NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The nurse is planning care for a client experiencing agnosia secondary to a cerebrovascular accident. Which collaborative intervention will be included in the plan of care?
Correct Answer: D
Rationale: Agnosia is the inability to recognize objects, people, or sounds, impacting functional abilities. Referring to an occupational therapist (
D) is appropriate to assess and develop strategies for managing agnosia. Swallowing issues (A,
C) are related to dysphagia, not agnosia, and semi-Fowler’s position (
B) is not specific to agnosia management.
Question 2 of 5
The client has been newly diagnosed with epilepsy. Which discharge instructions should be taught to the client? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Recording seizures (
A) helps track treatment efficacy, avoiding OTC medications (
C) prevents interactions, regular serum levels (
D) ensure therapeutic dosing, and not driving alone (E) ensures safety. Tub baths (
B) pose a drowning risk and are not advised.
Question 3 of 5
The client, who has a deteriorating status after having a stroke, has a rectal temperature of 102.3°F (39.1°C). Which should be the nurse’s rationale for initiating interventions to bring the temperature to a normal level?
Correct Answer: D
Rationale: A normal temperature does not strengthen the immune system. Although hypothermia may increase the client’s chance for survival, the question is asking for the rationale for bringing the temperature to a normal level. Hyperthermia, not a normal temperature, is associated with lower scores on the Glasgow Coma Scale. The nurse should initiate temperature reduction measures because a temperature elevation in the client poststroke can cause an increase in the infarct size. This may be due to the increased oxygen demand with hyperthermia and peripheral vasodilation that decreases cerebral perfusion.
Question 4 of 5
The client diagnosed with amyotrophic lateral sclerosis (Lou Gehrig's disease) is prescribed medications that require intravenous access. The HCP has ordered a primary intravenous line at a keep-vein-open (KVO) rate at 25 mL/hr. The drop factor is 10 gtts/mL. At what rate should the nurse set the IV tubing?
Correct Answer: 4 gtts/min
Rationale: Calculate: (25 mL/hr ÷ 60 min) × 10 gtts/mL = 4.17 gtts/min, rounded to 4 gtts/min.
Question 5 of 5
The nurse arrives at the site of a one-car motor-vehicle accident and stops to render aid. The driver of the car is unconscious. After stabilizing the client's cervical spine, which action should the nurse take next?
Correct Answer: C
Rationale: After cervical spine stabilization, ensuring a patent airway (
C) is the next priority to support oxygenation. Removing the driver (
A) risks further injury, pupil assessment (
B) is secondary, and shaking (
D) could worsen spinal injury.