NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client recently has been diagnosed with trigeminal neuralgia. Which intervention is most important for the nurse to implement with the client?
Correct Answer: C
Rationale: Carbamazepine is a primary treatment for trigeminal neuralgia, and Multiple
Choice monitoring of levels (
C) prevents toxicity and ensures efficacy. Smell/taste (
A) are unaffected, eye care (
B) is relevant for Bell’s palsy, and triggers (
D) are secondary to medication management.
Question 2 of 5
When the client asks why fluids are being restricted, which explanation by the nurse is best?
Correct Answer: C
Rationale: Fluid restriction reduces intracranial volume, minimizing the risk of increased intracranial pressure post-craniotomy.
Question 3 of 5
The student nurse asks the nurse, 'Why do you ask the client to identify how many fingers you have up when the client hit the front of the head, not the back?' The nurse would base the response on which scientific rationale?
Correct Answer: B
Rationale: Frontal head injuries may affect the occipital lobe or optic pathways, causing diplopia (double vision,
B). Routine exams (
A) are broader, brain damage (
C) is not specific, and rebound effect (
D) is not a term used here.
Question 4 of 5
Which home care suggestion is best for promoting the mobility of the client with a spinal cord injury?
Correct Answer: B
Rationale: A wheelchair ramp enhances home accessibility, significantly improving mobility for a client with a spinal cord injury.
Question 5 of 5
Which of the following indicates an autonomic nervous system manifestation of a seizure?
Correct Answer: C
Rationale: Flushing and increased sweating are autonomic nervous system manifestations that can occur during a seizure, reflecting involuntary physiological changes.