NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
The nurse in the ED documents that the newly admitted client is 'postictal upon transfer.' What did the nurse observe?
Correct Answer: B
Rationale: Jaundice and icterus are terms for yellowing of the skin. The client had experienced a tonic-clonic seizure recently and is now in a state of deep relaxation and is breathing quietly. During this period the client may be unconscious or awaken gradually, but is often confused and disoriented. Often the client is amnesic regarding the seizure. Pruritus is a term for itching. Paresthesia is the term for abnormal sensations such as tingling and burning of the skin.
Question 2 of 5
The nurse is caring for a client with increased intracranial pressure (ICP) who has secretions pooled in the throat. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Pooled secretions risk airway obstruction. Turning to the side (
C) clears the airway safely without increasing ICP. Hyperventilation (
A) and suctioning (
D) may raise ICP, and assessment (
B) delays intervention.
Question 3 of 5
Which intervention should the nurse take with the client recently diagnosed with amyotrophic lateral sclerosis (Lou Gehrig's disease)?
Correct Answer: C
Rationale: ALS is progressive and terminal. Providing an advance directive (
C) ensures the client’s wishes are respected early. Gastrostomy (
A) is later, fistulas (
B) are unrelated, and leg braces (
D) are less urgent.
Question 4 of 5
Which finding is considered to be one of the warning signs of developing Alzheimer's disease?
Correct Answer: A
Rationale: Difficulty performing familiar tasks (
A) is an early Alzheimer’s sign due to cognitive decline. Orientation issues (
B) occur later, focus problems (
C) are nonspecific, and atherosclerosis (
D) is unrelated.
Question 5 of 5
When is the best time to clip the client's hair?
Correct Answer: D
Rationale: Clipping hair in the operating room area minimizes infection risk by reducing the time the scalp is exposed.