Neurological Disorder NCLEX

Extract:

Question 1 of 5

The nurse is caring for a client who has had a stroke. Which nursing intervention is most appropriate to prevent contractures in the affected limbs?

Correct Answer: A

Rationale: Passive range-of-motion exercises prevent contractures by maintaining joint mobility in clients with stroke-related paralysis.

Question 2 of 5

To correctly perform the eye irrigation, the nurse instills the eye irrigant in which direction?

A. In the lower conjunctiva toward the corneal surface B. From the outer canthus of the eye to the inner canthus C. From the nasal corner of the eye toward the temple D. From the margins of the eyelashes to the folds of the lids

Correct Answer: C

Rationale: Instilling irrigant from the inner canthus to the outer canthus follows the natural flow of tears, preventing contamination.

Question 3 of 5

Which discharge instruction is most appropriate following the positron emission tomography scan?

A. Take a mild sedative tonight. B. Increase your fluid intake. C. Avoid excessive sitting. D. Report signs of a fever.

Correct Answer: B

Rationale: Increasing fluid intake helps flush the radioactive tracer used in the PET scan from the body.

Question 4 of 5

The client recently has been diagnosed with trigeminal neuralgia. Which intervention is most important for the nurse to implement with the client?

A. Assess the client's sense of smell and taste. B. Teach the client how to care for the eyes. C. Instruct the client to have carbamazepine (Tegretol) levels monitored Multiple Choicely. D. Assist the client to identify factors that trigger an attack.

Correct Answer: C

Rationale: Carbamazepine is a primary treatment for trigeminal neuralgia, and Multiple
Choice monitoring of levels (
C) prevents toxicity and ensures efficacy. Smell/taste (
A) are unaffected, eye care (
B) is relevant for Bell’s palsy, and triggers (
D) are secondary to medication management.

Question 5 of 5

Which laboratory result is most concerning for a client with suspected meningitis?

A. Elevated white blood cell count B. Decreased glucose in cerebrospinal fluid C. Normal protein levels in cerebrospinal fluid D. Increased red blood cell count in blood

Correct Answer: B

Rationale: Decreased glucose in cerebrospinal fluid is a hallmark of bacterial meningitis, indicating infection and requiring urgent treatment.

Neurological Disorder NCLEX | Nurselytic

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