Neurological Disorder NCLEX | Nurselytic

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Neurological Disorder NCLEX Questions

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Question 1 of 5

The client is scheduled for an electroencephalogram (EEG) to help diagnose a seizure disorder. Which preprocedure teaching should the nurse implement?

Correct Answer: A

Rationale: Taking routine antiseizure medications (
A) ensures therapeutic levels during the EEG, avoiding seizures that could skew results. Fasting (
B) is unnecessary, sleep deprivation (
C) may be used in specific cases but not routinely, and EEGs are painless (
D).

Question 2 of 5

Which assessment data should the nurse expect to observe for the client diagnosed with Parkinson's disease?

Correct Answer: B

Rationale: Masklike facies and pill-rolling tremors (
B) are hallmark Parkinson’s signs due to dopamine deficiency. Paralysis/pain (
A) suggest Guillain-Barré, diplopia/ptosis (
C) indicate myasthenia gravis, and dysphagia/dysarthria (
D) are later symptoms.

Question 3 of 5

Which clinical manifestation will the nurse most likely observe first?

Correct Answer: B

Rationale: In the postictal phase, sleepiness and disorientation are typically observed first as the brain recovers from the seizure.

Question 4 of 5

The nurse learns in report that the client admitted with a vertebral fracture has a halo external fixation device in place. Which intervention should the nurse plan?

Correct Answer: C

Rationale: Neither traction nor weights are part of the halo device. The halo external fixation device includes a vest that is worn continuously and should not be removed. The neurosurgeon will discontinue it when the injury has stabilized and sufficient healing has occurred. A halo external fixation device is a static device that consists of a “halo” that is screwed into the skull by four pins. It is attached to a vest that the client wears. The device provides immobilization and stability to the spinal cord while healing occurs with or without surgical intervention. Care includes inspection and cleansing of the pin sites. The nurse should not tighten the pins. These are secured in the skull to maintain alignment of the cervical vertebrae. If loose, the nurse should contact the HCP for tightening.

Question 5 of 5

The client with end-stage ALS requires a gastrostomy tube feeding. Which finding would require the nurse to hold a bolus tube feeding?

Correct Answer: A

Rationale: A gastric residual of 125 mL (
A) indicates delayed gastric emptying, requiring the feeding to be held to prevent aspiration. Soft abdomen (
B) is normal, diarrhea (
C) requires monitoring but not holding, and low potassium (
D) is unrelated.

Similar Questions

The female client with an incomplete T6 spinal cord transection asks the nurse for sexual health advice and the possibility of ever conceiving. Which statements by the nurse will be helpful to the client? Select all that apply.
The client recently has been diagnosed with trigeminal neuralgia. Which intervention is most important for the nurse to implement with the client?
Which of the following indicates an autonomic nervous system manifestation of a seizure?
The nurse is conducting a support group for clients diagnosed with Parkinson’s disease and their significant others. Which information regarding psychosocial needs should be included in the discussion?
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?

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