinal cord.' D. It is an inflammation of the brain parenchyma caused by a mosquito bite.'

Correct Answer: C

Rationale: Septic meningitis is a bacterial infection of the meninges (
C). Bleeding (
A) describes subarachnoid hemorrhage, viral meningitis (
B) is aseptic, and mosquito-related inflammation (
D) refers to encephalitis.

Question 3 of 5

The male client is admitted to the emergency department following a motorcycle accident. The client was not wearing a helmet and struck his head on the pavement. The nurse identifies the concept as impaired intracranial regulation. Which interventions should the emergency department nurse implement in the first five (5) minutes? Select all that apply.

A. Stabilize the client’s neck and spine. B. Contact the organ procurement organization to speak with the family. C. Elevate the head of the bed to 70 degrees. D. Perform a Glasgow Coma Scale assessment. E. Ensure the client has a patent peripheral venous catheter in place. F. Check the client’s driver’s license to see if he will accept blood.

Correct Answer: A,D,E

Rationale: Stabilizing the cervical spine (
A) prevents spinal injury, Glasgow Coma Scale (
D) assesses neurological status, and IV access (E) prepares for interventions. Organ procurement (
B) is premature, high HOB (
C) risks perfusion, and checking for blood acceptance (F) is secondary.

Question 4 of 5

Because the client with Parkinson's disease is prone to constipation, the nurse should encourage increased consumption of which food?

A. Fresh fruits B. Wheat pasta C. Low-fat cheese D. Canned vegetables

Correct Answer: A

Rationale: Fresh fruits are high in fiber, which helps alleviate constipation in clients with Parkinson's disease.

Question 5 of 5

The charge nurse is making client assignments for a neuro-medical floor. Which client should be assigned to the most experienced nurse?

A. The elderly client who is experiencing a stroke in evolution. B. The client diagnosed with a transient ischemic attack 48 hours ago. C. The client diagnosed with Guillain-Barré syndrome who complains of leg pain. D. The client with Alzheimer's disease who is wandering in the halls.

Correct Answer: A

Rationale: A stroke in evolution (
A) is an acute, progressing condition requiring experienced monitoring. TIA (
B) is stable, Guillain-Barré pain (
C) is manageable, and wandering (
D) needs supervision but is less acute.

NCLEX Neurological Disorders | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN