NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The nurse is admitting a client with the diagnosis of Parkinson’s disease. Which assessment data support this diagnosis?
Correct Answer: D
Rationale: Masklike facies and shuffling gait (
D) are hallmark signs of Parkinson’s due to bradykinesia and rigidity. Crackles and JVD (
A) suggest heart failure, weakness and ptosis (
B) indicate myasthenia gravis, and exaggerated arm swinging (
C) is opposite to Parkinson’s.
Question 2 of 5
The nurse is admitting the client for rule-out encephalitis. Which interventions should the nurse assess to support the diagnosis of encephalitis? Select all that apply.
Correct Answer: C
Rationale: Encephalitis is often viral, with herpes simplex virus (HSV-1,
C) a common cause, supporting the diagnosis. Recent immunizations (
A), colds (
B), travel (
D), and fungal exposure (E) are less directly linked to encephalitis.
Question 3 of 5
Which instruction should the nurse include for a client taking phenytoin (Dilantin)?
Correct Answer: A
Rationale: Phenytoin can cause gingival hyperplasia; gentle brushing helps prevent gum complications.
Question 4 of 5
The client is brought to the emergency department by the police for public disorderliness. The client reports feeling no pain and is unconcerned that the police have arrested him. The nurse notes the client has epistaxis and nasal congestion. Which substance should the nurse suspect the client has abused?
Correct Answer: D
Rationale: Cocaine (
D) causes epistaxis, nasal congestion, and euphoria with pain insensitivity. Marijuana (
A), heroin (
B), and ecstasy (
C) do not typically cause these nasal symptoms.
Question 5 of 5
Before the client undergoes the craniotomy, the nurse inserts a urinary catheter. How far should the catheter be inserted if the client is a male?
Correct Answer: D
Rationale: For a male, the urinary catheter should be inserted 8'' to 10'' to reach the bladder adequately.