NCLEX Questions on Neurological Disorders Quizlet

Extract:

Question 1 of 5

The nurse is caring for clients on the rehabilitation unit. Which clients should the nurse assess first after receiving the change-of-shift report?

Correct Answer: A

Rationale: Dyspnea and crackles in a C6 SCI patient (
A) suggest respiratory compromise, a life-threatening condition requiring immediate assessment. Emotional distress (
B), headache (
C), or expected paralysis (
D) are less urgent.

Question 2 of 5

Which finding is considered to be one of the warning signs of developing Alzheimer's disease?

A. Difficulty performing familiar tasks. B. Problems with orientation to date, time, and place. C. Having problems focusing on a task. D. Atherosclerotic changes in the vessels.

Correct Answer: A

Rationale: Difficulty performing familiar tasks (
A) is an early Alzheimer’s sign due to cognitive decline. Orientation issues (
B) occur later, focus problems (
C) are nonspecific, and atherosclerosis (
D) is unrelated.

Question 3 of 5

Which assessment data indicate that the client with a traumatic brain injury (TBI) exhibiting decorticate posturing on admission is responding effectively to treatment?

A. The client has flaccid paralysis. B. The client has purposeful movement. C. The client has decerebrate posturing with painful stimuli. D. The client does not move the extremities.

Correct Answer: B

Rationale: Purposeful movement (
B) indicates improved brain function compared to decorticate posturing. Flaccid paralysis (
A) or decerebrate posturing (
C) suggest worsening, and no movement (
D) is not an improvement.

Question 4 of 5

The unlicensed assistive personnel (UAP) is attempting to put an oral airway in the mouth of a client having a tonic-clonic seizure. Which action should the primary nurse take?

A. Help the UAP to insert the oral airway in the mouth. B. Tell the UAP to stop trying to insert anything in the mouth. C. Take no action because the UAP is handling the situation. D. Notify the charge nurse of the situation immediately.

Correct Answer: B

Rationale: Inserting objects during a seizure (
B) risks injury to the mouth or airway and is contraindicated. The nurse must intervene immediately. Helping the UAP (
A) is unsafe, taking no action (
C) neglects responsibility, and notifying the charge nurse (
D) delays correction.

Question 5 of 5

The nurse writes the problem 'high risk for impaired skin integrity' for the client with an L5-6 spinal cord injury. Which intervention should the nurse include in the plan of care?

A. Perform active range-of-motion exercise. B. Massage the legs and trochanters every shift. C. Arrange for a Roho cushion in the wheelchair. D. Apply petroleum-based lotion to the extremities.

Correct Answer: C

Rationale: A Roho cushion (
C) reduces pressure ulcers in SCI patients. Active ROM (
A) is not possible, massage (
B) risks skin breakdown, and petroleum lotion (
D) is not specific.

NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

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