NCLEX Questions on Neurological Disorders Quizlet

Extract:

Question 1 of 5

The nurse caring for a client who has been abusing amphetamines writes a problem of 'cardiovascular compromise.' Which nursing interventions should be implemented?

Correct Answer: A,C

Rationale: Amphetamine abuse can cause tachycardia and hypertension. Monitoring telemetry and vital signs (
A) detects cardiovascular changes, and a calm atmosphere (
C) reduces stimulation. Verbalizing reasons (
B) is psychosocial, and bedrest/low-sodium diet (
D) is not indicated.

Question 2 of 5

A family member brings the client to the emergency department reporting that the 78-year-old father has suddenly become very confused and thinks he is living in 1942, that he has to go to war, and that someone is trying to poison him. Which question should the nurse ask the family member?

A. Has your father been diagnosed with dementia?' B. What medication has your father taken today?' C. What have you given him that makes him think it's poison?' D. Does your father like to watch old movies on television?'

Correct Answer: B

Rationale: Sudden confusion and delusions suggest delirium, often medication-related. Asking about medications (
B) identifies potential causes. Dementia (
A) causes gradual decline, blaming poison (
C) is untherapeutic, and movies (
D) are irrelevant.

Question 3 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?

A. The client will maintain body weight within two (2) pounds. B. The client will execute an advance directive. C. The client will be able to perform three (3) ADLs with assistance. D. The client will verbalize feeling of loss by the end of the shift.

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 4 of 5

Which nursing approach for communication would be best if the client becomes confused?

A. Turn the television on so the client can hear human voices. B. Play some music when the client is aggressive. C. Orient the client to the surroundings and current situations. D. Look at and talk about pictures in a photo album of the client's life.

Correct Answer: C

Rationale: Orienting the client to their surroundings and current situations helps reduce confusion and anxiety in clients with AIDS dementia complex.

Question 5 of 5

Which intervention is priority for a client with AIDS dementia complex experiencing agitation?

A. Administer a sedative as prescribed. B. Provide a quiet, low-stimulus environment. C. Restrain the client to prevent injury. D. Encourage group activities to distract the client.

Correct Answer: B

Rationale: A quiet, low-stimulus environment reduces agitation in clients with AIDS dementia complex by minimizing sensory overload.

NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

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