NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
The home-care nurse is counseling the client who has MS. The client is experiencing weakness, ataxia, intermittent adductor spasms of the hips, and occasional incontinence from loss of bladder sensation. Which self-care measures should the nurse recommend? Select all that apply.
Correct Answer: B,C,E
Rationale: Hot baths should be avoided; increasing the body temperature can exacerbate symptoms. Burns can occur with sensory loss associated with MS. A stretch—hold—relax routine is often helpful for relaxing the muscle and treating muscle spasms. Walking will help improve the gait, strengthen weakened muscles, and help relieve spasticity in the legs. If a muscle group is irreversibly affected by MS, other muscles can learn to compensate. A walker should be used for safety to help prevent falling. Widening the base of support increases walking stability, especially if ataxia (incoordination) is present; if feet are close together it increases the risk for a fall. Drinking fluids and then using an alarm to void 30 minutes later may be helpful in reducing incontinence from loss of bladder sensation.
Question 2 of 5
Which potential pituitary complication should the nurse assess for in the client diagnosed with a traumatic brain injury (TBI)?
Correct Answer: C
Rationale: TBI can damage the pituitary, causing SIADH (
C), leading to fluid retention and hyponatremia. DM2 (
A) is unrelated, seizures (
B) are neurological, and Cushing’s (
D) is less common post-TBI.
Question 3 of 5
When planning a bowel retraining program for a client with a spinal cord injury, which nursing intervention is most appropriate?
Correct Answer: B
Rationale: A high-fiber diet promotes regular bowel movements, which is essential for bowel retraining in spinal cord injury clients.
Question 4 of 5
The nurse has written a care plan for a client diagnosed with a brain tumor. Which is an important goal regarding self-care deficit?
Correct Answer: C
Rationale: A realistic goal for self-care deficit is performing ADLs with assistance (
C), addressing functional limitations due to the tumor. Weight maintenance (
A), advance directives (
B), and verbalizing loss (
D) are not directly related to self-care.
Question 5 of 5
The nurse is assessing a client with a history of transient ischemic attacks (TIAs). Which finding is most concerning and should be reported immediately?
Correct Answer: B
Rationale: Transient numbness in the left arm may indicate a TIA, which requires immediate reporting due to the risk of progression to a stroke.