NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The nurse is caring for the client who is having difficulty walking. Which procedure should the nurse perform to test the cerebellar function of the client?
Correct Answer: D
Rationale: Detecting sharp or dull touch is a test for peripheral nerve function. Assessing for pronator drift is a test for muscle weakness due to cerebral or brainstem dysfunction. Assessment of hand grasps compares equality of muscle strength bilaterally. Repetitive alternating motion tests the client’s coordination, an indicator of cerebellar function.
Question 2 of 5
The client diagnosed with atrial fibrillation has experienced a transient ischemic attack (TIA). Which medication would the nurse anticipate being ordered for the client on discharge?
Correct Answer: A
Rationale: A TIA in a client with atrial fibrillation is likely due to cardioembolic stroke risk. Oral anticoagulants (
A), such as warfarin or direct oral anticoagulants, are prescribed to prevent clot formation. Beta blockers (
B) control heart rate, anti-hyperuricemics (
C) treat gout, and thrombolytics (
D) are used acutely, not for discharge prevention.
Question 3 of 5
The client, undergoing testing for a possible brain tumor, asks the nurse about treatment options. The nurse’s response should be based on knowing that treatment of a brain tumor depends on which factors? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Surgery, radiation therapy, and/or chemotherapy may be used to treat a slowly or rapidly growing tumor. Surgery, radiation therapy, and/or chemotherapy may be used to treat a benign or malignant tumor. Surgery, radiation therapy, and/or chemotherapy may be used to treat tumors of different cell types. The tumor’s location in the brain may affect whether surgery is an option or whether the surgical approach with radiation therapy and/or chemotherapy is used to treat the tumor. Comorbid conditions, not age, may be determining factors in treatment options. The type of insurance is irrelevant to treatment unless treatment is experimental.
Question 4 of 5
The nurse is preparing to administer acetaminophen (Tylenol) to a client diagnosed with a stroke who is complaining of a headache. Which intervention should the nurse implement first?
Correct Answer: B
Rationale: Checking the armband (
B) ensures patient safety before medication administration. Pudding (
A), crushing (
C), or sipping water (
D) follow identity confirmation.
Question 5 of 5
Which assessment data should the nurse expect to observe for the client diagnosed with Parkinson's disease?
Correct Answer: B
Rationale: Masklike facies and pill-rolling tremors (
B) are hallmark Parkinson’s signs due to dopamine deficiency. Paralysis/pain (
A) suggest Guillain-Barré, diplopia/ptosis (
C) indicate myasthenia gravis, and dysphagia/dysarthria (
D) are later symptoms.