NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The nurse asks the male client with epilepsy if he has auras with his seizures. The client says, 'I don’t know what you mean. What are auras?' Which statement by the nurse would be the best response?
Correct Answer: A
Rationale: Auras are sensory warnings preceding a seizure (
A), and this response accurately educates the client. Other options misdefine auras (B,
D) or fail to address the question (
C).
Question 2 of 5
The male client diagnosed with a brain tumor is scheduled for a magnetic resonance imaging (MRI) scan in the morning. The client tells the nurse that he is scared. Which response by the nurse indicates an appropriate therapeutic response?
Correct Answer: B
Rationale: Reflecting the client’s fear (
B) encourages expression of concerns, fostering therapeutic communication. Other options provide information (A,
D) or minimize feelings (
C).
Question 3 of 5
The client diagnosed with a brain tumor was admitted to the intensive care unit with decorticate posturing. Which indicates that the client’s condition is becoming worse?
Correct Answer: D
Rationale: Flaccid paralysis and unresponsiveness (
D) indicate severe brain dysfunction or progression to brain death, worse than decorticate posturing. Purposeful movement (
A) or thrashing (
C) suggest improvement, and adduction (
B) is not a standard indicator.
Question 4 of 5
The client is diagnosed with a metastatic brain tumor, and radiation therapy is scheduled. The client asks the nurse, 'Why not try chemotherapy first? It has helped my other tumors.' The nurse’s response is based on which scientific rationale?
Correct Answer: B
Rationale: The blood-brain barrier (
B) limits chemotherapy penetration into the brain, making radiation more effective for brain metastases. Chemotherapy is used in some cases (
A), radiation side effects vary (
C), and resistance (
D) is not universally true.
Question 5 of 5
The nurse is assessing the client diagnosed with bacterial meningitis. Which clinical manifestations would support the diagnosis of bacterial meningitis?
Correct Answer: C
Rationale: Kernig’s sign (pain with leg extension) and nuchal rigidity (
C) are hallmark signs of bacterial meningitis due to meningeal irritation. Other options include unrelated or less specific findings.