NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The public health nurse is discussing St. Louis encephalitis with a group in the community. Which instruction should the nurse provide to help prevent an outbreak?
Correct Answer: B
Rationale: St. Louis encephalitis is mosquito-borne. Mosquito spraying (
B) reduces vector populations. No vaccine exists (
A), gloves (
C) are irrelevant, and night avoidance (
D) is less effective.
Question 2 of 5
The client underwent a lumbar laminectomy with spinal fusion 12 hours earlier. Which nursing assessment finding indicates that the client has a leakage of CSF?
Correct Answer: C
Rationale: Unrelieved back pain may be associated with another complication, not CSF leakage. A severe headache, rather than back pain, may be associated with CSF leakage. 50 mL of serosanguineous fluid in the bulb drain is a normal finding. Clear drainage on the surgical dressing is indicative of a CSF leak. The temperature elevation could indicate an infection.
Question 3 of 5
The intensive care nurse is caring for the client who has had intracranial surgery. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,E
Rationale: Assessing DVT (
A), monitoring intake/output (
C), and passive ROM (E) prevent complications. Anticoagulants (
B) increase bleeding risk, and warm compresses (
D) are not indicated.
Question 4 of 5
Which intervention should be added to the client's care plan in relation to this latest finding?
Correct Answer: C
Rationale: Approaching from the unaffected side ensures the client with hemianopia can see the nurse, compensating for visual field loss.
Question 5 of 5
The client, who had a stroke, follows the nurse’s instructions without problems, but an attempt to verbally respond to the nurse’s question was garbled. The nurse should identify that the client has which type of aphasia?
Correct Answer: C
Rationale: With receptive aphasia (Wernicke’s aphasia or fluent aphasia) the client would hear the voice but would be unable to comprehend the meaning of the message. Global aphasia is a combination of receptive and expressive aphasia. The client would have difficulty speaking and understanding words and would not be able to read or write. The nurse should identify that the client has expressive aphasia (Broca’s aphasia or non-fluent aphasia). The client is able to comprehend and responds appropriately. The client may attempt to speak but has difficulty communicating with the correct words. With anomic aphasia, the client would have word-finding difficulties; this client does not verbalize.