Neurological Disorders NCLEX Questions

Extract:

Question 1 of 5

The client is scheduled for an MRI of the brain to confirm a diagnosis of Creutzfeldt-Jakob disease. Which intervention should the nurse implement prior to the procedure?

Correct Answer: A

Rationale: MRI involves a confined space, so assessing for claustrophobia (
A) ensures patient comfort and safety. Consent (
B) is required but secondary, egg yolk allergy (
C) is irrelevant, and bilateral IVs (
D) are unnecessary.

Question 2 of 5

The nurse reviews the chart of the client who had a T12 SCI 12 years ago and is receiving baclofen through an intrathecal infusion pump. Which chart information in the exhibit is most important for the nurse to discuss with the HCP?

A. Assessment findings B. Orthostatic hypotension C. Laboratory test results D. Prescribed medications

Correct Answer: A

Rationale: Exaggerated spasticity, muscle rigidity, and tinnitus are adverse effects of baclofen (Lioresal) that the nurse should discuss with the HCP. The client had a minimal drop in BP from lying to standing and does not have orthostatic hypotension. The WBC and liver enzymes are WNL. The glucose is not significantly elevated and would not warrant notifying the HCP. All prescribed medications are appropriate for the client who has a T12 SCI.

Question 3 of 5

Which nursing intervention is most effective in helping a client with aphasia communicate?

A. Speak loudly and clearly to the client. B. Use simple pictures or a communication board. C. Ask the client to write responses to questions. D. Encourage the client to repeat words after the nurse.

Correct Answer: B

Rationale: A communication board or pictures aids communication for clients with aphasia by providing visual cues to express needs.

Question 4 of 5

Which measure for preventing impaired skin integrity is appropriate to add to the care plan at this time?

A. Use an air-fluidized (Clinitron) bed. B. Change the client's position every 2 hours. C. Rub any reddened areas every 2 hours. D. Provide daily treatment in a hyperbaric oxygen chamber.

Correct Answer: B

Rationale: Changing position every 2 hours prevents pressure ulcers in clients with MS who have weakness and numbness.

Question 5 of 5

The client has sustained a severe closed head injury and the neurosurgeon is determining if the client is 'brain dead.' Which data support that the client is brain dead?

A. When the client's head is turned to the right, the eyes turn to the right. B. The electroencephalogram (EEG) has identifiable waveforms. C. No eye activity is observed when the cold caloric test is performed. D. The client assumes decorticate posturing when painful stimuli are applied.

Correct Answer: C

Rationale: Brain death is confirmed by absent brainstem reflexes, including no eye movement during the cold caloric test (
C). Eyes turning with head movement (
A) indicates intact reflexes, EEG waveforms (
B) suggest brain activity, and decorticate posturing (
D) indicates some brain function.

Neurological Disorders NCLEX Questions | Nurselytic

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