NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse educator is presenting an in-service on seizures. Which disease process is the leading cause of seizures in the elderly?
Correct Answer: C
Rationale: Stroke (CVA,
C) is the leading cause of seizures in the elderly due to brain tissue damage. Alzheimer’s (
A) and Parkinson’s (
B) may cause seizures but are less common, and brain atrophy (
D) is not a primary cause.
Question 2 of 5
Which discharge teaching is essential for a client with a spinal cord injury to prevent respiratory complications?
Correct Answer: A
Rationale: Deep breathing exercises help prevent atelectasis and pneumonia in clients with spinal cord injuries.
Question 3 of 5
The nurse is administering mannitol IV to decrease the client’s ICP following a craniotomy. Which laboratory test result should the nurse monitor during the client’s treatment with mannitol?
Correct Answer: A
Rationale: Mannitol (Osmitrol), an osmotic diuretic, increases the serum osmolarity and pulls fluid from the tissues, thus decreasing cerebral edema postoperatively. Serum osmolarity levels should be assessed as a parameter to determine proper dosage. The WBC count is not affected by mannitol. Serum cholesterol is not affected by mannitol. ESR is not affected by mannitol.
Question 4 of 5
Which nursing action is best for controlling the symptoms of the client diagnosed with myasthenia gravis?
Correct Answer: B
Rationale: Precise timing of pyridostigmine administration ensures consistent symptom control in myasthenia gravis by maintaining acetylcholine levels.
Question 5 of 5
The 34-year-old male client with an SCI is sharing with the nurse that he is worried about finding employment after being discharged from the rehabilitation unit. Which intervention should the nurse implement?
Correct Answer: B
Rationale: The state rehabilitation commission (
B) provides vocational training and job placement services for individuals with disabilities like SCI. ASIA (
A) focuses on research and advocacy, disability application (
C) may not address employment goals, and talking with a significant other (
D) is not a direct intervention.