NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The nurse is discussing seizure prevention with a female client who was just diagnosed with epilepsy. Which statement indicates the client needs more teaching?
Correct Answer: D
Rationale: Menstrual hormonal changes can affect seizure frequency (
D), indicating a need for further teaching. Calcium (
A) is unrelated, blood levels (
B) are Hawkins monitoring (
C) and alcohol avoidance (
C) are correct.
Question 2 of 5
The client underwent a lumbar laminectomy with spinal fusion 12 hours earlier. Which nursing assessment finding indicates that the client has a leakage of CSF?
Correct Answer: C
Rationale: Unrelieved back pain may be associated with another complication, not CSF leakage. A severe headache, rather than back pain, may be associated with CSF leakage. 50 mL of serosanguineous fluid in the bulb drain is a normal finding. Clear drainage on the surgical dressing is indicative of a CSF leak. The temperature elevation could indicate an infection.
Question 3 of 5
The nurse researcher is working with clients diagnosed with Parkinson’s disease. Which is an example of an experimental therapy?
Correct Answer: D
Rationale: Fetal tissue transplantation (
D) is an experimental therapy for Parkinson’s, investigated for dopamine-producing cell replacement. Pallidotomy/thalamotomy (
A) and dopamine agonists (
B) are established, and physical therapy (
C) is standard care.
Question 4 of 5
Which home care suggestion is best for promoting the mobility of the client with a spinal cord injury?
Correct Answer: B
Rationale: A wheelchair ramp enhances home accessibility, significantly improving mobility for a client with a spinal cord injury.
Question 5 of 5
The nurse is assessing the client diagnosed with bacterial meningitis. Which clinical manifestations would support the diagnosis of bacterial meningitis?
Correct Answer: C
Rationale: Kernig’s sign (pain with leg extension) and nuchal rigidity (
C) are hallmark signs of bacterial meningitis due to meningeal irritation. Other options include unrelated or less specific findings.