NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The nurse is caring for several clients. Which client would the nurse assess first after receiving the shift report?
Correct Answer: C
Rationale: A GCS score of 6 (
C) indicates severe neurological impairment, requiring immediate assessment for potential life-threatening conditions. Waking every 2 hours (
A) is standard for concussion, left-sided weakness (
B) is concerning but less acute, and expressive aphasia (
D) is stable.
Question 2 of 5
The nurse asks the male client with epilepsy if he has auras with his seizures. The client says, 'I don’t know what you mean. What are auras?' Which statement by the nurse would be the best response?
Correct Answer: A
Rationale: Auras are sensory warnings preceding a seizure (
A), and this response accurately educates the client. Other options misdefine auras (B,
D) or fail to address the question (
C).
Question 3 of 5
Which nursing intervention is most appropriate after the lumbar puncture has been performed?
Correct Answer: D
Rationale: Keeping the client flat for several hours post-lumbar puncture reduces the risk of cerebrospinal fluid leakage and subsequent headache.
Question 4 of 5
Which intervention should be added to the client's care plan in relation to this latest finding?
Correct Answer: C
Rationale: Approaching from the unaffected side ensures the client with hemianopia can see the nurse, compensating for visual field loss.
Question 5 of 5
The client with muscle weakness asks the nurse during the initial assessment if the symptoms suggest 'Lou Gehrig’s' disease. Which is the nurse’s most appropriate response?
Correct Answer: B
Rationale: There is no information that the client is working too much. Telling the client to avoid thinking the worst belittles the client’s concern. This is the most appropriate response because it focuses on the client’s concern, encourages verbalization, and solicits more information. ALS (Lou Gehrig’s disease) is a degenerative disease that affects the motor system and does not have a dementia component; thus, a question about memory is inappropriate. This response does not take the client seriously and does not address the client’s concern.