Neurological Disorder NCLEX

Extract:

Question 1 of 5

The nurse is caring for several clients on a medical unit. Which client should the nurse assess first?

Correct Answer: C

Rationale: A pulse oximetry of 90% (
C) indicates hypoxemia, requiring immediate assessment to prevent respiratory compromise. Refusing turning (
A), nausea (
B), and pain complaints (
D) are less urgent.

Question 2 of 5

The nurse is discussing seizure prevention with a female client who was just diagnosed with epilepsy. Which statement indicates the client needs more teaching?

A. I will take calcium supplements daily and drink milk.' B. I will see my HCP to have my blood levels drawn Multiple Choicely.' C. I should not drink any type of alcohol while taking the medication.' D. I am glad that my periods will not affect my epilepsy.'

Correct Answer: D

Rationale: Menstrual hormonal changes can affect seizure frequency (
D), indicating a need for further teaching. Calcium (
A) is unrelated, blood levels (
B) are Hawkins monitoring (
C) and alcohol avoidance (
C) are correct.

Question 3 of 5

The female client with an incomplete T6 spinal cord transection asks the nurse for sexual health advice and the possibility of ever conceiving. Which statements by the nurse will be helpful to the client? Select all that apply.

A. “You need to continue to use contraceptives if you do not wish to have children.” B. “Unfortunately, your injury prevents you from being able to conceive children.” C. “Because feeling is affected, it is not likely that you will be able to deliver a baby.” D. “Sexual intercourse is generally prohibited because it can worsen your condition.” E. “You can engage in sexual intimacy, but you may not be able to feel an orgasm.”

Correct Answer: A,E

Rationale: Although the client has an incomplete T6 SCI, the woman is still capable of becoming pregnant. The client with an incomplete T6 SCI is able to get pregnant. Although the client may not feel the onset of labor, she may still be able to deliver the baby vaginally or via cesarean section. Sexual intercourse is allowable and would not worsen the client’s condition. The female may not be able to feel an orgasm. The client may not be able to feel an orgasm after an incomplete T6 SCI.

Question 4 of 5

The male client diagnosed with a brain tumor is scheduled for a magnetic resonance imaging (MRI) scan in the morning. The client tells the nurse that he is scared. Which response by the nurse indicates an appropriate therapeutic response?

A. MRIs are loud but there will not be any invasive procedure done.' B. You’re scared. Tell me about what is scaring you.' C. This is the least thing to be scared about—there will be worse.' D. I can call the MRI tech to come and talk to you about the scan.'

Correct Answer: B

Rationale: Reflecting the client’s fear (
B) encourages expression of concerns, fostering therapeutic communication. Other options provide information (A,
D) or minimize feelings (
C).

Question 5 of 5

Which of the following indicates an autonomic nervous system manifestation of a seizure?

A. Numbness and tingling of the hands B. Changes in taste and speech C. Flushing and increased sweating D. A subjective aura or sensation

Correct Answer: C

Rationale: Flushing and increased sweating are autonomic nervous system manifestations that can occur during a seizure, reflecting involuntary physiological changes.

Neurological Disorder NCLEX | Nurselytic

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