Neurological Disorder NCLEX

Extract:

Question 1 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 2 of 5

The client has right homonymous hemianopia following an ischemic stroke. The nurse asks the NA to help the client with meals knowing that this problem may result in which client response?

A. Tendency to fall to the contralateral side B. Eating food on only half of the plate C. Using the silverware inappropriately D. Choking when swallowing any liquids

Correct Answer: B

Rationale: Tendency to fall to the contralateral side would be a concern if the client were weak or paralyzed. Homonymous hemianopia (hemianopsia) is a visual field abnormality that results in blindness in half of the visual field in the same side of both eyes. It results from damage to the optic tract or occipital lobe. Using the silverware inappropriately is a concern if the client has agnosia. Choking when swallowing any liquids is a concern if the client has dysphagia.

Question 3 of 5

The nurse is caring for several clients on a medical unit. Which client should the nurse assess first?

A. The client with ALS who is refusing to turn every two (2) hours. B. The client with abdominal pain who is complaining of nausea. C. The client with pneumonia who has a pulse oximeter reading of 90%. D. The client who is complaining about not receiving any pain medication.

Correct Answer: C

Rationale: A pulse oximetry of 90% (
C) indicates hypoxemia, requiring immediate assessment to prevent respiratory compromise. Refusing turning (
A), nausea (
B), and pain complaints (
D) are less urgent.

Question 4 of 5

The nurse is conducting a support group for clients diagnosed with Parkinson’s disease and their significant others. Which information regarding psychosocial needs should be included in the discussion?

A. The client should discuss feelings about being placed on a ventilator. B. The client may have rapid mood swings and become easily upset. C. Pill-rolling tremors will become worse when the medication is wearing off. D. The client may automatically start to repeat what another person says.

Correct Answer: B

Rationale: Rapid mood swings and emotional upset (
B) are common in Parkinson’s due to dopamine fluctuations, addressing psychosocial needs. Ventilator discussions (
A) are irrelevant, tremors (
C) are physical, and echolalia (
D) is not typical.

Question 5 of 5

Which discharge instruction is most appropriate following the positron emission tomography scan?

A. Take a mild sedative tonight. B. Increase your fluid intake. C. Avoid excessive sitting. D. Report signs of a fever.

Correct Answer: B

Rationale: Increasing fluid intake helps flush the radioactive tracer used in the PET scan from the body.

Neurological Disorder NCLEX | Nurselytic

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