NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The male client is admitted to the emergency department following a motorcycle accident. The client was not wearing a helmet and struck his head on the pavement. The nurse identifies the concept as impaired intracranial regulation. Which interventions should the emergency department nurse implement in the first five (5) minutes? Select all that apply.
Correct Answer: A,D,E
Rationale: Stabilizing the cervical spine (
A) prevents spinal injury, Glasgow Coma Scale (
D) assesses neurological status, and IV access (E) prepares for interventions. Organ procurement (
B) is premature, high HOB (
C) risks perfusion, and checking for blood acceptance (F) is secondary.
Question 2 of 5
The client with ALS is admitted to the medical unit with shortness of breath, dyspnea, and respiratory complications. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Dyspnea in ALS indicates respiratory distress. Administering oxygen (
B) addresses hypoxia immediately. Elevating HOB (
A), assessing lung sounds (
C), and pulse oximetry (
D) follow to support respiratory status.
Question 3 of 5
The nurse is admitting a client with the diagnosis of Parkinson’s disease. Which assessment data support this diagnosis?
Correct Answer: D
Rationale: Masklike facies and shuffling gait (
D) are hallmark signs of Parkinson’s due to bradykinesia and rigidity. Crackles and JVD (
A) suggest heart failure, weakness and ptosis (
B) indicate myasthenia gravis, and exaggerated arm swinging (
C) is opposite to Parkinson’s.
Question 4 of 5
When the nurse monitors the client's neurologic status, which finding is most suggestive that the client's intracranial pressure is increasing?
Correct Answer: A
Rationale: Widening pulse pressure is a hallmark sign of increasing intracranial pressure, often accompanied by bradycardia (Cushing's triad).
Question 5 of 5
Which client statement indicates understanding of myasthenia gravis management?
Correct Answer: B
Rationale: Avoiding crowds reduces infection risk, which is critical in myasthenia gravis due to immunosuppressive therapy.