NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is caring for the client with an SCI at the level of the sixth cervical vertebra. Which findings support the nurse’s conclusion that the client may be experiencing autonomic dysreflexia? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Blurred vision results from the hypertension occurring with autonomic dysreflexia. Hypertension is a symptom of autonomic dysreflexia from overstimulation of the sympathetic nervous system (SNS). Bradycardia (not tachycardia) results from autonomic dysreflexia; the parasympathetic nervous system attempts to maintain homeostasis by slowing down the HR. Headache results from the hypertension occurring with autonomic dysreflexia. Sweating results from the sympathetic stimulation above the level of injury.
Question 2 of 5
The 29-year-old client who was employed as a forklift operator sustains a traumatic brain injury (TBI) secondary to a motor-vehicle accident. The client is being discharged from the rehabilitation unit after three (3) months and has cognitive deficits. Which goal would be most realistic for this client?
Correct Answer: B
Rationale: Cognitive deficits post-TBI may limit complex tasks. Focusing for 10 minutes (
B) is a realistic short-term goal to build cognitive endurance. Returning to work (
A) may be unrealistic within 6 months, dressing independently (
C) requires motor and cognitive skills, and bowel/bladder control (
D) may be affected by physical deficits.
Question 3 of 5
The client has had recurrent episodes of low back pain. Which statement indicates that the client has incorporated positive lifestyle changes to decrease the incidence of future back problems?
Correct Answer: A
Rationale: Stooping and avoiding bending and twisting motions when lifting objects lessen the likelihood of injury. The client should wear supportive shoes. The client should include regular daily exercise as a program (not excessive walking over 2 days on the weekend). Clients should avoid prolonged sitting or standing.
Question 4 of 5
The nurse is assessing the client diagnosed with meningococcal meningitis. Which assessment data would warrant notifying the HCP?
Correct Answer: A
Rationale: Purpuric lesions (
A) indicate possible meningococcemia, a life-threatening complication requiring immediate HCP notification. Photophobia (
B), headache (
C), and confusion (
D) are expected but less urgent.
Question 5 of 5
Which client response depicts normal function of cranial nerve XI?
Correct Answer: D
Rationale: Cranial nerve XI (spinal accessory) innervates the trapezius and sternocleidomastoid muscles, enabling shoulder shrugging.