NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
The nurse arrives at the scene of a motor-vehicle accident and the car is leaking gasoline. The client is in the driver's seat of the car complaining of not being able to move the legs. Which actions should the nurse implement? List in order of priority.
Correct Answer: C,B,A,D,E
Rationale: Stabilize the client’s neck (
C): Prevents spinal injury. 2. Assess for other injuries (
B): Identifies life-threatening issues. 3. Move the client safely (
A): Removes from gasoline danger. 4. Notify EMS (
D): Ensures professional help. 5. Place in anatomical position (E): Least urgent.
Question 2 of 5
Which nursing action is priority when caring for a client with suspected brain death?
Correct Answer: B
Rationale: A thorough neurologic assessment is critical to confirm brain death criteria, guiding further care decisions.
Question 3 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a client with right-sided paralysis. Which action by the UAP requires the nurse to intervene?
Correct Answer: C
Rationale: Placing a hand under the axilla (
C) to move a client with right-sided paralysis risks shoulder subluxation or injury to the weak side. A gait belt (
A) is appropriate for safe ambulation, positioning with head to the side (
B) prevents aspiration, and praising independence (
D) is therapeutic.
Question 4 of 5
The nurse plans to show the spouse of the client with a suspected epidural hematoma where the epidural hematoma occurs in the brain. Which illustration should the nurse select when teaching the client’s spouse?
Correct Answer: B
Rationale: This illustration shows a subdural hematoma, which occurs below the dura. This illustration shows an epidural hematoma, which occurs between the skull and the dura. This illustration shows normal brain structures. An intracerebral hematoma occurs within the brain tissue and can result in brain herniation as shown in this illustration.
Question 5 of 5
Which finding is considered to be one of the warning signs of developing Alzheimer's disease?
Correct Answer: A
Rationale: Difficulty performing familiar tasks (
A) is an early Alzheimer’s sign due to cognitive decline. Orientation issues (
B) occur later, focus problems (
C) are nonspecific, and atherosclerosis (
D) is unrelated.