Neurological Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse is assessing the client with a tentative diagnosis of meningitis. Which findings should the nurse associate with meningitis? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Irritation of the meninges causes nuchal rigidity (stiff neck). Irritation of the meninges causes severe headache. Pill-rolling tremors are associated with PD. Irritation of the meninges causes photophobia (light irritates the eyes). Lethargy, pathological state of sleepiness or unresponsiveness, indicates a decreased level of consciousness which is associated with meningitis.

Question 2 of 5

The client has been diagnosed with a cerebrovascular accident (stroke). The client's wife is concerned about her husband's generalized weakness. Which home modification should the nurse suggest to the wife prior to discharge?

A. Obtain a rubber mat to place under the dinner plate. B. Purchase a long-handled bath sponge for showering. C. Purchase clothes with Velcro closure devices. D. Obtain a raised toilet seat for the client's bathroom.

Correct Answer: B,C,D

Rationale: Generalized weakness post-stroke affects mobility and self-care. A long-handled bath sponge (
B) aids bathing, Velcro clothes (
C) simplify dressing, and a raised toilet seat (
D) facilitates safe toileting. A rubber mat (
A) is less relevant to generalized weakness.

Question 3 of 5

The nurse is working with clients and their families regarding substance abuse. Which statement is the scientific rationale for teaching the children new coping mechanisms?

A. The child needs to realize that the parent will be changing behaviors. B. The child will need to point out to the parent when the parent is not coping. C. Children tend to mimic behaviors of parents when faced with similar situations. D. Children need to feel like they are a part of the parent’s recovery.

Correct Answer: C

Rationale: Children often mimic parental behaviors (
C), including unhealthy coping mechanisms. Teaching new strategies helps break this cycle. Other options misrepresent the child’s role or focus.

Question 4 of 5

The client newly diagnosed with Parkinson’s Disease (PD) asks the nurse, 'Why can’t I control these tremors?' Which is the nurse’s best response?

A. You can control the tremors when you learn to concentrate and focus on the cause.' B. The tremors are caused by a lack of the chemical dopamine in the brain; medication may help.' C. You have too much acetylcholine in your brain causing the tremors but they will get better with time.' D. You are concerned about the tremors? If you want to talk I would like to hear how you feel.'

Correct Answer: B

Rationale: Parkinson’s tremors result from dopamine deficiency (
B), and medications like levodopa help. Concentration (
A) doesn’t control tremors, acetylcholine imbalance (
C) is partial and not time-resolving, and reflection (
D) doesn’t answer the question.

Question 5 of 5

The client diagnosed with a brain abscess is experiencing a tonic-clonic seizure. Which interventions should the nurse implement? Rank in order of performance.

Order the Items

Source Container

Assess the client’s mouth.

Loosen restrictive clothing.

Administer phenytoin IVP.

Turn the client to the side.

Protect the client’s head from injury.

Correct Answer: E,B,C,D,A

Rationale: 1. Protect the client’s head (E): Prevents injury during convulsions. 2. Loosen restrictive clothing (
B): Ensures airway and circulation. 3. Turn to the side (
D): Prevents aspiration post-seizure. 4. Administer phenytoin (
C): Stops the seizure after safety is ensured. 5. Assess the mouth (
A): Done post-seizure to check for injury.

Neurological Disorders NCLEX Questions | Nurselytic

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