Neurological Disorder NCLEX

Extract:

Question 1 of 5

The public health department nurse is preparing a lecture on prevention of West Nile virus. Which information should the nurse include?

Correct Answer: A

Rationale: Changing water daily in pet dishes and birdbaths (
A) prevents mosquito breeding, reducing West Nile virus risk. Thick clothing (
B) should be light-colored, repellent (
C) should cover all exposed areas, and mosquitoes are more active at dusk (
D).

Question 2 of 5

The nurse is working with several clients in a substance abuse clinic. Client A tells the nurse that another client, Client B, has 'started using again.' Which action should the nurse implement?

A. Tell Client A the nurse cannot discuss Client B with him. B. Find out how Client A got this information. C. Inform the HCP that Client B is using again. D. Get in touch with Client B and have the client come to the clinic.

Correct Answer: D

Rationale: Allegations of relapse require direct assessment. Contacting Client B (
D) allows the nurse to evaluate the situation respectfully. Discussing Client B with Client A (
A) or probing Client A (
B) breaches confidentiality, and informing the HCP (
C) is premature without verification.

Question 3 of 5

Which nursing task would be most appropriate for the nurse to delegate to the unlicensed assistive personnel?

A. Teach Credé’s maneuver to the client needing to void. B. Administer the tube feeding to the client who is quadriplegic. C. Assist with bowel training by placing the client on the bedside commode. D. Observe the client demonstrating self-catheterization technique.

Correct Answer: C

Rationale: Assisting with bowel training by placing the client on a commode (
C) is within the UAP’s scope, involving physical assistance. Teaching (
A), administering tube feedings (
B), and observing techniques (
D) require nursing judgment and are not delegable.

Question 4 of 5

The client is diagnosed with Huntington's chorea. Which interventions should the nurse implement with the family? Select all that apply.

A. Refer to the Huntington's Chorea Foundation. B. Explain the need for the client to wear football padding. C. Discuss how to cope with the client's messiness. D. Provide three (3) meals a day and no between-meal snacks. E. Teach the family how to perform chest percussion.

Correct Answer: A,C

Rationale: Referring to the Huntington’s Disease Society (
A) provides support and resources. Discussing coping with messiness (
C) addresses chorea-related coordination issues. Football padding (
B) is inappropriate, meal restrictions (
D) are unnecessary, and chest percussion (E) is unrelated.

Question 5 of 5

The client is diagnosed with a metastatic brain tumor, and radiation therapy is scheduled. The client asks the nurse, 'Why not try chemotherapy first? It has helped my other tumors.' The nurse’s response is based on which scientific rationale?

A. Chemotherapy is only used as a last resort in caring for clients with brain tumors. B. The blood-brain barrier prevents medications from reaching the brain. C. Radiation therapy will have fewer side effects than chemotherapy. D. Metastatic tumors become resistant to chemotherapy and it becomes useless.

Correct Answer: B

Rationale: The blood-brain barrier (
B) limits chemotherapy penetration into the brain, making radiation more effective for brain metastases. Chemotherapy is used in some cases (
A), radiation side effects vary (
C), and resistance (
D) is not universally true.

Neurological Disorder NCLEX | Nurselytic

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