NCLEX-PN
Neurological Disorder NCLEX Questions
Extract:
Question 1 of 5
The student nurse asks the nurse, 'Why do you ask the client to identify how many fingers you have up when the client hit the front of the head, not the back?' The nurse would base the response on which scientific rationale?
Correct Answer: B
Rationale: Frontal head injuries may affect the occipital lobe or optic pathways, causing diplopia (double vision,
B). Routine exams (
A) are broader, brain damage (
C) is not specific, and rebound effect (
D) is not a term used here.
Question 2 of 5
The nurse identifies the concept of intracranial regulation disturbance in a client diagnosed with Parkinson’s Disease. Which priority intervention should the nurse implement?
Correct Answer: A
Rationale: Parkinson’s increases fall risk due to bradykinesia and rigidity. Keeping the bed low and call light in reach (
A) prioritizes safety. Diet (
B), home health (
C), and skin assessment (
D) are secondary.
Question 3 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?
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.
Question 4 of 5
The client with a history of migraine headaches comes to the emergency department complaining of a migraine headache. Which collaborative treatment should the nurse anticipate?
Correct Answer: A
Rationale: Sumatriptan (
A) is a first-line treatment for acute migraines. CT (
B) is for atypical cases, quiet room (
C) is supportive, and propranolol (
D) is for prophylaxis.
Question 5 of 5
The nurse researcher is working with clients diagnosed with Parkinson’s disease. Which is an example of an experimental therapy?
Correct Answer: D
Rationale: Fetal tissue transplantation (
D) is an experimental therapy for Parkinson’s, investigated for dopamine-producing cell replacement. Pallidotomy/thalamotomy (
A) and dopamine agonists (
B) are established, and physical therapy (
C) is standard care.