NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The nurse in a long-term care facility has noticed a change in the behavior of one of the clients. The client no longer participates in activities and prefers to stay in his room. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Social withdrawal may indicate depression. Completing a Geriatric Depression Scale (
D) is the first step to assess this possibility. Forcing dining (
A), notifying family (
B), or changing roommates (
C) are premature without assessment.
Question 2 of 5
The significant other of a client diagnosed with a brain tumor asks the nurse for help identifying resources. Which would be the most appropriate referral for the nurse to make?
Correct Answer: A
Rationale: A social worker (
A) can connect the family with community resources, financial aid, and support services. Chaplains (
B) address spiritual needs, providers (
C) focus on medical care, and occupational therapists (
D) address functional deficits.
Question 3 of 5
When the nurse alternates injection sites on the client's upper arms, how far apart should the injections be spaced?
Correct Answer: C
Rationale: Injections should be spaced 1'' apart to prevent tissue irritation and ensure proper drug absorption.
Question 4 of 5
The client is at risk for septic emboli after being diagnosed with meningococcal meningitis. Which action by the nurse directly addresses this risk?
Correct Answer: D
Rationale: Monitoring VS is indicated but does not address the complication of septic emboli. Immunization with the meningococcal polysaccharide vaccine (Menomune) is a preventive measure against meningitis and would not be included in treatment. Frequent neurological assessments are indicated but do not address the complication of septic emboli. Frequent vascular assessments will detect vascular compromise secondary to septic emboli. Early detection allows for interventions that will prevent gangrene and possible loss of limb.
Question 5 of 5
Which nursing intervention is best during the confusedness?
Correct Answer: D
Rationale: Reorienting the client to place and situation reduces confusion and promotes safety post-craniotomy.