NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The nurse is developing a plan of care for a client diagnosed with West Nile virus. Which intervention should the nurse include in this plan?
Correct Answer: A
Rationale: Severe West Nile virus can cause neurological and respiratory complications, so monitoring respirations (
A) is critical. Rash (
B) is self-limiting, hypothermia (
C) is not typical, and lymph glands (
D) are not a primary concern.
Question 2 of 5
When the nurse monitors the client's neurologic status, which finding is most suggestive that the client's intracranial pressure is increasing?
Correct Answer: A
Rationale: Widening pulse pressure is a hallmark sign of increasing intracranial pressure, often accompanied by bradycardia (Cushing's triad).
Question 3 of 5
The client comes to the clinic for treatment of a dog bite. Which intervention should the clinic nurse implement first?
Correct Answer: D
Rationale: Determining the animal’s vaccination status (
D) is the first step to assess rabies risk, guiding further interventions. Rabies injections (
A) are premature, animal control (
B) is secondary, and tetanus (
C) follows risk assessment.
Question 4 of 5
The nurse is developing a plan of care for a client diagnosed with West Nile virus. Which intervention should the nurse include in this plan?
Correct Answer: A
Rationale: Severe West Nile virus can cause neurological and respiratory complications, so monitoring respirations (
A) is critical. Rash (
B) is self-limiting, hypothermia (
C) is not typical, and lymph glands (
D) are not a primary concern.
Question 5 of 5
The client who just had a three (3)-minute seizure has no apparent injuries and is oriented to name, place, and time but is very lethargic and just wants to sleep. Which intervention should the nurse implement?
Correct Answer: C
Rationale: Post-seizure, the client is in a postictal phase with lethargy. Turning to the side (
C) prevents aspiration and allows safe rest. Neurological assessment (
A) can wait until the client is less lethargic, frequent awakening (
B) is unnecessary if oriented, and interviewing (
D) is not urgent.