NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The husband of a client who is an alcoholic tells the nurse, 'I don’t know what to do. I don’t know how to deal with my wife’s problem.' Which response would be most appropriate by the nurse?
Correct Answer: C
Rationale: Alanon (
C) supports families of alcoholics, offering coping strategies. Suggesting leaving (
A) is judgmental, AA (
B) is for alcoholics, and accusing enabling (
D) may alienate.
Question 2 of 5
Which assessment data would make the nurse suspect that the client with a C7 spinal cord injury is experiencing autonomic dysreflexia?
Correct Answer: B
Rationale: Autonomic dysreflexia in SCI causes severe headache (
B) due to hypertensive crisis from a trigger like bladder distention. Diaphoresis (
A) is secondary, motor loss (
C) is expected, and spasticity (
D) is chronic.
Question 3 of 5
Which preoperative assessment is most important to document as a basis for postoperative comparison?
Correct Answer: A
Rationale: Motor strength assessment provides a baseline to detect postoperative neurological deficits from brain tumor surgery.
Question 4 of 5
The nurse is working with clients and their families regarding substance abuse. Which statement is the scientific rationale for teaching the children new coping mechanisms?
Correct Answer: C
Rationale: Children often mimic parental behaviors (
C), including unhealthy coping mechanisms. Teaching new strategies helps break this cycle. Other options misrepresent the child’s role or focus.
Question 5 of 5
The client diagnosed with ALS asks the nurse, 'I know this disease is going to kill me. What will happen to me in the end?' Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: Providing factual information about respiratory failure (
B) addresses the client’s question honestly while respecting their need for clarity. Reflecting fear (
A) is vague, dismissing concerns (
C) is untherapeutic, and denying prognosis (
D) is inaccurate.