NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The nurse is caring for the client who has severe craniocerebral trauma. Which finding indicates that the client is developing DI?
Correct Answer: B
Rationale: Elevated glucose levels are not associated with DI. The lack of ADH that occurs in DI results in excreting a large amount of pale, dilute urine. The urine of clients with DI is very dilute and therefore has a very low, not high, specific gravity. Decrease in level of consciousness is not directly associated with DI but rather with craniocerebral swelling or bleeding from the trauma.
Question 2 of 5
The client recently has been diagnosed with trigeminal neuralgia. Which intervention is most important for the nurse to implement with the client?
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 3 of 5
The client is being evaluated to rule out ALS. Which signs/symptoms would the nurse note to confirm the diagnosis?
Correct Answer: C
Rationale: Slurred speech and dysphagia (
C) are early ALS signs due to bulbar muscle involvement. Atrophy/flaccidity (
A) and weakness/paralysis (
D) occur later, and fatigue/malnutrition (
B) are nonspecific.
Question 4 of 5
Which intervention is most appropriate for a client with a cerebral aneurysm at risk for rupture?
Correct Answer: B
Rationale: A quiet, dimly lit environment reduces stimuli that could increase intracranial pressure and risk aneurysm rupture.
Question 5 of 5
Which nursing action would be most appropriate if the client develops anorexia and nausea while taking interferon beta-1a (Avonex)?
Correct Answer: D
Rationale: Providing small, easy-to-digest meals helps manage nausea and encourages nutritional intake without altering the medication schedule.