NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
The nurse is assessing the client admitted with encephalitis. Which data require immediate nursing intervention? The client has bilateral facial palsies.
Correct Answer: B
Rationale: A fever of 100.6°F (
B) in encephalitis may indicate worsening infection or inflammation, requiring immediate intervention. Decreased headache (
C) suggests improvement, and taste loss (
D) is less urgent. Facial palsies are noted but not an option.
Question 2 of 5
Which clinical findings would the nurse find on assessment in the brain-dead client? Select all that apply.
Correct Answer: D,E
Rationale: Absent corneal reflex and dilated nonreactive pupils are consistent with brain death, indicating loss of brainstem function.
Question 3 of 5
The client diagnosed with a brain abscess has become lethargic and difficult to arouse. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Lethargy and difficulty arousing suggest neurological deterioration. Assessing neurological status (
B) is the first step to determine the cause and guide interventions. Seizure precautions (
A), darkening the room (
C), and steroids (
D) follow assessment.
Question 4 of 5
The nurse has written a care plan for a client diagnosed with a brain tumor. Which is an important goal regarding self-care deficit?
Correct Answer: C
Rationale: A realistic goal for self-care deficit is performing ADLs with assistance (
C), addressing functional limitations due to the tumor. Weight maintenance (
A), advance directives (
B), and verbalizing loss (
D) are not directly related to self-care.
Question 5 of 5
The nurse should place the client in which position?
Correct Answer: C
Rationale: The side-lying position with the neck flexed facilitates access to the lumbar spine for a lumbar puncture and helps open the intervertebral spaces.