NCLEX-PN
Neurological Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
The spouse of a recently retired man tells the nurse, 'All my husband does is sit around and watch television all day long. He is so irritable and moody. I don't want to be around him.' Which action should the nurse implement?
Correct Answer: C
Rationale: Irritability and mood changes post-retirement may indicate depression. Recommending an HCP evaluation for antidepressants (
C) is appropriate. Leaving alone (
A) ignores the issue, Alzheimer’s (
B) is premature, and crafts (
D) may not address mood.
Question 2 of 5
Which diagnostic evaluation tool would the nurse use to assess the client’s cognitive functioning? Select all that apply.
Correct Answer: B,C
Rationale: SLUMS (
B) and MMSE (
C) directly assess cognitive functions like memory and orientation. GDS (
A) assesses depression, MDED (
D) is not standard, and FIMS (E) measures physical function.
Question 3 of 5
The 29-year-old client is admitted to the medical floor diagnosed with meningitis. Which assessment by the nurse has priority?
Correct Answer: D
Rationale: Level of consciousness (
D) is the priority assessment in meningitis, as it indicates neurological status and potential complications like increased ICP. Lung sounds (
A), eye movements (
B), and pulse (
C) are secondary.
Question 4 of 5
Which assessment finding is most important to consider before developing the client's care plan?
Correct Answer: A
Rationale: The ability to perform ADLs determines the level of assistance needed, guiding the care plan for a client with Parkinson's disease.
Question 5 of 5
The nurse is assessing the client with a tentative diagnosis of meningitis. Which findings should the nurse associate with meningitis? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Irritation of the meninges causes nuchal rigidity (stiff neck). Irritation of the meninges causes severe headache. Pill-rolling tremors are associated with PD. Irritation of the meninges causes photophobia (light irritates the eyes). Lethargy, pathological state of sleepiness or unresponsiveness, indicates a decreased level of consciousness which is associated with meningitis.