NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The nurse is caring for the client diagnosed with West Nile virus. Which assessment data would require immediate intervention from the nurse?
Correct Answer: D
Rationale: Lethargy and difficulty arousing (
D) indicate neurological deterioration, requiring immediate intervention. Mild fever (
A), body aches (
B), and positive ELISA (
C) are expected.
Question 2 of 5
The nurse is performing a Glasgow Coma Scale (GCS) assessment on a client with a problem with intracranial regulation. The client’s GCS one (1) hour ago was scored at 10. Which datum indicates the client is improving?
Correct Answer: D
Rationale: A GCS of 12 (
D) is higher than 10, indicating improved neurological status. Scores of 3 (
A) or 9 (
B) indicate worsening, and 10 (
C) shows no change.
Question 3 of 5
The client has right homonymous hemianopia following an ischemic stroke. The nurse asks the NA to help the client with meals knowing that this problem may result in which client response?
Correct Answer: B
Rationale: Tendency to fall to the contralateral side would be a concern if the client were weak or paralyzed. Homonymous hemianopia (hemianopsia) is a visual field abnormality that results in blindness in half of the visual field in the same side of both eyes. It results from damage to the optic tract or occipital lobe. Using the silverware inappropriately is a concern if the client has agnosia. Choking when swallowing any liquids is a concern if the client has dysphagia.
Question 4 of 5
The client is diagnosed with Huntington's chorea. Which interventions should the nurse implement with the family? Select all that apply.
Correct Answer: A,C
Rationale: Referring to the Huntington’s Disease Society (
A) provides support and resources. Discussing coping with messiness (
C) addresses chorea-related coordination issues. Football padding (
B) is inappropriate, meal restrictions (
D) are unnecessary, and chest percussion (E) is unrelated.
Question 5 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.