NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The nurse identifies the concept of intracranial regulation disturbance in a client diagnosed with Parkinson’s Disease. Which priority intervention should the nurse implement?
Correct Answer: A
Rationale: Parkinson’s increases fall risk due to bradykinesia and rigidity. Keeping the bed low and call light in reach (
A) prioritizes safety. Diet (
B), home health (
C), and skin assessment (
D) are secondary.
Question 2 of 5
Which client would the nurse identify as being most at risk for experiencing a cerebrovascular accident (CVA)?
Correct Answer: B
Rationale: Risk factors for CVA include advanced age, hypertension, diabetes, and ethnicity, with African Americans and Asians at higher risk. An 84-year-old Japanese female is at the highest risk due to her age and potential for comorbidities like hypertension, which is prevalent in older populations. A 55-year-old African American male is also at risk, but age is a stronger factor. Pregnancy increases risk but is less significant compared to advanced age.
Question 3 of 5
The nurse is performing a Glasgow Coma Scale (GCS) assessment on a client with a problem with intracranial regulation. The client’s GCS one (1) hour ago was scored at 10. Which datum indicates the client is improving?
Correct Answer: D
Rationale: A GCS of 12 (
D) is higher than 10, indicating improved neurological status. Scores of 3 (
A) or 9 (
B) indicate worsening, and 10 (
C) shows no change.
Question 4 of 5
The client is diagnosed with Huntington's chorea. Which interventions should the nurse implement with the family? Select all that apply.
Correct Answer: A,C
Rationale: Referring to the Huntington’s Disease Society (
A) provides support and resources. Discussing coping with messiness (
C) addresses chorea-related coordination issues. Football padding (
B) is inappropriate, meal restrictions (
D) are unnecessary, and chest percussion (E) is unrelated.
Question 5 of 5
The nurse is preparing to administer acetaminophen (Tylenol) to a client diagnosed with a stroke who is complaining of a headache. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Checking the armband (
B) ensures patient safety before medication administration. Pudding (
A), crushing (
C), or sipping water (
D) follow identity confirmation.