NCLEX Questions on Neurological Disorders Quizlet

Extract:

Question 1 of 5

The nurse writes the problem 'high risk for impaired skin integrity' for the client with an L5-6 spinal cord injury. Which intervention should the nurse include in the plan of care?

Correct Answer: C

Rationale: A Roho cushion (
C) reduces pressure ulcers in SCI patients. Active ROM (
A) is not possible, massage (
B) risks skin breakdown, and petroleum lotion (
D) is not specific.

Question 2 of 5

The client diagnosed with a brain abscess has become lethargic and difficult to arouse. Which intervention should the nurse implement first?

A. Implement seizure precautions. B. Assess the client's neurological status. C. Close the drapes and darken the room. D. Prepare to administer an IV steroid.

Correct Answer: B

Rationale: Lethargy and difficulty arousing suggest neurological deterioration. Assessing neurological status (
B) is the first step to determine the cause and guide interventions. Seizure precautions (
A), darkening the room (
C), and steroids (
D) follow assessment.

Question 3 of 5

The unlicensed assistive personnel (UAP) is attempting to put an oral airway in the mouth of a client having a tonic-clonic seizure. Which action should the primary nurse take?

A. Help the UAP to insert the oral airway in the mouth. B. Tell the UAP to stop trying to insert anything in the mouth. C. Take no action because the UAP is handling the situation. D. Notify the charge nurse of the situation immediately.

Correct Answer: B

Rationale: Inserting objects during a seizure (
B) risks injury to the mouth or airway and is contraindicated. The nurse must intervene immediately. Helping the UAP (
A) is unsafe, taking no action (
C) neglects responsibility, and notifying the charge nurse (
D) delays correction.

Question 4 of 5

Which behavior is a risk factor for developing and spreading bacterial meningitis?

A. An upper respiratory infection (URI). B. Unprotected sexual intercourse. C. Chronic alcohol consumption. D. Use of tobacco products.

Correct Answer: A

Rationale: URI (
A) increases the risk of bacterial meningitis by facilitating bacterial invasion. Sexual intercourse (
B), alcohol (
C), and tobacco (
D) are not direct risk factors.

Question 5 of 5

The nurse caring for a client who has been abusing amphetamines writes a problem of 'cardiovascular compromise.' Which nursing interventions should be implemented?

A. Monitor the telemetry and vital signs every four (4) hours. B. Encourage the client to verbalize the reason for using drugs. C. Provide a quiet, calm atmosphere for the client to rest. D. Place the client on bedrest and a low-sodium diet.

Correct Answer: A,C

Rationale: Amphetamine abuse can cause tachycardia and hypertension. Monitoring telemetry and vital signs (
A) detects cardiovascular changes, and a calm atmosphere (
C) reduces stimulation. Verbalizing reasons (
B) is psychosocial, and bedrest/low-sodium diet (
D) is not indicated.

NCLEX Questions on Neurological Disorders Quizlet | Nurselytic

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