NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The client with a closed head injury has clear fluid draining from the nose. Which action should the nurse implement first?
Correct Answer: C
Rationale: Clear nasal drainage post-head injury may indicate cerebrospinal fluid (CSF) leak, confirmed by testing for glucose (
C). This is the first step to guide further action. Notifying the provider (
A) follows confirmation, antihistamines (
B) are irrelevant, and gauze (
D) is a secondary measure.
Question 2 of 5
The client is diagnosed with expressive aphasia. Which psychosocial client problem would the nurse include in the plan of care?
Correct Answer: B
Rationale: Expressive aphasia impairs the ability to communicate, leading to frustration and feelings of powerlessness (
B). Injury (
A) is physical, disturbed thought processes (
C) relate to cognition, and sexual dysfunction (
D) is not directly linked to aphasia.
Question 3 of 5
Which intervention is most appropriate for a client diagnosed with Bell's palsy?
Correct Answer: B
Rationale: Drinking from a straw helps clients with Bell's palsy manage liquids, compensating for facial muscle weakness.
Question 4 of 5
The client is diagnosed with meningococcal meningitis. Which preventive measure would the nurse expect the health-care provider to order for the significant others in the home?
Correct Answer: B
Rationale: Close contacts of meningococcal meningitis patients require antimicrobial chemoprophylaxis (
B), such as rifampin, to prevent infection. Vaccines (
A) are not for immediate prophylaxis, corticosteroids (
C) treat inflammation, and gamma globulin (
D) is not indicated.
Question 5 of 5
For a client with Guillain-Barré syndrome, which complication should the nurse monitor most closely?
Correct Answer: B
Rationale: Deep vein thrombosis is a significant risk in Guillain-Barré syndrome due to immobility from muscle weakness.