NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The client with MS tells the nurse about extreme fatigue. Which assessment findings should the nurse identify as contributing to the client's fatigue? Select all that apply.
Correct Answer: A,B,D,E,F
Rationale: The lower-than-normal Hgb and Hct indicate anemia. Inadequate cell oxygenation contributes to fatigue. Baclofen (Lioresal), a skeletal muscle relaxant used to relieve spasms, has the adverse effects of drowsiness and fatigue. Working 4 to 8 hours per week is a limited number of hours and should not contribute to the client’s fatigue. The client has stopped amitriptyline (Elavil), an antidepressant, and may be clinically depressed. Fatigue is a major symptom of depression. A tricuspid murmur indicates an incompetent cardiac valve, which will decrease the amount of oxygenated blood reaching the tissues. The increased energy expenditure with ambulation can increase fatigue.
Question 2 of 5
The charge nurse is making client assignments for a neuro-medical floor. Which client should be assigned to the most experienced nurse?
Correct Answer: A
Rationale: A stroke in evolution (
A) is an acute, progressing condition requiring experienced monitoring. TIA (
B) is stable, Guillain-Barré pain (
C) is manageable, and wandering (
D) needs supervision but is less acute.
Question 3 of 5
Before the client undergoes the craniotomy, the nurse inserts a urinary catheter. How far should the catheter be inserted if the client is a male?
Correct Answer: D
Rationale: For a male, the urinary catheter should be inserted 8'' to 10'' to reach the bladder adequately.
Question 4 of 5
The client diagnosed with Parkinson’s disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain these assessment data?
Correct Answer: B
Rationale: Difficulty swallowing and immobility (
B) in PD increase aspiration risk, leading to pneumonia, which presents as fever and lung infiltrates. Other manifestations are less directly related to pulmonary complications.
Question 5 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.