NCLEX Questions on Neurological Disorders Quizlet

Extract:

Question 1 of 5

The nurse is enjoying a day at the lake and witnesses a water skier hit the boat ramp. The water skier is in the water not responding to verbal stimuli. The nurse is the first health-care provider to respond to the accident. Which intervention should be implemented first?

Correct Answer: D

Rationale: In trauma with potential head or neck injury, stabilizing the cervical spine (
D) is the first priority to prevent spinal cord injury during movement. Assessing consciousness (
A), organizing removal (
B), or performing a full assessment (
C) follows.

Question 2 of 5

The nurse is caring for a client with increased intracranial pressure (ICP) who has secretions pooled in the throat. Which intervention should the nurse implement first?

A. Set the ventilator to hyperventilate the client in preparation for suctioning. B. Assess the client’s lung sounds and check for peripheral cyanosis. C. Turn the client to the side to allow the secretions to drain from the mouth. D. Suction the client using the in-line suction, wait 30 seconds, and repeat.

Correct Answer: C

Rationale: Pooled secretions risk airway obstruction. Turning to the side (
C) clears the airway safely without increasing ICP. Hyperventilation (
A) and suctioning (
D) may raise ICP, and assessment (
B) delays intervention.

Question 3 of 5

The client is diagnosed with Wernicke-Korsakoff syndrome as a result of chronic alcoholism. For which symptoms would the nurse assess?

A. Insomnia and anxiety. B. Visual or auditory hallucinations. C. Extreme tremors and agitation. D. Ataxia and confabulation.

Correct Answer: D

Rationale: Wernicke-Korsakoff syndrome, due to thiamine deficiency in alcoholism, causes ataxia (unsteady gait) and confabulation (fabricated memories,
D). Insomnia/anxiety (
A), hallucinations (
B), and tremors/agitation (
C) are less specific.

Question 4 of 5

Which finding is considered to be one of the warning signs of developing Alzheimer's disease?

A. Difficulty performing familiar tasks. B. Problems with orientation to date, time, and place. C. Having problems focusing on a task. D. Atherosclerotic changes in the vessels.

Correct Answer: A

Rationale: Difficulty performing familiar tasks (
A) is an early Alzheimer’s sign due to cognitive decline. Orientation issues (
B) occur later, focus problems (
C) are nonspecific, and atherosclerosis (
D) is unrelated.

Question 5 of 5

Which nursing approach for communication would be best if the client becomes confused?

A. Turn the television on so the client can hear human voices. B. Play some music when the client is aggressive. C. Orient the client to the surroundings and current situations. D. Look at and talk about pictures in a photo album of the client's life.

Correct Answer: C

Rationale: Orienting the client to their surroundings and current situations helps reduce confusion and anxiety in clients with AIDS dementia complex.

NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN