NCLEX Neurological Disorders

Extract:

Question 1 of 5

The client who just had a three (3)-minute seizure has no apparent injuries and is oriented to name, place, and time but is very lethargic and just wants to sleep. Which intervention should the nurse implement?

Correct Answer: C

Rationale: Post-seizure, the client is in a postictal phase with lethargy. Turning to the side (
C) prevents aspiration and allows safe rest. Neurological assessment (
A) can wait until the client is less lethargic, frequent awakening (
B) is unnecessary if oriented, and interviewing (
D) is not urgent.

Question 2 of 5

On the basis of the factors that cause the client to experience paroxysmal pain, which intervention is most appropriate to include in this client's care plan?

A. Direct a fan toward the client's face. B. Avoid care that involves touching the client's face. C. Apply ice packs to the client's face. D. Apply warm facial compresses for pain.

Correct Answer: B

Rationale: Avoiding facial touch minimizes triggering paroxysmal pain in trigeminal neuralgia, which is sensitive to tactile stimuli.

Question 3 of 5

Which intervention should the nurse implement when caring for the client diagnosed with encephalitis? Select all that apply.

A. Turn the client every two (2) hours. B. Encourage the client to increase fluids. C. Keep the client in the supine position. D. Assess for deep vein thrombosis (DVT). E. Assess for any alterations in elimination.

Correct Answer: A,D,E

Rationale: Turning every 2 hours (
A) prevents pressure ulcers, assessing DVT (
D) addresses immobility risks, and monitoring elimination (E) ensures bowel/bladder function. Increased fluids (
B) depend on status, and supine positioning (
C) may increase ICP.

Question 4 of 5

Which response by the nurse would be best to prevent distress when the client repeatedly asks, 'Where is my mother?'

A. Explain to the client, 'Your mother died several years ago.' B. Tell the client, 'Your mother will visit later.' C. State, 'You miss your mother. What was she like?' D. Ask the client, 'When did you last see your mother?'

Correct Answer: C

Rationale: Redirecting the conversation to memories of the mother validates the client's feelings without causing distress from confronting reality.

Question 5 of 5

Which should be the nurse's first intervention with the client diagnosed with Bell's palsy?

A. Explain that this disorder will resolve within a month. B. Tell the client to apply heat to the involved side of the face. C. Encourage the client to eat a soft diet. D. Teach the client to protect the affected eye from injury.

Correct Answer: D

Rationale: Bell’s palsy impairs eye closure, risking corneal damage. Teaching eye protection (
D) is the priority. Resolution timeline (
A), heat (
B), and diet (
C) are secondary.

NCLEX Neurological Disorders | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN