NCLEX Neurological Disorders | Nurselytic

Questions 85

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NCLEX Neurological Disorders Questions

Extract:


Question 1 of 5

The client is diagnosed with meningococcal meningitis. Which preventive measure would the nurse expect the health-care provider to order for the significant others in the home?

Correct Answer: B

Rationale: Close contacts of meningococcal meningitis patients require antimicrobial chemoprophylaxis (
B), such as rifampin, to prevent infection. Vaccines (
A) are not for immediate prophylaxis, corticosteroids (
C) treat inflammation, and gamma globulin (
D) is not indicated.

Question 2 of 5

Which finding in a brain-dead client confirms the diagnosis?

Correct Answer: B

Rationale: Apnea during an apnea test (no spontaneous breathing) is a key criterion for confirming brain death.

Question 3 of 5

An unconscious client has left-sided paralysis. Which intervention should the nurse implement to best prevent foot drop?

Correct Answer: D

Rationale: Pressure exerted on the soles of the feet when placed firmly against the footboard can impair circulation and lead to skin breakdown. Pillows provide inadequate support to prevent plantar flexion (foot drop). Performing ROM daily helps to maintain muscle tone, but it is inadequate to prevent plantar flexion when the client is in bed. Applying a foot boot brace provides good support to prevent foot drop. Removing and reapplying it every two hours allows for pressure reduction and promotes circulation.

Question 4 of 5

The nurse is caring for the client who, 6 weeks after an MVA, was diagnosed with a mild TBI. Which information in the client’s history of the injury should the nurse associate with the TBI? Select all that apply.

Correct Answer: C,D,E

Rationale: The client with mild TBI usually experiences symptoms commonly associated with mild concussion, such as vomiting. The client with mild TBI usually experiences amnesia and is unable to recall events regarding the accident. Recurrent problems with headache and dizziness are the most prominent symptoms of mild TBI. Cognitive difficulties, including inability to concentrate and forgetfulness, occur with mild TBI. At the time of the accident, the person with mild TBI may experience a loss of consciousness for a few seconds or minutes.

Question 5 of 5

Which nursing intervention is best during the confusedness?

Correct Answer: D

Rationale: Reorienting the client to place and situation reduces confusion and promotes safety post-craniotomy.

Similar Questions

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