NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse in the neurointensive care unit is caring for a client with a new Cervical SCI who is breathing independently. Which nursing interventions should be implemented? Select all that apply.
Correct Answer: A,C,D
Rationale: Cervical SCI risks respiratory compromise and autonomic dysreflexia. Monitoring pulse oximetry (
A) ensures oxygenation, coughing/deep breathing (
C) prevents pneumonia, and assessing for autonomic dysreflexia (
D) detects dangerous BP spikes. Pureed foods (
B) are unnecessary without dysphagia, and corticosteroids (E) are not standard for acute SCI management.
Question 2 of 5
Which measure for preventing impaired skin integrity is appropriate to add to the care plan at this time?
Correct Answer: B
Rationale: Changing position every 2 hours prevents pressure ulcers in clients with MS who have weakness and numbness.
Question 3 of 5
What should the nurse warn a client with multiple sclerosis to avoid?
Correct Answer: A
Rationale: Hot weather can exacerbate MS symptoms by increasing body temperature, which impairs nerve conduction.
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 spouse of a recently retired man tells the nurse, 'All my husband does is sit around and watch television all day long. He is so irritable and moody. I don't want to be around him.' Which action should the nurse implement?
Correct Answer: C
Rationale: Irritability and mood changes post-retirement may indicate depression. Recommending an HCP evaluation for antidepressants (
C) is appropriate. Leaving alone (
A) ignores the issue, Alzheimer’s (
B) is premature, and crafts (
D) may not address mood.