Neurological Disorder NCLEX | Nurselytic

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Neurological Disorder NCLEX Questions

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Question 1 of 5

The client with end-stage ALS requires a gastrostomy tube feeding. Which finding would require the nurse to hold a bolus tube feeding?

Correct Answer: A

Rationale: A gastric residual of 125 mL (
A) indicates delayed gastric emptying, requiring the feeding to be held to prevent aspiration. Soft abdomen (
B) is normal, diarrhea (
C) requires monitoring but not holding, and low potassium (
D) is unrelated.

Question 2 of 5

The client is diagnosed with Huntington's chorea. Which interventions should the nurse implement with the family? Select all that apply.

Correct Answer: A,C

Rationale: Referring to the Huntington’s Disease Society (
A) provides support and resources. Discussing coping with messiness (
C) addresses chorea-related coordination issues. Football padding (
B) is inappropriate, meal restrictions (
D) are unnecessary, and chest percussion (E) is unrelated.

Question 3 of 5

The client underwent a lumbar laminectomy with spinal fusion 12 hours earlier. Which nursing assessment finding indicates that the client has a leakage of CSF?

Correct Answer: C

Rationale: Unrelieved back pain may be associated with another complication, not CSF leakage. A severe headache, rather than back pain, may be associated with CSF leakage. 50 mL of serosanguineous fluid in the bulb drain is a normal finding. Clear drainage on the surgical dressing is indicative of a CSF leak. The temperature elevation could indicate an infection.

Question 4 of 5

Which assessment data should the nurse expect to observe for the client diagnosed with Parkinson's disease?

Correct Answer: B

Rationale: Masklike facies and pill-rolling tremors (
B) are hallmark Parkinson’s signs due to dopamine deficiency. Paralysis/pain (
A) suggest Guillain-Barré, diplopia/ptosis (
C) indicate myasthenia gravis, and dysphagia/dysarthria (
D) are later symptoms.

Question 5 of 5

If the client begins to have a seizure after the EEG, which action should the nurse take first?

Correct Answer: D

Rationale: Placing the client in a side-lying position prevents aspiration and maintains airway patency during a seizure.

Similar Questions

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The client has right homonymous hemianopia following an ischemic stroke. The nurse asks the NA to help the client with meals knowing that this problem may result in which client response?
The intensive care nurse is caring for the client who has had intracranial surgery. Which interventions should the nurse implement? Select all that apply.

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