Neurological Disorder NCLEX | Nurselytic

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Neurological Disorder NCLEX Questions

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Question 1 of 5

The nurse is performing a Glasgow Coma Scale (GCS) assessment on a client with a problem with intracranial regulation. The client’s GCS one (1) hour ago was scored at 10. Which datum indicates the client is improving?

Correct Answer: D

Rationale: A GCS of 12 (
D) is higher than 10, indicating improved neurological status. Scores of 3 (
A) or 9 (
B) indicate worsening, and 10 (
C) shows no change.

Question 2 of 5

The client is diagnosed with a metastatic brain tumor, and radiation therapy is scheduled. The client asks the nurse, 'Why not try chemotherapy first? It has helped my other tumors.' The nurse’s response is based on which scientific rationale?

Correct Answer: B

Rationale: The blood-brain barrier (
B) limits chemotherapy penetration into the brain, making radiation more effective for brain metastases. Chemotherapy is used in some cases (
A), radiation side effects vary (
C), and resistance (
D) is not universally true.

Question 3 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 4 of 5

Which intervention is most appropriate for a client with multiple sclerosis experiencing fatigue?

Correct Answer: B

Rationale: Short, frequent rest periods help manage fatigue in multiple sclerosis by conserving energy.

Question 5 of 5

The client with a history of migraine headaches comes to the emergency department complaining of a migraine headache. Which collaborative treatment should the nurse anticipate?

Correct Answer: A

Rationale: Sumatriptan (
A) is a first-line treatment for acute migraines. CT (
B) is for atypical cases, quiet room (
C) is supportive, and propranolol (
D) is for prophylaxis.

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