Neurological Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse reviews the chart of the client who had a T12 SCI 12 years ago and is receiving baclofen through an intrathecal infusion pump. Which chart information in the exhibit is most important for the nurse to discuss with the HCP?

Correct Answer: A

Rationale: Exaggerated spasticity, muscle rigidity, and tinnitus are adverse effects of baclofen (Lioresal) that the nurse should discuss with the HCP. The client had a minimal drop in BP from lying to standing and does not have orthostatic hypotension. The WBC and liver enzymes are WNL. The glucose is not significantly elevated and would not warrant notifying the HCP. All prescribed medications are appropriate for the client who has a T12 SCI.

Question 2 of 5

What should the nurse warn a client with multiple sclerosis to avoid?

A. Hot weather B. Wet climates C. Your diet D. Cold temperatures

Correct Answer: A

Rationale: Hot weather can exacerbate MS symptoms by increasing body temperature, which impairs nerve conduction.

Question 3 of 5

The client newly diagnosed with Parkinson’s Disease (PD) asks the nurse, 'Why can’t I control these tremors?' Which is the nurse’s best response?

A. You can control the tremors when you learn to concentrate and focus on the cause.' B. The tremors are caused by a lack of the chemical dopamine in the brain; medication may help.' C. You have too much acetylcholine in your brain causing the tremors but they will get better with time.' D. You are concerned about the tremors? If you want to talk I would like to hear how you feel.'

Correct Answer: B

Rationale: Parkinson’s tremors result from dopamine deficiency (
B), and medications like levodopa help. Concentration (
A) doesn’t control tremors, acetylcholine imbalance (
C) is partial and not time-resolving, and reflection (
D) doesn’t answer the question.

Question 4 of 5

The client diagnosed with Parkinson’s disease is being discharged. Which statement made by the significant other indicates an understanding of the discharge instructions?

A. All of my spouse’s emotions will slow down now just like his body movements.' B. My spouse may experience hallucinations until the medication starts working.' C. I will schedule appointments late in the morning after his morning bath.' D. It is fine if we don’t follow a strict medication schedule on weekends.'

Correct Answer: C

Rationale: Scheduling appointments late in the morning (
C) accommodates Parkinson’s patients’ morning stiffness and medication timing, indicating understanding. Emotional slowing (
A) is incorrect, hallucinations (
B) are a side effect not limited to initiation, and strict medication schedules (
D) are critical.

Question 5 of 5

Which diagnostic evaluation tool would the nurse use to assess the client’s cognitive functioning? Select all that apply.

A. The Geriatric Depression Scale (GDS). B. The St. Louis University Mental Status (SLUMS) scale. C. The Mini-Mental Status Examination (MMSE) scale. D. The Manic Depression vs Elderly Depression (MDED) scale. E. The Functional Independence Measurement Scale (FIMS).

Correct Answer: B,C

Rationale: SLUMS (
B) and MMSE (
C) directly assess cognitive functions like memory and orientation. GDS (
A) assesses depression, MDED (
D) is not standard, and FIMS (E) measures physical function.

Neurological Disorders NCLEX Questions | Nurselytic

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