NCLEX-PN
NCLEX Neurological Disorders Questions
Extract:
Question 1 of 5
The significant other of a client diagnosed with a brain tumor asks the nurse for help identifying resources. Which would be the most appropriate referral for the nurse to make?
Correct Answer: A
Rationale: A social worker (
A) can connect the family with community resources, financial aid, and support services. Chaplains (
B) address spiritual needs, providers (
C) focus on medical care, and occupational therapists (
D) address functional deficits.
Question 2 of 5
The nurse is admitting the client for rule-out encephalitis. Which interventions should the nurse assess to support the diagnosis of encephalitis? Select all that apply.
Correct Answer: C
Rationale: Encephalitis is often viral, with herpes simplex virus (HSV-1,
C) a common cause, supporting the diagnosis. Recent immunizations (
A), colds (
B), travel (
D), and fungal exposure (E) are less directly linked to encephalitis.
Question 3 of 5
The male client is sitting in the chair and his entire body is rigid with his arms and legs contracting and relaxing. The client is not aware of what is going on and is making guttural sounds. Which action should the nurse implement first?
Correct Answer: D
Rationale: During a tonic-clonic seizure, the priority is safety. Easing the client to the floor (
D) prevents injury from falling. Clearing furniture (
A) follows, placing on the side (
B) is done after the client is safe, and vital signs (
C) are assessed post-seizure.
Question 4 of 5
The client has undergone a craniotomy for a brain tumor. Which data indicate a complication of this surgery?
Correct Answer: B
Rationale: Significant output (3,500 mL) compared to intake (1,000 mL,
B) suggests diabetes insipidus, a complication of craniotomy due to pituitary dysfunction. Mild headache (
A), sore throat (
C), and orthostatic dizziness (
D) are less concerning.
Question 5 of 5
If the diagnosis is accurate, which assessment findings should the nurse document? Select all that apply.
Correct Answer: A,B,F
Rationale: Meningitis commonly presents with photophobia, stiff neck (nuchal rigidity), and fever due to inflammation of the meninges. Muscle weakness, diarrhea, and vertigo are not typically associated with meningitis.