NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
The resident in a long-term care facility fell during the previous shift and has a laceration in the occipital area that has been closed with steristrips. Which signs/symptoms would warrant transferring the resident to the emergency department?
Correct Answer: B
Rationale: Signs of shock (weak pulse, shallow respirations, cool pale skin,
B) suggest internal bleeding or serious injury post-fall, warranting ED transfer. Minor drainage (
A) is expected, normal pupils (
C) are reassuring, and a resolving headache (
D) is not urgent.
Question 2 of 5
The client diagnosed with a closed head injury is admitted to the rehabilitation department. Which medication order would the nurse question?
Correct Answer: A
Rationale: Subcutaneous anticoagulants (
A) increase bleeding risk in head injury patients, where intracranial hemorrhage is a concern, and should be questioned. Osmotic diuretics (
B) reduce ICP, anticonvulsants (
C) prevent seizures, and proton pump inhibitors (
D) protect against stress ulcers.
Question 3 of 5
The nurse plans to show the spouse of the client with a suspected epidural hematoma where the epidural hematoma occurs in the brain. Which illustration should the nurse select when teaching the client’s spouse?
Correct Answer: B
Rationale: This illustration shows a subdural hematoma, which occurs below the dura. This illustration shows an epidural hematoma, which occurs between the skull and the dura. This illustration shows normal brain structures. An intracerebral hematoma occurs within the brain tissue and can result in brain herniation as shown in this illustration.
Question 4 of 5
When preparing the client for the upcoming positron emission tomography (PET) scan, the nurse instructs the client to avoid which substances the day before the test? Select all that apply.
Correct Answer: A,E,F
Rationale: Caffeine, alcohol, and tobacco can affect cerebral metabolism and blood flow, potentially altering PET scan results.
Question 5 of 5
Which finding is considered to be one of the warning signs of developing Alzheimer's disease?
Correct Answer: A
Rationale: Difficulty performing familiar tasks (
A) is an early Alzheimer’s sign due to cognitive decline. Orientation issues (
B) occur later, focus problems (
C) are nonspecific, and atherosclerosis (
D) is unrelated.