NCLEX Neurological Disorders

Extract:

Question 1 of 5

The friend of an 18-year-old male client brings the client to the emergency department (ED). The client is unconscious and his breathing is slow and shallow. Which action should the nurse implement first?

Correct Answer: C

Rationale: Slow, shallow breathing in an unconscious client indicates respiratory depression, a life-threatening condition. Calling for a ventilator (
C) ensures immediate airway support. Asking about drugs (
A), starting an IV (
B), and applying oxygen (
D) follow airway management.

Question 2 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 3 of 5

Which client statement indicates understanding of trigeminal neuralgia management?

A. I'll apply heat to my face for pain relief.' B. I'll avoid chewing on the affected side.' C. I'll use a hard toothbrush for oral hygiene.' D. I'll wash my face with cold water.'

Correct Answer: B

Rationale: Avoiding chewing on the affected side reduces pain triggers in trigeminal neuralgia.

Question 4 of 5

The charge nurse is making client assignments for a neuro-medical floor. Which client should be assigned to the most experienced nurse?

A. The elderly client who is experiencing a stroke in evolution. B. The client diagnosed with a transient ischemic attack 48 hours ago. C. The client diagnosed with Guillain-Barré syndrome who complains of leg pain. D. The client with Alzheimer's disease who is wandering in the halls.

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 5 of 5

The nurse is planning care for a client experiencing agnosia secondary to a cerebrovascular accident. Which collaborative intervention will be included in the plan of care?

A. Observe the client swallowing for possible aspiration. B. Position the client in a semi-Fowler's position when sleeping. C. Place a suction setup at the client's bedside during meals. D. Refer the client to an occupational therapist for evaluation.

Correct Answer: D

Rationale: Agnosia is the inability to recognize objects, people, or sounds, impacting functional abilities. Referring to an occupational therapist (
D) is appropriate to assess and develop strategies for managing agnosia. Swallowing issues (A,
C) are related to dysphagia, not agnosia, and semi-Fowler’s position (
B) is not specific to agnosia management.

NCLEX Neurological Disorders | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN