NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The client, undergoing testing for a possible brain tumor, asks the nurse about treatment options. The nurse’s response should be based on knowing that treatment of a brain tumor depends on which factors? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Surgery, radiation therapy, and/or chemotherapy may be used to treat a slowly or rapidly growing tumor. Surgery, radiation therapy, and/or chemotherapy may be used to treat a benign or malignant tumor. Surgery, radiation therapy, and/or chemotherapy may be used to treat tumors of different cell types. The tumor’s location in the brain may affect whether surgery is an option or whether the surgical approach with radiation therapy and/or chemotherapy is used to treat the tumor. Comorbid conditions, not age, may be determining factors in treatment options. The type of insurance is irrelevant to treatment unless treatment is experimental.
Question 2 of 5
The male client diagnosed with a brain tumor is scheduled for a magnetic resonance imaging (MRI) scan in the morning. The client tells the nurse that he is scared. Which response by the nurse indicates an appropriate therapeutic response?
Correct Answer: B
Rationale: Reflecting the client’s fear (
B) encourages expression of concerns, fostering therapeutic communication. Other options provide information (A,
D) or minimize feelings (
C).
Question 3 of 5
The nurse is caring for the client who is having difficulty walking. Which procedure should the nurse perform to test the cerebellar function of the client?
Correct Answer: D
Rationale: Detecting sharp or dull touch is a test for peripheral nerve function. Assessing for pronator drift is a test for muscle weakness due to cerebral or brainstem dysfunction. Assessment of hand grasps compares equality of muscle strength bilaterally. Repetitive alternating motion tests the client’s coordination, an indicator of cerebellar function.
Question 4 of 5
Which client statement indicates a need for further teaching about post-craniotomy care?
Correct Answer: C
Rationale: Lifting heavy objects post-craniotomy can increase intracranial pressure; clients should avoid this for several weeks.
Question 5 of 5
The public health nurse is discussing St. Louis encephalitis with a group in the community. Which instruction should the nurse provide to help prevent an outbreak?
Correct Answer: B
Rationale: St. Louis encephalitis is mosquito-borne. Mosquito spraying (
B) reduces vector populations. No vaccine exists (
A), gloves (
C) are irrelevant, and night avoidance (
D) is less effective.