NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The nurse is preparing the male client for an electroencephalogram (EEG). Which intervention should the nurse implement?
Correct Answer: A
Rationale: Explaining that the EEG is painless (
A) reduces anxiety. Benzodiazepines (
B) are not routine, shaving (
C) is unnecessary, and floaters (
D) are not associated.
Question 2 of 5
The nurse in a long-term care facility has noticed a change in the behavior of one of the clients. The client no longer participates in activities and prefers to stay in his room. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Social withdrawal may indicate depression. Completing a Geriatric Depression Scale (
D) is the first step to assess this possibility. Forcing dining (
A), notifying family (
B), or changing roommates (
C) are premature without assessment.
Question 3 of 5
The home health nurse is caring for a 28-year-old client with a T10 SCI who says, 'I can’t do anything. Why am I so worthless?' Which statement by the nurse would be most therapeutic?
Correct Answer: A
Rationale: Reflecting the client’s feelings (
A) validates their emotions and encourages further discussion, promoting therapeutic communication. Other options dismiss feelings (
B), challenge the client inappropriately (
C), or assume solutions (
D).
Question 4 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 5 of 5
The client with a closed head injury has clear fluid draining from the nose. Which action should the nurse implement first?
Correct Answer: C
Rationale: Clear nasal drainage post-head injury may indicate cerebrospinal fluid (CSF) leak, confirmed by testing for glucose (
C). This is the first step to guide further action. Notifying the provider (
A) follows confirmation, antihistamines (
B) are irrelevant, and gauze (
D) is a secondary measure.